Author/Editor		Buhanec, Božidar; Kotnik, Marko; Brilej, Drago
Title		Segmentni transport
Translated title		Segmental bone transport
Type		članek
Source		In: Osteosinteza z zunanjim fiksatorjem tretje generacije. Podiplomska šola kirurških tehnik - Zunanji fiksator v sodobni travmatologiji; 2003 nov 28; Celje. Ljubljana: Medicinska fakulteta, Katedra za kirurgijo,
Publication year		2003
Volume		str. 87-92
Language		slo
Abstract		Segmental skeletal defects have always presented a problem for surgeons. With one of the most innovative contributions to orthopedic surgery - intercalary bone transport - missing osseous tissue of any length can be reconstructed without the need for bone grafting. In the mid 1960s this concept was developed by G.A. Ilizarov. Corticotomy with preservation of blood supply is one of the cornerstones of the method. With a stable fixation bone forms in a distraction gap. A delay before distraction is necessary. Slow high frequency distraction creates stresses within bone that causes osteogenesis within the gap. The process is completed with a stage of corticalisation and remodeling of the cortex. Weight bearing and motion of the adjacent joints are important. Bone transport techniques are demanding and fraught with potential complications. The treatment is long-term and before the method is undertaken the patient's personality and expectations must be evaluated.
Descriptors		OSTEOGENESIS BONE LENGTHENING ILIZAROV TECHNIQUE BONE REMODELING