Segmental large bone defects lead to disability and impose significant health and cost burdens.

Motor vehicle traumas

2.3M

Blast injuries

40k

Falling from Heights

50k

Tumor resection

5.2M

Revision surgeries

40k

Bone infection

50k

7

Current treatment options are complicated and not very effective!

NO STANDARD TREATMENT PROTOCOL EXISTS for segmental large bone defects

Masquelet Technique

Vascularized fibula grafting

Vascularized Fibula Grafting

Ilizarov technique

Llizarov Technique

Vascularized fibula grafting

Amputation

They all include:

  • Multiple significantly complicated surgeries
  • Variable success rates
  • Long-term disabilities
7

Current treatment options are complicated and not very effective!

NO STANDARD TREATMENT PROTOCOL EXISTS for segmental large bone defects

Masquelet Technique

Vascularized fibula grafting

Vascularized Fibula Grafting

Ilizarov technique

Llizarov Technique

Vascularized fibula grafting

Amputation

They all include:

  • Multiple significantly complicated surgeries
  • Variable success rates
  • Long-term disabilities
7

An example of the issue Tibial large segmental fractures:

Over two years post-index:

7 out of 10, required at least 1 additional admission
1 out of 10, required 4 or more additional admissions
7

$89k

Average Reimbursement per patient

$137k

Average Hospital costs per patient

Bone grafting procedures are gold-standardBut not practical for segmental large bone defects

Half a million bone grafting procedures are performed annually in the United States.

An annual healthcare expenditure of $5 billion

Small Bone Defect
Large segmental Bone defect
Bone grafting easily feasible
Bone grafting not feasible