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METHOD OF BONE GRAFTING FOR THE TREATMENT OF NONUNION, FALSE JOINTS AND BONE DEFECTS

机译:骨移植治疗骨不连,假关节和骨缺损的方法

摘要

FIELD: medicine.;SUBSTANCE: perform bone grafting with tubular cortical-cancellous autograft from the iliac crest in combination with metal osteosynthesis. Perform open reduction of fragments monitoring the existing defect there between, thereafter forming graft of 4-6 mm length of the defect on the end surfaces of the graft produce cortical bone resection 2-3 mm on each side. Then, after open reduction and the introduction of graft between the fragments reach full contact and bone graft due to compaction of the spongy layer of the ends of the graft at the site with resected cortical. Then perform extramedullar or intramedullar fixation, creating compression between the fragments and the transplant with extra stability while maximizing contact by self-adaptation of the graft to the end surfaces of the fragments.;EFFECT: method provides a good assimilation of the graft with the mother's bed, allows you to start early functional load, eliminating the need for external immobilization of the upper limb with the restoration of the function of adjacent joints.;1 cl, 4 dwg, 1 ex
机译:领域:医学;研究对象:用with骨的管状皮质-松质自体移植结合金属骨合成进行骨移植。进行碎片的开放复位,监测其间现有的缺陷,然后在移植物的端面上形成长度为4-6 mm缺陷的移植物,在每一侧进行2-3 mm的皮质骨切除。然后,在切开复位后,由于在切除的皮层部位,移植物末端的海绵状层被压紧,因此碎片之间的移植物引入与骨移植物完全接触。然后进行髓外或髓内固定,在碎片和移植物之间产生压缩,具有额外的稳定性,同时通过使移植物与碎片的末端表面自我适应来最大程度地增加接触;效果:该方法可将移植物与母亲的骨很好地融合在一起床,可让您开始早期的功能负荷,而无需恢复上肢的外部固定功能即可恢复相邻关节的功能。; 1 cl,4 dwg,1 ex

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