Management of Osseous Defects in the Tibia
| Autor: | Kelsey Millonig, Byron Hutchinson |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Orthodontics
030222 orthopedics External fixator business.industry medicine.medical_treatment education Soft tissue 030229 sport sciences behavioral disciplines and activities humanities 03 medical and health sciences External fixation 0302 clinical medicine Distraction medicine Distraction osteogenesis Orthopedics and Sports Medicine Surgery Bone transport Tibia business psychological phenomena and processes Corticotomy |
| Zdroj: | Clinics in Podiatric Medicine and Surgery. 38:111-116 |
| ISSN: | 0891-8422 |
| DOI: | 10.1016/j.cpm.2020.09.006 |
| Popis: | The use of external fixators for distraction osteogenesis has revolutionized treatment options for segmental bone defects in the tibia. Following corticotomy, the latency phase allows the biologic environment to initiate healing, and optimized distraction rates produce regenerate. Regenerate consolidation can be improved with local and systemic biologic optimization. Consolidation time is often considered to be 3 to 4 times longer than distraction in adults. Soft tissue considerations are important during external fixation and distraction. Additionally, slow regenerate can be benefited by various techniques discussed in this article. Distraction osteogenesis is a beneficial tool for segmental bone defects. |
| Databáze: | OpenAIRE |
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