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Abstract
Objectives
The role of bone marrow injection in treatment of non-united long bones fractures.
Background:
There are many methods for the osteoinduction . Most of these methods are very expensive and sometimes these are also very extensive The most common nature for new bone formation is our own bone marrow. In 1869 first time it was described. There are many studies available showing new bone formation with bone marrow or its components. we are using bone marrow as a whole to treat deferment orthopedic condition by using its ability of new bone formation.
Methods:
We conducted this study in Mayo hospital Lahore from1-4-18-ti1-10-18. All patients of either age were include in the study. The only criteria were nonunion. There was no age limit. All patient with internal fixation or with external fixation were included in the study.
Under sterile precautions all patients were treated in main operation theater. Iliac crest was used for bone marrow aspiration. Under image intensifier about 30 ml bone marrow was aspirated with a sternal puncture needle and injected at fracture sites. Union was assessed by x-rays. X-ray was done at every moth till six months. 2 to 4 injections may be given with the interval of 4 to 6 weeks.
Results
Total patients were 20. Union was achieved in 16 (80%) patients and there was no union in four (20%) patients. one patient was given 3 injections and other 3 got 4 injections. No complication was noted.
Conclusion:
Bone marrow injection is very simple, cheep and reliable method and can be used for osteo induction in deferent orthopedic conditions if the fixation is stable.