Dear George.<br><br>You wrote 23 марта 2008 г., 22:45:55:<br><br>gt> Was this titanium cage custom made for this patient or commecially<br>gt> available for such work? Do you have different lengths of this cage or<br>
gt> were you forced to cut it on table to suite tha gap? (Or did you have<br>gt> to make the gap to suite the cage?)<br><br>The cages are commercially available but up to 10 cm. So we measured<br>the needed length on x-rays, added 2 cm at both ends for sure that<br>
the resected piece will include all, and resulted with 15 cm which<br>one was ordered and individually made by the same factory. So yes, we<br>made the gap to fit the cage. <br><br>gt> Do you fill the cage with bone graft or are you depending on this<br>
gt> metal for long term support without biological augumentation?<br><br>The inner diameter of the tube is 13 mm, the nail was 12 mm, so not so much<br>space to put something inside. Yes, this is really shaft<br>endoprosthesis which i hardly ever would offer for a young football <br>
player. Though... Maybe we would when we collect some experience with<br>this sort of implants to feel/prognose its strength in different<br>settings.<br><br>gt> How is the skin coverage after such an extensive dissection and<br>
gt> placment of a large piece of metal in a plane very close to the<br>gt> surface?<br><br>No problem with the skin since the cage is less than the removed<br>tissue and the surgery was quick enough not to meet oedema.<br>
<br>-- <br>Best regards,<br>Alexander N. Chelnokov<br>Ural Scientific Research Institute<br>of Traumatology and Orthopaedics<br>7, Bankovsky str. Ekaterinburg 620014 Russia <br>-- <br>Best regards,<br> Alexander N. Chelnokov<br>
Ural Scientific Research Institute <br>of Traumatology and Orthopaedics<br>7, Bankovsky str. Ekaterinburg 620014 Russia