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Re: bone defect
Firas Berro 04 Декабрь 2005, 11:57
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Thanks for your response
One more question:
If im going to do ilizarov trans osseous osteo synthesis with distraction
at two metaphyseal corticotomies, some suggest to take only half of each
metaphysis\to make faster bone bridge?\
Should here do this or just do it by classic way\the whole bone\
Thx in advance
Regards
Dr.Firas Berro
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Re: bone defect
Отправитель: Alexander Chelnokov 04 Декабрь 2005, 13:04
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DFB> If im going to do ilizarov trans osseous osteo synthesis with distraction
DFB> at two metaphyseal corticotomies, some suggest to take only half of each
DFB> metaphysis\to make faster bone bridge?\
I am not sure what exactly do you mean about "to take only half of each metaphysis". It is reasonable to perform transport from both ends.
Levels and direction of osteo/corticotomy lines can be discussed - but more detailed images are necessary (loks like initial ones were taken with a mobile phone).
In general all techniques you listed in the initial message like fibula latero-medial transport, fibula splitting also can do the job and i don't have evidence which approach is more quick/effective/comlicated.
DFB> Should here do this or just do it by classic way\the whole bone\
I would insert a solid titanium locked nail immedialtely after docking. So i would plan previous steps to be done that way not to make additional difficulties for nail insertion, particularly to provide medullary canal in transported fragments. So my choice would be to forget the fibula and do metaphyseal perQ osteotomy of the tibia, transverse or close to, and bone transport. Frame assembly can be discussed if necessary.
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Re: bone defect
Bill Burman 04 Декабрь 2005, 12:02
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from case archives - also see Ilizarov split fibula
"fibula pro tibia" transfer for segmental tibia defects
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