Bone Defect Case Studies
INTRODUCTION
Segmental bone defects can occur due to various etiologies and are complex tiring problem to deal with, for the surgeon, as well as for the patient. Bone defects can occur due to trauma, bone infection, congenital defects, excision of malignant tumors. Due to considerable long term morbidity, historically, amputation was the preferred treatment. Limb salvage has been tried with the use of bone grafts, bone transport and acute limb shortening. Vascularised bone grafting is technically demanding.(1,2) Traditional bone grafting techniques are limited by uncontrollable graft resorption. Ilizarov technique has been associated with adjacent joint stiffness and certain other complications.(3,4) In 1986, French surgeon A.C. Masquelet conceived
…show more content…
Approximately after 6 weeks, depending upon soft tissue condition, second stage was undertaken. Cancellous autograft was harvested from iliac crest. If the bone defect was too large allograft was mixed, making upto 33% of volume of the graft. In a few cases, cortical sliver from the iliac crest were also mixed with the graft. The bone defect was approached from the previous incision and careful dissection performed down to the defect. Careful incision was given over the induced biomembrane. The cement spacer was removed enbloc or in a piecemeal fashion. Care is taken to not to put any stress on the fixation construct. Biomembrane is irrigated to remove any debris. Then entire void was filled with the graft, care taken not to overstuff the void as this will make closure of biomembrane difficult. The biomembrane was repaired with absorbable vicryl sutures if possible, otherwise the soft tissue over it was repaired making the membrane fall back into place covering the graft completely. Watertight fascial closure was done, followed by skin closure using nylon.
Post operative protocol. Patients were allowed immediate passive and active motion and non-weight bearing mobilisation. Toe touch weight bearing was started after 12 weeks of second stage. Full weight bearing was allowed after obtaining radiological union. A few patients in the study had multiple traumas. For such patients, mobilisation and weight bearing were delayed as required. But all efforts were aimed at aggressive physiotherapy and early
Dr. Paul N. Abeyta Case Summary
493 Words | 2 PagesSolution Name of the professional Dr. Paul N. Abeyta, M.D Profession Engaged in the professions of Sports medicine and orthopedic surgery How did he decided on this occupation Dr. Abeyta has a faith that tremendous outputs can be attained with unambiguous treatment and conversation schemes that are customized to the individual necessities of patient. He put emphasis on wound deterrence and makes the most of a multidisciplinary group which comprises superiorly taught licensed athletic trainers and corporeal therapists. He believes that cautious diagnostic assessment, sympathetic care, and appliances of existing surgical technique and medical information are all vital for returning the patients to their pre-injury point of movement.
Case Study Todd Reilly
195 Words | 1 PagesCHIEF COMPLAINT: Status post ORIF of the tibial plateau on the left. HISTORY OF PRESENT ILLNESS: This patient is new to me. He was treated by Todd Reilly, MD with ORIF. He was seen in followup by David Lin, MD.
Perforated Eardrum Research Paper
849 Words | 4 PagesThis procedure may be done repeatedly before the hole is closed. • Surgery. This is done if a patch does not lead to proper healing. The most common procedure is tympanoplasty, where the surgeon places a graft of your own tissue on the hole of the eardrum. This office procedure is usually done without anesthesia so you can go home the same day.
Bone Detective Formal Report
319 Words | 2 PagesBone Detective Formal Report Sophia Dominguez Introduction:The skeletal remains of the victim was found in a park lying next to another set of remains. Only the skull, pelvis, humerus, and tibia were found. Summary of findings: In determining the sex of the victim, the pelvis was very circular and wide. Also, the sub-pubic angle was greater than 90 degrees, thus indicating she was a female.
Pros And Cons Of Patella Tendon
475 Words | 2 PagesThe patellar tendon fibers are secured and are stable enough to begin motion and weight bearing activities. The ends of the graft are bone to bone and can heal in around 6 to 8 weeks, which appears to be quicker than the healing process for soft tissue to bone. The pros of having a patella bone graft is that the 1/3 of the tendon when remove is consider to be a lot stronger than the hamstring or LARS graft. Also the patella tendon resembles the best size and length of the actual torn ACL. The patella tendon too is also very easy for the surgeons to go in and get to as compared to the hamstring muscle.
Salvage The Bones Analysis
214 Words | 1 PagesThe most important parallel between the Greek myth of Jason and Medea and Jesmyn Ward’s novel, Salvage the Bones, is the parallel connection and comparison between Medea, Esch, and China relating to their pregnancies. The comparison between these three characters is integral to the novel because it allows us to analyze Esch in a new light, as she transforms from an abused and objectified girl into a potentially powerful woman who has more control in her life. As Skeetah argues that China’s pregnancy had only made her stronger, “He glances at [Esch], too” (96). Skeetah’s glance towards Esch as he describes the power China has gained from giving birth illustrates a connection between Esch and China, and in turn Medea, as all three characters
My Life In Jerry Spinelli's Crash
492 Words | 2 PagesI am told this was done with a skin graft the required the surgical team to use skin from my groin to repair my tiny
Reflective Narrative Clinic Session
402 Words | 2 PagesAkata Patel Reflective Narrative 1. Name, Location, & Date and Time of Clinic Session Akata Patel; Senior Operative Clinic; Wednesday, August 31st, 2016; 1:00 – 2:35 PM 2. Describe the procedure I assisted with Core build up with composite on #32 3. Summarize the course of events Anesthesia was not achieved quickly. Two carpals were needed compared to the usual one carpal to numb the patient.
Nipple Discharge Research Paper
1703 Words | 7 Pagesc. TRAM flap-A number of reconstruction techniques are available including breast implants or tissue replacement using the patient’s tissue from other areas of their body. Some examples of tissue replacement include the TRAM Flap, using the transverse rectus abdominis muscle, the DIEP flap, using the deep inferior epigastric perforator, the SGAP or IGAP flap, using skin, fat and gluteus maximus muscle from the buttock, or the TUG flap using the transverse upper gracilis muscle from the inner upper
Leonardo Da Vinci Research Paper
1581 Words | 7 PagesHe finally stumbled upon the use of musculoskeletal manipulation and joint relocation (Trowbridge, 1991). Although he may not have realized it at the time, osteopathic manipulations relived pressure off of blood vessels, nerves, tendons and ligaments from the over stretched muscles and dislocated joints (Trowbridge, 1991). These techniques significantly influenced the healing rate of injured patients (Trowbridge,
Epigamy In Syllids
939 Words | 4 PagesPosterior regeneration was similar to results from the second amputation
Odontogenic Myxoma Case Study
887 Words | 4 Pagesadequate exposure , the junction of normal bone and pathological tumor was identified followed by thorough surgical curettage of the lesion. The lower border of mandible was intact and utmost care was taken to prevent pathological
Essay On Dog Safety
756 Words | 4 PagesIf the bone is protruding, do not try to push it back into place, just cover with a
The Pros And Cons Of Regenerative Medicine
1520 Words | 7 PagesHowever, Amulya K. Saxena the author of the article “Tissue engineering: Presents concepts and strategies,” states, “The advantage of this method is that it allows the graft to cover extremely large wounds; a disadvantage, however, is that 3-4 weeks are required for cell expansion.” Unfortunately until the cells fully expand and create new ones the victim must be in critical care. A more recent discovery involving stem cells has shown to be more promising, the Skin-cell Gun method. Essentially the Skin-cell gun shares the same concept as the skin graft, but without the long process of the graft’s forming, expansion, and the recovery rate, this process takes up to one to two hours to complete and its recovery time takes days rather than weeks.
Traumatic Neuroma Study
1545 Words | 7 Pages" Journal of Oral and Maxillofacial Surgery 48.9 (1990): 963-967. Juodzbalys, Gintaras, Hom-Lay Wang, and Gintautas Sabalys. " Injury of the inferior alveolar nerve during implant placement: a literature review.
More about Bone Defect Case Studies
Dr. Paul N. Abeyta Case Summary
493 Words | 2 PagesCase Study Todd Reilly
195 Words | 1 PagesPerforated Eardrum Research Paper
849 Words | 4 PagesBone Detective Formal Report
319 Words | 2 PagesPros And Cons Of Patella Tendon
475 Words | 2 PagesSalvage The Bones Analysis
214 Words | 1 PagesMy Life In Jerry Spinelli's Crash
492 Words | 2 PagesReflective Narrative Clinic Session
402 Words | 2 PagesNipple Discharge Research Paper
1703 Words | 7 PagesLeonardo Da Vinci Research Paper
1581 Words | 7 PagesEpigamy In Syllids
939 Words | 4 PagesOdontogenic Myxoma Case Study
887 Words | 4 PagesEssay On Dog Safety
756 Words | 4 PagesThe Pros And Cons Of Regenerative Medicine
1520 Words | 7 PagesTraumatic Neuroma Study
1545 Words | 7 Pages