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pelvis ( Table 4 ). Two of these described the results of 3D-printed pelvic endoprostheses for large bone defects following wide tumour resection, whilst the third investigated the outcome with the Integra® ice-cream cone prosthesis (Lépine, Genay, France
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. The tumor could be traced to the insertion site of the terminal tendon sheath and was removed in an en bloc manner. Subsequently, the underlying bone was curetted. As for the bony defect, a corticocancellous bone graft was taken from the distal
Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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Nisantasi Ortopedi Merkezi, Hakkı Yeten Cad., Unimed Center, No:19, 34365 Fulya, Istanbul, Turkey
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technique increasingly used for the treatment of hindfoot pathologies. 1 Posterior ankle impingement syndrome, flexor hallucis longus (FHL) tendon problems, osteochondral lesions, subtalar coalitions, osteoarthritis, talar bone cysts, talar fractures
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inflation osteoplasty, 21 , 22 has been described as a minimally-invasive technique. There are no clinical results available that can support the use of this technique. Once the articular surface is restored, the remaining underlying bone defect can be
King’s Global Health Partnerships, School of Life Course and Population Sciences, King’s College London, London, UK
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Department of Orthopaedics, University of the Philippines, Philippine General Hospital Manila, The Phillipines
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/osteomyelitis The steps to achieve these aims include five principles: sampling, excision of non-viable bone and irrigation, local antibiotic therapy and dead space management, bone defect management and soft tissue management are adaptable to be implemented in
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to distinguish between septic and aseptic failure. 26 Computed tomography (CT) gives good contrast resolution of bone and surrounding soft tissue and can be useful in pre-operative evaluation of excessive bone defects. Magnetic resonance imaging
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results even in cases with difficult bone stock and with limited surgical experience. They can be implanted easily using different surgical approaches. More complex, two-component joints need an adequate bone stock and no large cystic bone defects can be
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, 21 When there is a stable well-preserved delaminated flap, fibrin adhesive or chondral sutures have been used to stabilise and preserve the native cartilage. 22 , 23 Unstable flaps and big cartilage defects can be treated with enhanced bone
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management of contained acetabular bone defects at a mean follow-up of six years: a comparison between up to 50% bleeding host bone contact and more than 50% contact . J Bone Joint Surg [Br] 2012 ; 94-B : 158 - 162 . 59 Macheras GA
Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
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& Deklerck R & Noble PC . CT analysis of defects of the cement mantle and alignment of the stem: in vitro comparison of Charnley-Kerboul femoral hip implants inserted line-to-line and undersized in paired femora . Journal of Bone and Joint Surgery