Clinically Significant Autograft Harvest Site Pain after Hindfoot and Ankle Arthrodesis

Description

In this presentation, Mark Glazebrook discusses two significant studies related to the clinical implications of autografts in hindfoot and ankle arthrodesis. The first study explores the long-term impact of autograft harvest site pain, while the second focuses on the effects of age and graft material on fusion success post-surgery. Glazebrook acknowledges the challenges posed by non-union and outlines prior research connecting clinical success to osseous bridging. He highlights the importance of balancing risks versus benefits of autografts, considering complications such as chronic pain and infection, particularly in the context of harvesting from the iliac crest. The data from these studies suggest that age-related factors and alternative bone graft substitutes, like platelet-derived growth factor, could mitigate risks associated with non-union and enhance surgical outcomes, leading to crucial questions about the future use of autologous grafts. Glazebrook concludes by reinforcing the need to communicate these findings to patients, urging consideration of the pain and risks of traditional graft methods versus innovative substitutes.

DOI: 10.1302/3114-210117

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