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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
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Department of Trauma & Orthopaedics, University of Leeds, Leeds, United Kingdom of Great Britain and Northern Ireland
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augment healing ( 3 ). Within trauma, there are a number of indications for bone graft, spanning from acute use for traumatic bone defects, as part of staged bone defect management such as that achieved with the masquelet technique, to augment stability
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26% have been also claimed for iliac crest autograft ( 31 ). In the presence of bone defects, the bone regeneration may not be obtained from bone graft unless there is an active biological surrounding, and this relates to the study and development of
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external fixators for stabilisation. Bone defects 5 After removal of infected implants and radical sequestrectomy, bony defects will always be present. There are several suggestions as to how to address this issue; what all have in common is the
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subchondral plate is seen macroscopically as a chondral defect. Breeching of the subchondral plate coupled with the chondral damage allows the movement of fluid, cells and molecules between the bone and the joint cavity. Mechanical forces can also affect and
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previous section, bone has the capacity to regenerate in specific circumstances. However, this capacity is not unlimited; it is restricted to small bone defects. There is no biological mechanism for large-scale repair of bone. This is the case, for example
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small defects / limited availability of bone graft - Risk of early resorption / highly depends on the soft tissue bed - Risk of relapse of infection - Graft incorporation is slow and unreliable - Donor site morbidity Antibiotic-impregnated cement
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space’ and, when needed, provide reconstruction material for bone defects. Based on their characteristics the two main categories of materials used for local antibiotic treatment are non-degradable and biodegradable. The most prevalent non
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drainage. Antibiotic bone cement consisting of vancomycin-loaded poly(methyl methacrylate) inserted into defect. Post-operative antibiotic treatment for 6 weeks. Lidgren 1980 37 Intramedullary reaming in all. Closed intramedullary suction
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failure mechanisms in order to prevent it from happening again. Implant type, position and stability need to be determined and any defects in the bone and soft tissue should be noted. It goes without saying that detected abnormalities based on imaging
