Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the...

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Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd F. Ritzman, Erich Schneider, and Ulf R. Knothe J Bone Joint Surg Am Volume 89(2):307-316 February 1, 2007 ©2007 by The Journal of Bone and Joint Surgery, Inc.

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Intraoperative photographs highlighting the surgical procedure. Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89: ©2007 by The Journal of Bone and Joint Surgery, Inc.

Transcript of Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the...

Page 1: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of

Long-Bone Defects

by Melissa L. Knothe Tate, Todd F. Ritzman, Erich Schneider, and Ulf R. Knothe

J Bone Joint Surg AmVolume 89(2):307-316

February 1, 2007

©2007 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

Schematic diagram illustrating the proposed procedure.

Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89:307-316

©2007 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

Intraoperative photographs highlighting the surgical procedure.

Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89:307-316

©2007 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

A: Photograph showing morselized cancellous iliac crest autograft within the defect as used in Groups 3 and 5.

Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89:307-316

©2007 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

Radiographic images made immediately postoperatively and at sixteen weeks for the control Group 1 (A and B) and for Group 5 (C and D).

Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89:307-316

©2007 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

Three-dimensional reconstruction of explanted femoral blocks.

Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89:307-316

©2007 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

The volume of bone and callus tissue within the defect zone for Groups 1 through 5.

Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89:307-316

©2007 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

Area moment of inertia for the regenerate tissue within the defect zone in Groups 2 through 5 compared with that in the contralateral, control femora (Group 1).

Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89:307-316

©2007 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Testing of a New One-Stage Bone-Transport Surgical Procedure Exploiting the Periosteum for the Repair of Long-Bone Defects by Melissa L. Knothe Tate, Todd.

The density of regenerate bone tissue and composite (callus and bone) tissue compared with that of the contralateral, control femora.

Melissa L. Knothe Tate et al. J Bone Joint Surg Am 2007;89:307-316

©2007 by The Journal of Bone and Joint Surgery, Inc.