Clinical guideline for autogenous bone-grafting indications, techniques, and complication

Title: Clinical guideline for autogenous bone-grafting indications, techniques, and complication
Edition: Original
Classification: Standard guideline
Field: Diagnosis and Treatment
Countries and regions: China
Guidelines users: The specialized medical personnel from secondary and tertiary medical institutions in China, including orthopedic doctors, geriatrics doctors, rheumatologists, pain doctors, rehabilitation doctors and corresponding specialist nurses, and medical staff from health institutions.
Evidence classification method: Grading of Recommendations Assessment, Development and Evaluation (Grading of Recommendations Assessment, Development and Evaluation, The GRADE (GRADE) classification system working group and other working groups were used to evaluate the quality of research evidence.
Development unit: The Faculty of Orthopaedics of Chinese PLA General Hospital
Registration time: 2022-09-27
Registration number: PREPARE-2022CN621
Purpose of the guideline: Autologous bone is considered as the "gold standard" in bone transplantation, and has been the first choice for orthopedic surgery such as bone nonunion, bone defect, bone tumor, spine and joint fusion. Autologous bone transplantation is the most common operation. There is no clinical guideline or expert consensus on how to select the appropriate donor site, standardize surgical procedures, and reduce donor site complications. Standardizing the bone harvesting site, surgical operation and reducing donor site complications are of great significance for clinical work and doctor training. It was led by the Traumatic Orthopedics Group of Chinese Orthopaedic Society, the External Fixation and Limb Reconstruction Group of Chinese Orthopaedic Society, the National Clinical Research Center for Orthopedics and Sports Rehabilitation, the Department of Orthopedics of Chinese PLA General Hospital, and the Department of Orthopedics of the Third Hospital of Hebei Medical University. Grading of Recommendations Assessment, Development and Evaluation, GRADE) grading system and international Reporting Items for Practice Guidelines in Healthcare (RIGHT) were used to select 19 clinical issues that orthopedic surgeons were most concerned about, and finally 19 evidence-based medicine recommendations were formed. The purpose is to improve the standardization and standardization of autologous bone transplantation, and ultimately reduce the complications of autologous bone transplantation.