技术说明：使用手动环锯进行胫骨近端骨移植的内侧入路
Technical note: medial approach for proximal tibia bone graft using a manual trephine.
作者信息
Lezcano F Javier Barrientos, Cagigal Beatriz Peral, Cantera José Miguel García, de la Peña Varela Gonzalo, Blanco Raúl Floriano, Hernández Alberto Verrier
机构信息
Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario del Rio Hortega, Valladolid, Spain.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Jul;104(1):e11-7. doi: 10.1016/j.tripleo.2007.01.006. Epub 2007 May 7.
OBJECTIVE
The purpose of this review is to assess the use of a manual trephine for harvesting bone grafts from the medial aspect of proximal tibia.
STUDY DESIGN
The medial approach for proximal tibia is described with detailed landmarks and anatomic relationships, pointing out the advantages of using a manual trephine. A retrospective review of 33 patients who underwent this technique in a 3-year period is reported.
RESULTS
The medial aspect of proximal tibia was found to supply the requirements of cancellous bone graft for all the osseous defects, with the exception of bilateral sinus lifts. There were no major complications at the donor site; only 2 cases of local infection and unaesthetic scar were found, respectively. Morbidity at the receptor site was attributable to the lack of soft tissue coverage.
CONCLUSION
Medial approach for proximal tibia with a manual trephine seems to be a valuable tool to harvest autogenous cancellous bone grafts with simplicity, safety, and predictability.
目的
本综述旨在评估使用手动环钻从胫骨近端内侧获取骨移植材料的情况。
研究设计
描述了胫骨近端的内侧入路，详细说明了标志点和解剖关系，指出了使用手动环钻的优点。报告了对33例在3年期间接受该技术治疗患者的回顾性研究。
结果
发现胫骨近端内侧能满足所有骨缺损的松质骨移植需求，但双侧上颌窦提升除外。供区无重大并发症；仅分别发现2例局部感染和不美观的瘢痕。受区的发病率归因于软组织覆盖不足。
结论
使用手动环钻的胫骨近端内侧入路似乎是一种简单、安全且可预测地获取自体松质骨移植材料的有价值工具。
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