Josep Font Grau, Jordi Cairó Vilagran
Describimos la evolución clínica y radiológica de 3 casos de trasplante óseo de cortical autógeno no vascularizado. Se trató un fémur que presentaba un amplio secuestro diafisario, una tibia con pérdida diafisaria de estructura ósea por arma de fuego y un cúbito-radio con no unión biológicamente inactiva unida a un secuestro óseo. Los 3 casos precisaban un soporte mecánico además de una acción osteogénica. Fueron tratados mediante un injerto de un cilindro óseo cortical procedente del cúbito del mismo animal a diferencia de lo publicado en la bibliografía que cita a la costilla, ilion y peroné como origen de hueso cortical autógeno. La fijación se realizó con placas DCP de 3,5 mm en compresión axial. * This article presents the clinical and radiological evolution of 3 cases which were treated with an autogenous non vascularized cortical bone transplant. The first case features a large diaphyseal sequestrum in the femur. The second case presented with loss of diaphyseal bony structure due to a gunshot injury in the tibia. The third case describes a biologically inactive non union and a sequestrum in the radius and ulna. All 3 cases needed mechanical support and osteogenic activity in arder to heal appropiately. Surgical treatment consisted in a cortical bone graft using a bony cylinder from the ulna of the same animal. The rib, ilion and fíbula are cited in the literature as the source of utegonous cortical bone as opposed to the method described in this article. Fixation was accomplished with 3,5 mm DCP in axial compression.
This article presents the clinical and radiological evolution of 3 cases which were treated with an autogenous non vascularized cortical bone transplant. The first case features a large diaphyseal sequestrum in the femur. The second case presented with loss of diaphyseal bony structure due to a gunshot injury in the tibia. The third case describes a biologically inactive non union and a sequestrum in the radius and ulna. All 3 cases needed mechanical support and osteogenic activity in arder to heal appropiately. Surgical treatment consisted in a cortical bone graft using a bony cylinder from the ulna of the same animal. The rib, ilion and fíbula are cited in the literature as the source of utegonous cortical bone as opposed to the method described in this article. Fixation was accomplished with 3,5 mm DCP in axial compression.
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