Healing of long bones after autogenic bone marrow grafting have been monitored in 96 patients aged 36.6 on an average. Bone marrow was harvested from iliac crest and after mixing it with heparin grafted transcutaneously into the fracture site in 24 fracture patients. 42 delayed unions and 30 cases of pseudoarthrosis. Pseudoarthroses were managed by bone marrow transplantation combined with the use of Zespol fixator but no intervention within pseudoarthrosis itself. In all cases union has been achieved in fractures, delayed unions and pseudoarthroses on an average 2.8, 3.2 and 3.4 months after bone marrow transplant respectively. Transplanted bone marrow proved to speed up healing process, what turned out to be especially useful in treating of delayed unions. Its combination with Zespol fixation has brought about new method of managing pseudoarthroses.
Adolescent Adult