Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Bridging bone gaps with the Ilizarov technique. Biologic principles.

J E Alonso1, P Regazzoni

  • 1Department of Surgery, University of Alabama, Birmingham.

Clinics in Plastic Surgery
|July 1, 1991
PubMed
Summary

Distraction osteogenesis is a viable option for bone gaps over 4 cm. This method involves controlled distraction, potentially enhanced by motorized units and grafting, to improve bone healing and reduce fixator time.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Helical plating - a novel technique to increase stiffness in defect fractures.

European cells & materials·2021
Same author

[Special reduction instruments].

Der Unfallchirurg·2018
Same author

Evolution of AO Fracture Treatment Part 1: the Internal Fixator.

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca·2018
Same author

How to Choose between the Implant Materials Steel and Titanium in Orthopedic Trauma Surgery: Part 2 - Biological Aspects.

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca·2017
Same author

The Potential of the ICUC® Documentation Concept to Improve Trauma Surgery.

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca·2017
Same author

How to Choose between the Implant Materials Steel and Titanium in Orthopedic Trauma Surgery: Part 1 - Mechanical Aspects.

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca·2017

Area of Science:

  • Orthopedic surgery
  • Regenerative medicine

Background:

  • Cancellous autografting is standard for bone gaps < 4 cm.
  • Larger bone gaps (> 4 cm) present treatment challenges.

Purpose of the Study:

  • To outline the conditions and methods for successful distraction osteogenesis in treating large bone gaps.
  • To discuss methods for improving bone regenerate quality and healing outcomes.

Main Methods:

  • Patient selection and stable fixation are crucial.
  • Osteotomy via corticotomy followed by a 7-14 day latency period.
  • Controlled distraction at 1 mm/day (0.25 mm, 4x/day).

Main Results:

  • Distraction osteogenesis allows bone healing on healthy bone, bypassing the pathologic site.

Related Experiment Videos

  • Motorized units and early soft-tissue coverage can enhance regenerate quality.
  • Cancellous grafting and internal fixation may improve interface healing and reduce external fixation duration.

    • Conclusions:

    • Distraction osteogenesis is a viable technique for bone gaps exceeding 4 cm.
    • Optimizing surgical technique and adjuncts can improve outcomes.
    • This method offers an alternative to autografting for extensive bone defects.