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Re: Остеобластокластома?
Dr. T. I. George 23 Март 2008, 23:34
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Alex,
Quite an impressive work!!.
Can I shoot a few questions?
Was this titanium cage custom made for this patient or commecially available for such work? Do you have different lengths of this cage or were you forced to cut it on table to suite tha gap? (Or did you have to make the gap to suite the cage?)
Do you fill the cage with bone graft or are you depending on this metal for long term support without biological augumentation?
How is the skin coverage after such an extensive dissection and placment of a large piece of metal in a plane very close to the surface?
I am sure you have answers ready as usual.I look forward to seeing your reply.
Kindly bear with my poor connectivity. I may not read your answer today.
Best wishes.
Dr. T. I. George.
(Dr George T Ittoop,)
Sr Specialist, Orthopaedics,
Ibra Regional Hospital,
North Sharquia Region,
Sultanate of Oman.
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Re: Остеобластокластома?
Alexander Chelnokov 24 Март 2008, 00:23
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gt> Was this titanium cage custom made for this patient or commecially
gt> available for such work? Do you have different lengths of this cage or
gt> were you forced to cut it on table to suite tha gap? (Or did you have
gt> to make the gap to suite the cage?)
The cages are commercially available but up to 10 cm. So we measured the needed length on x-rays, added 2 cm at both ends for sure that
the resected piece will include all, and resulted with 15 cm which one was ordered and individually made by the same factory. So yes, we made the gap to fit the cage.
gt> Do you fill the cage with bone graft or are you depending on this
gt> metal for long term support without biological augumentation?
The inner diameter of the tube is 13 mm, the nail was 12 mm, so not so much space to put something inside. Yes, this is really shaft endoprosthesis which i hardly ever would offer for a young football player. Though... Maybe we would when we collect some experience with this sort of implants to feel/prognose its strength in different settings.
gt> How is the skin coverage after such an extensive dissection and
gt> placment of a large piece of metal in a plane very close to the
gt> surface?
No problem with the skin since the cage is less than the removed tissue and the surgery was quick enough not to meet oedema.
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