Avaliação clínica de pacientes submetidos à distração osteogênica no membro inferior em hospital universitário

Sampaio, Francisco Macruz Baltazar; Marçal, Leilane Passoni; Reis, Diogo Gontijo dos; Kasuo, Adolfo Watanabe; Fraga, Carlos Eduardo Cabral; Moraes, Frederico Barra de

doi:10.1016/j.rbo.2015.11.005

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Prolonged use and poor patient compliance are the other important limitation factors for the Ilizarov (Sampaio et al, 2016). Bone transport using the combination of an intramedullary nail and a monolateral external fixator for transport maintains length and alignment during transport, allows earlier removal of the external fixator system (Hofmann et al, 2016;Brunner et al, 2017;Hoover and Santrock, 2011 Variation of this technique has also been described to successfully treat mandibular segmental defects in humans after resection of malignancies (Herford, 2004 Girard et al, 2013;Oh et al, 2013).…”

Section: Distraction Osteogenesis By Thementioning

confidence: 99%

“…Different methods of bone transport have been described by multiple authors using Ilizarov fixator, and monolateral external fixator such as transport over an intramedullary nail. Distraction osteogenesis by the Ilizarov method has been a widely used method in the last few decades (Illgner et al, 2014;Rodriguez-Collazo and Urso, 2015) but it has its own complications including prolonged use of external fixation and poor patient compliance (Sampaio et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Osteogenesis Distraction Using Combined Plate and Ilizarof Fixator in the Treatment of Bone Defect: A Case Report

Misbahuddin

Mariyanto

2019

Biomedika

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Distraksi osteogenesis dan pemanjangan tulang telah digunakan untuk merekonstruksi hilangnya tulang dengan memungkinkan tulang baru terbentuk pada celah. Pada penelitian sebelumnya, pemanjangan tulang yang dipandu pelat telah berhasil mengobati hilangnya tulang pada tulang paha, tibia, dan mandibula. Penelitian ini melaporkan sebuah kasus fraktur tibia dengan kehilangan tulang kominutif yang diobati dengan fiksasi pelat dan pemanjangan tulang dengan fiksator cincin Ilizarov. Pada saat pengaitan, ketika segmen pemanjangan dikompresi dengan fragmen tulang, fragmen tulang difiksasi dengan sekrup locking dan non-locking tambahan melalui pelat. Panjang defek tulang adalah 7 cm. Indeks pemanjangan atau fiksasi eksternal adalah 12,7 hari / cm. Pada kasus ini tidak ada pemendekan yang terjadi. Indeks konsolidasi radiografi rata-rata adalah 37 hari / cm. Kasus ini mencapai regenerasi segmen tulang yang bebas infeksi dan hasil fungsional yang memuaskan. Teknik ini mengurangi durasi fiksasi eksternal selama fase konsolidasi, memungkinkan koreksi panjangtulang, dan penyelarasan dan waktu rehabilitasi yang lebih singkat.\Kata kunci: Defek Tulang, Transportasi Tulang, Osteogenesis Gangguan, Teknik Ilizarov, Osteogenesis Lempeng TulangOsteogenesis distraction and bone transport has been used to reconstruct bone loss defect by allowing new bone to form in the gap. In previous studies, plate-guided bone transport has been successfully to treat bone loss defect in the femur, tibia, and mandible. This study reports a case of fracture of tibia with comminutive bone loss treated with plate fixation and bone transport with Ilizarov ring fixator. At the time of docking, when the transport segment is compressed with bone fragment, the bone fragment is fixed with additional locking or nonlocking screws through the plate. The bone defect size was 7 cm. The lengthening/external fixation index was 12.7 days/cm. In this case there were no shortening that present. The average radiographic consolidation index was 37 days/cm. This case achieved infection-free bone segment regeneration and satisfactorily functional outcome. This technique reduces the duration of external fixation during the consolidation phase, allows correction of length and alignment and provides earlier rehabilitation.Keywords: Bone Defect, Bone Transport, Distraction Osteogenesis, Ilizarov Technique, Bone Plate Osteogenesis

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Section: Distraction Osteogenesis By Thementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Osteogenesis Distraction Using Combined Plate and Ilizarof Fixator in the Treatment of Bone Defect: A Case Report

Misbahuddin

Mariyanto

2019

Biomedika

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Tibial Bone Loss Treated with PRECICE Bone Transport Intramedullary Nail

Rockov,

Marecek,

Erdman

2023

Limb Lengthening and Reconstruction Surgery Case Atlas

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Management of Segmental Tibial Bone Defects With a Motorized Intramedullary Bone Transport Nail: A Case Review With Follow-Up

Stoneback

Erdman

Marecek

2021

Journal of Orthopaedic Trauma

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Large segment bone defects of the tibia are challenging problems. Although caused by a wide range of conditions, tibial critical bone loss defects often require complex reconstructive plans with prolonged inability to weight-bear on the effected extremity. Reconstruction options frequently require harvesting of autograft leading to further morbidity. Distraction osteogenesis allows reconstruction of large segmental defects of the tibia while avoiding donor site morbidity. Historically, distraction osteogenesis of tibia was most reliably performed with circler ring external fixation. This process allowed early weight-bearing but unfortunately has considerable drawbacks. Negative effects include pin tract irritation and inability to wear normal clothes. The advent of the bone transport nail now allows management of tibial critical bone loss defects through distraction osteogenesis negating the need for external fixation. This new technique allows treatment of large segmental tibial defects by means of distraction osteogenesis with an allinternal device avoiding the negative effects of external fixation while simultaneously allowing early weight-bearing.

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Avaliação clínica de pacientes submetidos à distração osteogênica no membro inferior em hospital universitário

Cited by 3 publications

References 17 publications

Osteogenesis Distraction Using Combined Plate and Ilizarof Fixator in the Treatment of Bone Defect: A Case Report

Osteogenesis Distraction Using Combined Plate and Ilizarof Fixator in the Treatment of Bone Defect: A Case Report

Tibial Bone Loss Treated with PRECICE Bone Transport Intramedullary Nail

Management of Segmental Tibial Bone Defects With a Motorized Intramedullary Bone Transport Nail: A Case Review With Follow-Up

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