Medicine:Phemister graft
| Phemister graft | |
|---|---|
 Illustration of an autograft harvested from iliac crest | |
| Specialty | Orthopedic surgery |
A Phemister graft is a type of bone graft which uses bone tissue harvested from the patient to treat slow-healing, or delayed union bone fractures.[1] Thus, it is a form of autotransplantation. Typically, the tissue used in the graft is cancellous bone harvested from the patient's Iliac crest and laid in strips across the fracture site.[2][3] The use of the patient's living bone stimulates osteogenesis, the growth of bones.[4]
The Phemister graft was first described in a paper published in 1914 by American surgeon Dallas B. Phemister, and it was named for him.[5] Its efficacy was confirmed the same year by Canadian surgeons William Gallie and D.E. Robertson.[5] In 1949, Phemister described a variation on the technique where the graft tissue was inserted into the base of the greater trochanter and femoral neck in order to treat osteonecrosis.[6] A 1967 study found the original Phemister graft to be more effective than the cortical sliding graft and cancellous graft for fractures of the tibia.[7]
The Phemister graft is preferred when a fracture demonstrates delayed union, meaning the fracture is slow to heal.[4] Due to internal forces, the procedure is not recommended for the femur, humerus, or radius bones.[8] It can be used for areas of bone which have undergone the first two stages of osteonecrosis.[9] For example, in young patients, or those with sickle cell disease, it can serve as an effective long-term treatment for osteonecrosis, as long as it is performed in the early stages.[10] In this instances, it is a more conservative treatment, and in the long term can postpone the need for a hip replacement.[11] In the later stages of osteonecrosis (3 through 6), where the bone has begun to collapse or has fully collapsed, the Phemister graft is not recommended.[9][12]
References
- ↑ Stedman, Thomas Lathrop (2005) (in en). Stedman's Medical Eponyms. Lippincott Williams & Wilkins. ISBN 9780781754439. https://books.google.com/books?id=isqcnR6ryz0C&q=%22phemister+graft%22&pg=PA558.
- ↑ Connolly, John F. (1995) (in en). Fractures and Dislocations: Closed Management. Saunders. ISBN 9780721626017. https://books.google.com/books?id=kk5sAAAAMAAJ&q=%22phemister+graft%22.
- ↑ Cantor, Paul David (1959) (in en). Traumatic medicine and surgery for the attorney. Butterworths. https://books.google.com/books?id=ww83AAAAIAAJ&q=%22phemister+graft%22.
- ↑ 4.0 4.1 (in en) Huitieme Congres International de chirurgie orthopedique…. International Society of Orthopaedic Surgery and Traumatology. 1961. https://books.google.com/books?id=ZadsAAAAMAAJ&q=%22phemister+graft%22.
- ↑ 5.0 5.1 Santoni-Rugiu, Paolo; Sykes, Philip J. (2007-08-10) (in en). A History of Plastic Surgery. Springer Science & Business Media. ISBN 9783540462415. https://books.google.com/books?id=KYv0A2QuRLkC&q=%22phemister+graft%22&pg=PA147.
- ↑ Marcus, Neal D.; Enneking, W. F.; Massam, Robert A. (October 1973). "The Silent Hip in Idiopathic Aseptic Necrosis: Treatment by Bone-Grafting" (in en-US). The Journal of Bone and Joint Surgery: p. 1352. https://journals.lww.com/jbjsjournal/Abstract/1973/55070/The_Silent_Hip_in_Idiopathic_Aseptic_Necrosis_.2.aspx.
- ↑ Anderson, Graham (November 1967). "Bone Grafting of Fractures of the Tibial Shaft with Special Reference to the Use of the Phemister Principle" (in en). ANZ Journal of Surgery 37 (2): 159–162. doi:10.1111/j.1445-2197.1967.tb04003.x. ISSN 1445-1433. PMID 4864142.
- ↑ (in en) Proces-verbaux, rapports, discussions et communications particulieres. 1961. https://books.google.com/books?id=_WowAAAAIAAJ&q=%22nonunions+in+the+femur%22.
- ↑ 9.0 9.1 Marcus, Enneking & Massam 1973, p. 1365.
- ↑ Pierce, Raymond O. (January 1979). "Aseptic Necrosis of the Hip in Sickle Cell Disease". Journal of the National Medical Association 71 (1): 45–48. ISSN 0027-9684. PMID 423275.
- ↑ Wu, Cheng-Ta; Yen, Shih-Hsiang; Lin, Po-Chun; Wang, Jun-Wen (2018-06-18). "Long-term outcomes of Phemister bone grafting for patients with non-traumatic osteonecrosis of the femoral head" (in en). International Orthopaedics 43 (3): 579–587. doi:10.1007/s00264-018-4013-9. ISSN 0341-2695. PMID 29916000.
- ↑ Nelson, Lynn M; Clark, Charles R (1993-06-01). "Efficacy of phemister bone grafting in nontraumatic aseptic necrosis of the femoral head" (in en). The Journal of Arthroplasty 8 (3): 253–258. doi:10.1016/S0883-5403(06)80086-0. ISSN 0883-5403. PMID 8326305.
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