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solutions in adequately addressing extensive bone defects and achieving stable fixation ( 19 , 20 ). Many patients face the risk of severe bone loss or PD due to repeated acetabular revision surgeries ( Fig. 1 ) ( 4 ). However, it is possible to achieve
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buttons ( Fig. 2 ). Bone grafting techniques offer the advantage that the graft can be tailored to the patient´s defect in size and shape. Figure 2 CT scan axial view of a failed Latarjet where the coracoid graft showed severe osteolysis. The
Osteoarticular Surgery Research, La Paz Hospital Health Research Institute – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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size and location of the bone defect and the patient’s demographic characteristics (body mass index [BMI], activity level, age and life expectancy). 3 To successfully perform an rTKA and predict and compare its results, it is essential to correctly
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%, the glenoid defect needs to be fixed. The Latarjet procedure can convert an off-track lesion to an on-track lesion. However, if the HSL is still off-track after the Latarjet procedure, either remplissage or bone graft to the HSL needs to be added to
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technique after fibular resection. Bone cement (asterisk) is used to fill the fibular defect in the first stage and then is replaced by autologous cancellous bone. Table 4 Summary of operatively treated patients due to tumor of the distal
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osteosynthesis may increase the maximum load and decrease cut-out failure vs conventional screw reconstruction (a). Provided by Weimann et al 29 and used with permission from BioMed Central. Management of bone defects Autograft, allograft
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relatively high mortality and comorbidity comparable to those of proximal femoral fractures ( 5 , 6 , 7 ). High-energy injuries frequently result in severe metaphyseal comminution, fractures extended into the articular surface, critical bone defects, or a
Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Justus Maximilian University Wuerzburg, König-Ludwig-Haus, Brettreichstraße, Würzburg, Germany
Paracelsus Medizinische Privatuniversität, Strubergasse, Salzburg, Austria
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
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Ludwig Maximilian University Munich, Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales Zentrum München (MUM), Marchionostraße, Munich, Germany
Working Group Clinical Tissue Regeneration of the German Society of Orthopaedics and Traumatology (DGOU), Berlin, Germany
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Martin-Luther-University Halle-Wittenberg, Universitätsklinikum Halle (Saale), DOUW - Abteilung für Unfall- und Wiederherstellungschirurgie, Ernst-Grube-Straße, Halle, Germany
BG-Klinikum Bergmannstrost Halle, Halle, Saale, Germany
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defect is perforated with a drill bit or a K-wire to stimulate bony healing. Additional bone grafting can be considered for bony defects and chronic lesions ( 19 ). Importantly, any sclerotic wall should be perforated several times. This treatment
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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, hardware removal, and placement of an external fixator should be considered until the infection; reconstructive surgery should then be considered, depending on the state of consolidation and the bone defect to be addressed ( 19 ). In cases of bone defects
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type IIIB), so a customized augment was designed to fill the bone defect ( 25 ). They suggested that robotic-assisted technology minimized bone loss as only one acetabular reaming was required with accurate preoperative planning and robot arm
