Author/Editor		Buhanec, Božidar; Pilih, Iztok A; Brilej, Drago
Title		Kostni defekti in segmentni transport
Translated title		Bone loss and segmental transport
Type		članek
Source		In: Osteosinteza z zunanjim fiksatorjem tretje generacije: podiplomska šola kirurških tehnik. Celje: Medicinska fakulteta, Katedra za kirurgijo,
Publication year		2000
Volume		str. 57-62
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 wihout the need for bone grafting. In the mid 1960s the 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		BONE LENGTHENING FRACTURES, UNUNITED OSTEOGENESIS POSTOPERATIVE CARE EXTERNAL FIXATORS PATIENT SELECTION BONE NAILS BONE TRANSPLANTATION