Rome: world's first double bone autograft
Bone tissue autograft: enables healing of even very large fractures characterised by significant bone loss
“The world’s first autologous double periosteal cortical transplantation has been successfully completed, with complete consolidation of both radius and ulna fractures and perfect functional recovery of the forearm.
Performed using a microsurgical technique at the Sant’Andrea University Hospital in Rome, the surgical procedure broadens the horizon of orthopaedic surgery, introducing an unconventional approach that, by harvesting autologous bone tissue from two different sites and grafting it at the same time, allows for the healing of even very large fractures characterised by significant bone loss”.
This is the message from Sant’Andrea Hospital in Rome, which announces the first double autologous bone graft in the world
The patient, a 50-year-old manual worker, had suffered a trauma in 2019 and, despite several surgeries, still presented a lack of consolidation of both bones of the forearm, with pain and severe functional limitation of the elbow, wrist and hand.
In May 2021, the orthopaedic team of Prof. Andrea Ferretti, director of the UOC Orthopaedics of the Rome hospital and professor of Orthopaedics at Sapienza University of Rome, proposed the innovative microsurgical approach.
Guided in the operating room by Prof. Matteo Guzzini, orthopaedist and microsurgeon, associate at Sapienza, the team grafts two strips of bone tissue and periosteum taken from both the patient’s knees, together with an arterial vascular pedicle, into the old fracture foci.
The original approach, with double harvesting and transplantation, allowed simultaneous progressive healing of both bones, without causing any functional disturbance in either knee.
After 9 months, the complete functionality of the limb and the patient’s satisfaction certify the validity of the technique, which today opens the door to new interesting perspectives for the treatment of fracture outcomes with failure to consolidate.
Acknowledged as an excellence in the international scientific community, the Sapienza School of Orthopaedics at Sant’Andrea continues to be a beacon of enlightened clinical practice and teaching, in a continuous search for innovative surgical approaches.
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