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Case Report

Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus

1
Diagnostic and Research Institute of Pathology, Medical University of Graz, 8010 Graz, Austria
2
Department for Orthopedic Surgery, Diakonissen Hospital Linz, 4020 Linz, Austria
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Graz Centre of Electron Microscopy, 8010 Graz, Austria
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Division of General Radiology, Department of Radiology, Medical University of Graz, 8036 Graz, Austria
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Department for Trauma Surgery, AUVA Trauma Center Vienna-Meidling, 1120 Vienna, Austria
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Ludwig Boltzmann Institute for Experimental and Clinical Traumatology, 1200 Vienna, Austria
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Austrian Cluster for Tissue Regeneration, 1200 Vienna, Austria
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FB Pathology, Osteopathology, VIVANTES Netzwerk für Gesundheit, 13407 Berlin, Germany
*
Author to whom correspondence should be addressed.
Academic Editor: Nicola Maffulli
Life 2021, 11(6), 473; https://doi.org/10.3390/life11060473
Received: 27 April 2021 / Revised: 21 May 2021 / Accepted: 21 May 2021 / Published: 24 May 2021
(This article belongs to the Section Medical Research)
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® made of allogenic cortical bone. Corrective surgery was performed after 10 weeks, and a 5 × 3 mm large part of the Shark Screw® 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. View Full-Text
Keywords: hallux rigidus; allogenic; cortical bone graft; screw; arthrodesis hallux rigidus; allogenic; cortical bone graft; screw; arthrodesis
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MDPI and ACS Style

Brcic, I.; Pastl, K.; Plank, H.; Igrec, J.; Schanda, J.E.; Pastl, E.; Werner, M. Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus. Life 2021, 11, 473. https://doi.org/10.3390/life11060473

AMA Style

Brcic I, Pastl K, Plank H, Igrec J, Schanda JE, Pastl E, Werner M. Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus. Life. 2021; 11(6):473. https://doi.org/10.3390/life11060473

Chicago/Turabian Style

Brcic, Iva, Klaus Pastl, Harald Plank, Jasminka Igrec, Jakob E. Schanda, Eva Pastl, and Mathias Werner. 2021. "Incorporation of an Allogenic Cortical Bone Graft Following Arthrodesis of the First Metatarsophalangeal Joint in a Patient with Hallux Rigidus" Life 11, no. 6: 473. https://doi.org/10.3390/life11060473

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