• Users Online: 54
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
REVIEW ARTICLE
Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 88-97

Acquired long bone defect classifications of the diaphysis: A literature review


1 Department of Military Traumatology and Orthopedics, S.M. Kirov Military Medical Academy, 13 Botkinskaya str., Moscow, Russian Federation
2 Department of Orthopaedic Trauma, Moscow City Clinical Hospital #13, 1/1 Velozavodskaya str., Moscow, Russian Federation
3 Limb Lengthening and Complex Reconstruction Service, Hospital for Special Surgery, New York, USA
4 Department of Traumatology and Orthopedics, Vreden National Medical Research Center of Traumatology and Orthopedics, 8 Akademik Baykov str.; Chair of Traumatology and Orthopedics, Saint Petersburg State Pediatric Medical University, 2 Litovskaya str., Moscow, Russian Federation

Correspondence Address:
Dr. Gerard A Sheridan
Hospital for Special Surgery, New York, NY
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jllr.jllr_27_21

Rights and Permissions

Introduction: The management of acquired long bone defects (LBDs) is a persistent problem in modern orthopedics with few effective solutions. The goal of this review is to conduct a thorough analysis of existing diaphyseal LBD classifications and to identify if any of these may be adopted for universal application in future. Materials and Methods: A literature review was performed analyzing articles between 1970 and 2019 on PubMed (English) and CyberLeninka (Russian) databases. All studies developing or utilizing a classification tool were eligible for inclusion. The search retrieved a total of 1032 articles from PubMed, 477 from CyberLennika, and 28 articles from reference lists. Any disagreement regarding the inclusion of articles was resolved by consensus between all authors. Results: A total of 18 classifications in the literature underwent analysis. Among the classifications we analyzed, 12 described posttraumatic defects, 6 described osteomyelitis defects or infected nonunions, and 5 described, among other defects, iatrogenic bone. Of the 18 classifications, 12 have a focus on a specific treatment method. We found that consensus exists between most authors regarding the criteria necessary to measure to determine the most appropriate treatment method. These key factors include the size and location of the bone defect. Conclusion: This analysis showed that despite the large number of publications devoted to the classification and treatment of LBD, there is still no consensus among authors regarding not only a universal clinical classification but also a general definition of the term “bone defect.” The classification proposed by Solomin et al. is very useful but in its present form, has significant drawbacks and requires further improvement before it can be adopted as a universal classification system for LBDs.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed792    
    Printed26    
    Emailed0    
    PDF Downloaded15    
    Comments [Add]    

Recommend this journal