Table 4. Comparison between studies using bone grafts after corrective osteotomy and plate fixation and studies without using bone grafts.
Author | Year of publication | Number of patients | Study design | Type of bone grafting | % Delayed union | % Nonunion | Occurrence of dislocation |
---|---|---|---|---|---|---|---|
Gradl22 | 2013 | 18 | RCS | ICBG and RD | 5.6 | 0 | None |
Henry23 | 2007 | 19 | RCS | ICBG | 0 | 10.5 | None |
Horas24 | 2001 | 31 | RCS | ICBG | 0 | 0 | None |
Jupiter26 | 1996 | 20 | RCS | ICBG | 5.0 | 0 | None |
Kiliç27 | 2011 | 17 | PCS | ICBG | 0 | 0 | None |
Lozano-Calderón28 | 2010 | 22 | RCS | ICBG | 0 | 0 | None |
Prommersberger31 | 2001 | 20 | RCS | ICBG | 0 | 5.0 | 1 |
Ring34 | 2002 | 20 | RCS | ICBGa | 0 | 0 | None |
Sato35 | 2009 | 28 | RCS | ICBG | 0 | 0 | None |
Shea37 | 1997 | 25 | RCS | ICBG | 0 | 4.0 | None |
von Campe38 | 2006 | 15 | RCS | ICBG | 0 | 0 | None |
Wada39 | 2011 | 21 | RCS | ICBG and TPBS | 9.5 | 0 | None |
Wieland40 | 2005 | 47 | RCS | — | 0 | 0 | None |
Ozer42 | 2011 | 14 | RCS | —b | 0 | 0 | None |
Mahmoud41 | 2012 | 22 | PCS | — | 0 | 0 | None |
Tiren43 | 2014 | 11 | RCS | — | 0 | 0 | None |
Overview of studies that used bone grafts after open wedge osteotomy and plate fixation. All studies included 15 or more patients. In addition, these table also summarizes the four studies in which bone grafting was not performed after corrective osteotomy and plate fixation.
Abbreviations: ICBG, autogenous cancellous iliac crest bone graft; PCS, prospective cohort study; RCS, retrospective cohort study; RD, autogenous cancellous bone graft from the radius; TPBS, tricalcium phosphate bone substitute.
Ring et al used structural trapezoidal bone graft from the iliac crest and nonstructural cancellous bone from the iliac crest.
In the study of Ozer et al, 14 patients received allograft bone chips and in the other 14 patients no bone grafts were used after corrective osteotomy and plate fixation.