transporte Óseo. julio de pablos
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TransporteTransporte
seoseoJ. de PablosHospital de NavarraPamplona
www.depabloswww.depablos--bruguera.combruguera.com
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Transporte seo
G.A. IlizarovG.A. Ilizarov19501950ss
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Transporte seo
A. MonolateralesA. Monolaterales
SencillezSencillez
No transfixiNo transfixi
nn
Control fragmentoControl fragmento
Ventajas:Ventajas:
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Transporte seo
TransporteTransporte seo monolateralseo monolateral
1984
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Transporte seo
TransporteTransporte seo monolateralseo monolateralPDF created with pdfFactory Pro trial version www.pdffactory.com
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Transporte seo
TransporteTransporte
seoseomonolateralmonolateral
experimentalexperimental clclniconico
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Transporte seo
TransporteTransporte seo experimentalseo experimental
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Transporte seo
T.O. monolateral experimentalT.O. monolateral experimental
FactibleFactible
HistologHistologa =a = callotasiscallotasis Fragmento transportado: viableFragmento transportado: viable Z. CompresiZ. Compresin: unin: unin precarian precaria RemodelaciRemodelacin excelenten excelente
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Transporte seo
TransporteTransporte seo experimenta lseo experimenta l
Apara to d e Wagner mod ific adoApara to d e Wagner mod ific ad o
Postop. Inm. 45 d. Postop.
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Transporte seo
TransporteTransporte seo experimentalseo experimental
Aparato de Wagner modificadoAparato de Wagner modificado
30 d. Postop.
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Transporte seo
TransporteTransporte seo c lseo c lniconico
ProgresiProgresin de los to rnillos intermed iosn de los to rnillos intermedios
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Transporte seo
TransporteTransporte seo monolatera l experimenta lseo monolatera l experimenta l
Ap ara to Tubula r A. O. mod ific adoAp ara to Tubula r A. O. mod ific ado
Postop. Inm. 10 d. postop. 20 d. Postop. 45 d. postop
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Transporte seo
T. fib rosoT. fib roso
TransporteTransporte seo exp.seo exp.20 d. post20 d. post--distraccidistraccinn O. cond ralO. c ond ral
O. de sma lO. de sma l
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Transporte seo
25 d. postop.25 d. postop. 50 d. postop.50 d. postop.
T.O. experimenta lT.O. experimenta lViabilidadViabilidad
fragmento transportadofragmento transportado
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Transporte seo
T.O. experimenta lT.O. experimenta lUniUnin prec aria enn prec aria en
zona de c om presizona de c ompresinn
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Transporte seo
TransporteTransporte seo experimenta lseo experimenta l
RemodelaciRemodelacin en zona de d istrac c in en zona de d istrac c inn
AutoinjertoAutoinjerto TransporteTransporte seoseo
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Transporte seo
AutoinjertoAutoinjerto TransporteTransporte seoseo
TransporteTransporte seo experimenta lseo experimenta l
RemodelaciRemodelacin en zona de d istrac c in en zona de d istrac c inn
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Transporte seo
20 m. Postop .20 m. Postop .
AutoinjertoAutoinjerto
Va rVa rn 55 a .n 55 a .
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Transporte seo
TransporteTransporte seoseo
Va rVa rn 23 a .n 23 a .
10 m. Postop .
18 m. Postop .
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Transporte seo
IndicacionesIndicaciones
DOSM >5c mDOSM >5c m
Edad
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Transporte seo
AplicacionesAplicaciones TraumaTrauma
InfecciInfeccinn
OncologOncolog aa Ps. c ongPs. c ong nitanitaPDF created with pdfFactory Pro trial version www.pdffactory.com
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Transporte seo
Ps. sPs. spticaptica DOSM p ostfrac turaDOSM p ostfrac tura
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Transporte seo
Pseud oartrosis infec ta da tib ia lPseud oartrosis infec ta da tib ia l
Va rVa rn, 55 an, 55 a osos
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Transporte seo
Cobertura c utCobertura c ut
neanea
InfecciInfeccin inac tivan inac tiva
No quimio/ rad ioterap iaNo q uimio/ rad ioterap ia Prep . anPrep . anmicamica
CondicionesCondiciones
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Transporte seo11 3322
ClassicClassic Bone TransportBone TransportPDF created with pdfFactory Pro trial version www.pdffactory.com
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Transporte seo
12 y.o. Girl18+10 cm Diaphysea l defec t. Postraumatic osteomyelitis
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10 d10 d postoppostop 45 d45 d postoppostop 120 d120 d postoppostop
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Transporte seo
1 y.1 y. postoppostop9 m9 m postoppostop4 m4 m postoppostop
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T
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Transporte seo
12 y.o. GirlPostrauma tic osteom ielytis
10 c m fem ora l shorteningBone transport+Allograft
preop 1 y.1 y. postoppostop
10 cm
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T t
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Transporte seo
preop 1 y. postop.
12 y.o. Girl
Postraumatic osteomielytis10 cm femora l shortening
Bone transport+AllograftPDF created with pdfFactory Pro trial version www.pdffactory.com
Transporte seo
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Transporte seo
6 m.6 m.00
Pseud oartrosis infec ta da postraumPseud oartrosis infec ta da postraum ticatica
TransporteTransporte seo d ista lseo d ista l--proximalproximal
Va rVa rn, 23 an, 23 a osos
10 a.10 a.
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Transporte seo
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10 cm
Chronic OsteomyelitisChronic OsteomyelitisBoneBone
TransportTransport
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Transporte seo
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Transporte seo
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Transporte seo
Sistemas de d istrac c in-compresin
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Pseudoartrosis sPseudoartrosis spticapticaResecciReseccin y Distrac c in y Distrac c inn--CompresiCompresi nnVarVa rn, 26 a.n, 26 a .
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Transporte seo
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p
Pseud oartrosis tib ia l infec ta daPseud oartrosis tib ia l infec ta daDistracciDistraccinn--CompresiCompresinn
Va rVa rn, 26 an, 26 a osos
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Transporte seo
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p
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Trauma: lesiones asociadasTrauma: lesiones asociadas Defec tos mioc utDefec tos mioc ut neosneos
L. neurovasc ula resL. neurova sc ula res Rig idec es a rtic ula resRig idec es a rtic ula res
Trauma asoc iadoTrauma asoc iado
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y no olvida ry no olvida r
nunc a la b iolognunc a la b iolog aa
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Antec urva rum Tib ia l izdoAntec urva rum Tib ia l izdoNiNio 9 ao 9 aosos
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Transporte seoPlan de Tratamiento
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tibia
peronperon
reseccireseccinn
Plan de Tratamiento
Osteotoma-distraccin
compresin
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+50 d+50 d+25 d+25 d +90 d+90 d +110 d+110 d
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Transporte seo240 d. post 1240 d. post 1
120 d post inj120 d post inj
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+120 d+120 d
120 d. post inj.120 d. post inj.
20 d. post 220 d. post 2
395 d. post 1395 d. post 1
275 d. post inj.275 d. post inj.
175 d. post 2175 d. post 2
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Transporte seo
PreopPreop
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Preop.Preop.
14 m. postop.14 m. postop.
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Preop.Preop. 14 m. postop.14 m. postop.
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