Abstract
Morselised bone graft is often used in orthopaedic surgery, but can be tricky to deliver accurately deep inside a wound. Often, the graft spills into the soft tissues, and the surgeon ends up packing the fragments in piece by piece. We mix the graft with a little blood or saline to render it cohesive. We load a 10-ml syringe with the graft, pack it down, then cut the nozzle off the syringe (Fig. 1). This allows precise delivery of pressurised bone graft into the desired area. We find this an efficient method for filling bone defects in calcaneal fractures, tibial plateau fractures, and in hip arthroplasty. Figure 1 Syringe delivering graft into a proximal tibial fracture.
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