Authors of section


Derek Donegan, Michael Huo, Michael Leslie

Executive editor

Michael Baumgaertner

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Structural allograft and cerclage

1. Principles

If there is inadequate bone stock for plate stabilization, medially based structural allograft will provide additional support.

Structural allograft support for plate stabilization

2. Approach

The approach used for plate fixation is developed anteromedially to allow for the strut application. Care is taken minimize biological insult.

3. Application of strut allograft

Strut allograft should be obtained from the bone bank and fashioned to fit the exposed femur. Assure the allograft is of appropriate length to get adequate fixation on each fracture fragment (at least 2 cerclage wires per fracture side).

Adequate length of a strut allograft

Apply strut allograft to either the lateral, medial, or anterior aspect of the femur. Secure with 2 cerclage wires on each fracture fragment. Distance between the cerclage wires should be at least 2 cm.

Application of strut allograft
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