BRIEF
As
far
literature.
as we know
However,
ment syndrome
an undiagnosed
athletes
dancers,
be considered
No benefits
commercial
article.
is the
believe
first
that
in any
party
chronic
form have been
related
directly
bone
tions.
using
large
grafts
taking
and
P.
M.
Bell
GR.
Compartment
J Bone
Joint
Surg
Acute
Dis Orthop
Ziv
OF
TAKING
M.
syndrome
[Am]
compartment
1986;
68-A
syndromes
A
D.
the
foot
: a case
of the
foot.
Bull
Hosp
Sharkey
P. Calcaneal
of the foot.
Ann Emerg
I, Mosheiff
R, Zeligowski
A, Liebergal
injuries
of the foot with compartment
stage management.
Foot Ankle
1989;
DENT,
of
:1449-51.
Jt
Inst 1987; 47 :251-61.
Starosta
D, Sacchetti
AD,
compartment
syndrome
856-8.
C.
BONE
G.
M, Lowe
syndrome
9:185-9.
fracture
with
Med
1988;
17:
J, Segal
D. Crush
: immediate
one-
GRAFT
JONES
in orthopaedic
a bone graft from the
not without
comp!ica-
The bone which
is harvested
by traditional
methods
a gouge
or an osteotome
is often
in the form of
chips which
may have to be cut into smaller
pieces.
This process
is laborious
and,
as those
who have
stabbed
by the piece of bone they have been trying
will testify,
not without
hazard.
graft,
Myerson
from a
of this
GRAHAM,
used
PM,
report.
syndrome
METHOD
are commonly
Unfortunately,
is time consuming
REFERENCES
Bonutti
entity
but rather
are common
in
received
or will be received
or indirectly
to the subject
QUICK
179
in the
compart-
diagnosis.
G.
Cancel!ous
case
compartment
in the differential
A
procedures.
iliac crest
such
chronic
of the foot is not a rare
one. As foot complaints
and
should
this
we
REPORTS
By using a powered
acetabular
bone may be taken
from the
of reamings.
The
the wing
of the
reamer
ilium
is held
so that
been
to cut
reamer
to harvest
the
iliac crest in the form
against
the outer
the outer
table
table of
and the
Fig.
cancellous
inner
table
reamers
bone
may
is idea!
crest
beneath
be left
it are removed
undamaged.
The
for removing
the
iliac
undamaged.
The
while
bone
obtained
reamings
(Fig.
2) with
2
cancellous
leaving
bone
the
in this
a very
(Fig.
shape
she!!
way
large
from
under
the
crest
of
is in
surface
1). The
of the
the
form
area.
of
It is of
no use as structural
graft,
but may be used in place
of
cancellous
bone chips.
When
the reamings
are squeezed
Fig.
I
G. P. Graham,
FRCS,
Senior
Registrar
C. M. Dent,
FRCS,
Registrar
Department
of Traumatic
and Orthopaedic
Infirmary,
Newport
Road,
CardiffCF2
1SZ,
D. G. Jones,
FRCS,
Consultant
Fracture
and Orthopaedic
Unit,
Newport
NP9 2UB,
Wales.
Correspondence
to Mr
Royal
1991 British
Editorial
Society
ofBone
0301-620X/91/l
R99 $2.00
JBoneJointSurg[Br]
1991; 73-B:179.
73-B,
No.
Gwent
Surgery,
Wales.
Cardiff
Royal
Hospital,
Cardiff
Road,
form of a workable
paste.
of the method
is the speed and
amount
of bone graft
may be
reamer
is safer than
using
as the risk of penetrating
the
joint is less. Moreover,
the risk
as no hammering
is required,
and, as there
are no sharp
pieces
of bone the possibility
of being cut by the graft is also less.
The method
described
has been found
to be quick,
easy and without
complications.
G. P. Graham.
©
VOL.
in a swab they dry to the
The main advantage
safety
with which
a large
taken.
Using
the acetabular
an osteotome
or gouge,
inner cortex
or sacro-iliac
of splashing
blood
is less
1, JANUARY
1991
and
Joint
Surgery
No
benefits
commercial
article.
in any
form
party
related
have
been
directly
received
or will
or indirectly
be received
to the subject
from
of this
a