By Klaus Draenert, Yvette Draenert, Tim Pohlemann, Gerd Regel
This booklet describes intimately a distinct and extremely distinctive operative strategy that makes use of autologous cartilage/bone grafts for the reconstruction of load-bearing joint surfaces and for dowelling of non-unions. The procedure, utilizing diamond tools and a rainy grinding strategy, has been constructed and subtle during the last 30 years on the heart for Orthopaedic Sciences (ZOW), first in Bern and later in Munich. A step by step description of the tactic is supplied for every indication, by using many top of the range illustrations. adequately utilized, the strategy has been very profitable in restoring high-level athletes to pageant; it may be utilized even in “hopeless circumstances” and gives first-class overdue effects. This advisor could be worthwhile for orthopaedic surgeons wishing to grasp this confirmed and potent approach.
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Additional info for Autologous Resurfacing and Fracture Dowelling: A Manual of Transplantation Technique
Japan), and the specimen was corroded, carefully cleaned, and sputtered with gold (200 Å). PSEM 500, 50 kV. Horizontal field width = 200 mm musculature form the baseplate on the other end. Tension forces acting on the apophysis construct its scaffold. Metaphyseal Growth The growth of the metaphysis is presented like an open V-shape, bearing the growth plate and inserted into the tube of the diaphysis (Fig. 5). Bone apposition always starts inside the medullary cavity and crosses all bone structures in a centrifugal direction, finally forming the next plateau of the growth plate (Fig.
Horizontal field width = 150 mm not be bony anchored by newly formed bone because the fibers converge, concentrating stress instead of distributing it (Draenert et al. 1981). The principle of a divergent course should be considered for the replantation operation, for which there are principally two possibilities: the sandwich technique, (Fig. 16a–c; Draenert et al. , the bone–tendon–bone procedure replacing the ACL in the knee joint (Fig. 17a–e). 3 Metaphyseal Cancellous Bone a 19 b c e d Fig. 17 (a, b) Animal experiment (Gerber, London) in a shepherd dog with the SDI procedure: a very precise wet-grinding process gathers the bone-tendon-bone graft.
7c). The new bone formation of the femoral neck follows a course that begins along the medullary canal, interweaves thoroughly the spongious structure, and forms the outer layer of the neck, converting part of the spongious structure to compact bone (Fig. 8a, b). McLean and Bloom (1940) divided the growth plate into four microscopic anatomic zones, a classification which is still used: (1 = toward the joint) the zone of resting cartilage, (2) the zone of proliferation, (3) the zone of mature or even hypertrophic cartilage, (4) and the zone of mineralized cartilage.