Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus
Hallux rigidus is degenerative arthritis of the first metatarsophalangeal joint characterized by pain and stiffness in the joint with limitation of motion and functional impairment. Recently, bone grafts have been introduced in orthopedic procedures, namely osteosynthesis and arthrodesis. Allografts...
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doaj-f1c03b337d8048acbcf7688fd590e5732021-06-01T00:56:34ZengMDPI AGLife2075-17292021-05-011147347310.3390/life11060473Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux RigidusIva Brcic0Klaus Pastl1Harald Plank2Jasminka Igrec3Jakob E. Schanda4Eva Pastl5Mathias Werner6Diagnostic and Research Institute of Pathology, Medical University of Graz, 8010 Graz, AustriaDepartment for Orthopedic Surgery, Diakonissen Hospital Linz, 4020 Linz, AustriaGraz Centre of Electron Microscopy, 8010 Graz, AustriaDivision of General Radiology, Department of Radiology, Medical University of Graz, 8036 Graz, AustriaDepartment for Trauma Surgery, AUVA Trauma Center Vienna-Meidling, 1120 Vienna, AustriaDepartment for Orthopedic Surgery, Diakonissen Hospital Linz, 4020 Linz, AustriaFB Pathology, Osteopathology, VIVANTES Netzwerk für Gesundheit, 13407 Berlin, GermanyHallux rigidus is degenerative arthritis of the first metatarsophalangeal joint characterized by pain and stiffness in the joint with limitation of motion and functional impairment. Recently, bone grafts have been introduced in orthopedic procedures, namely osteosynthesis and arthrodesis. Allografts can induce bone formation, provide support for vascular and bone ingrowth and have a low risk of immunological rejection. A 52-year-old female patient with hallux rigidus underwent arthrodesis of the first metatarsophalangeal joint using Shark Screw<sup>®</sup> made of allogenic cortical bone. Corrective surgery was performed after 10 weeks, and a 5 × 3 mm large part of the Shark Screw<sup>®</sup> with the surrounding patient’s bone was removed. A histological evaluation revealed a vascularized graft with the newly formed compact lamellar bone fitting exactly to the cortical graft. The bone surface was lined by plump osteoblasts with osteoid production, and osteocytes were present in the lacunae. The arthrodesis of the first metatarsophalangeal joint using an allogenic cortical bone graft results in fast, primary bone healing without immunological rejection. This case suggests that the cortical allograft is a good and safe treatment option with an excellent graft incorporation into the host bone. However, as the literature evaluating the histology of different bone grafts is scarce, further high-level evidence studies with adequate sample sizes are needed to confirm our findings.https://www.mdpi.com/2075-1729/11/6/473hallux rigidusallogeniccortical bone graftscrewarthrodesis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Iva Brcic Klaus Pastl Harald Plank Jasminka Igrec Jakob E. Schanda Eva Pastl Mathias Werner |
spellingShingle |
Iva Brcic Klaus Pastl Harald Plank Jasminka Igrec Jakob E. Schanda Eva Pastl Mathias Werner Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus Life hallux rigidus allogenic cortical bone graft screw arthrodesis |
author_facet |
Iva Brcic Klaus Pastl Harald Plank Jasminka Igrec Jakob E. Schanda Eva Pastl Mathias Werner |
author_sort |
Iva Brcic |
title |
Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus |
title_short |
Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus |
title_full |
Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus |
title_fullStr |
Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus |
title_full_unstemmed |
Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus |
title_sort |
incorporation of an allogenic cortical bone graft following arthrodesis of the first metatarsophalangeal joint in a patient with hallux rigidus |
publisher |
MDPI AG |
series |
Life |
issn |
2075-1729 |
publishDate |
2021-05-01 |
description |
Hallux rigidus is degenerative arthritis of the first metatarsophalangeal joint characterized by pain and stiffness in the joint with limitation of motion and functional impairment. Recently, bone grafts have been introduced in orthopedic procedures, namely osteosynthesis and arthrodesis. Allografts can induce bone formation, provide support for vascular and bone ingrowth and have a low risk of immunological rejection. A 52-year-old female patient with hallux rigidus underwent arthrodesis of the first metatarsophalangeal joint using Shark Screw<sup>®</sup> made of allogenic cortical bone. Corrective surgery was performed after 10 weeks, and a 5 × 3 mm large part of the Shark Screw<sup>®</sup> with the surrounding patient’s bone was removed. A histological evaluation revealed a vascularized graft with the newly formed compact lamellar bone fitting exactly to the cortical graft. The bone surface was lined by plump osteoblasts with osteoid production, and osteocytes were present in the lacunae. The arthrodesis of the first metatarsophalangeal joint using an allogenic cortical bone graft results in fast, primary bone healing without immunological rejection. This case suggests that the cortical allograft is a good and safe treatment option with an excellent graft incorporation into the host bone. However, as the literature evaluating the histology of different bone grafts is scarce, further high-level evidence studies with adequate sample sizes are needed to confirm our findings. |
topic |
hallux rigidus allogenic cortical bone graft screw arthrodesis |
url |
https://www.mdpi.com/2075-1729/11/6/473 |
work_keys_str_mv |
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