tibia for bone graft and free flaps
DESCRIPTION
Tibia for bone graft and free flapTRANSCRIPT
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Tibia
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Large amounts of cancellous bone10-42cc of cancellous bone
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Surgical anatomyAnt. Tuberosity 20mm under, 20mm medialLiagmentum patellae
MLMedial condylelateral condyleAnteriorcondyle
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Surgical procedureAnaesthesia :mild IV sedation(meperidine, methoxital)2% lidocaine(1:80000) infiltration
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access10 bladePeriosteal blade
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Harvesting procedure8mm trephine
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Bone trap(Astra)
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Bone trap(Astra)
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sutureLayerPeriosteal, subcutaneous, subcuticular 4/0 poliglactin4/0 nylon
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Post operative careElastic dressing 1 NSAID : 12
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complicationMedial approachSafeLimited access : prevent weakeningViolation
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Clinical applicationUni- or bilateral sinus graftCystSimultaneusly two surgical fieldsOp time Transverse defect : + prp Delayed implant : + bovine bone
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Cyst bone chip+ prp
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Sinus Graft
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+prp+anorganic bone sub
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Sinus lift
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5
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Narrow & veritcal defect
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5
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Edentulous maxilla
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Tear : buccal fat pad flap
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PRP memb
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4
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Maxilla
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Simple case
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- 2006.1.17 bioss+auto
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2006.3.142006.7.11
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