查詢結果分析
來源資料
相關文獻
- 改良式自體脛骨海綿骨移植術於顎骨重建的臨床應用
- Intramedullary Versus Extramedullary Tibial Alignment Guides in Total Knee Arthroplasty
- MR Imaging of Tibial Stress Fractures
- 應用依利沙羅夫骨骼延長術於修補犬脛骨缺損之研究
- Anterior Tibial Myoperiosteal Flap for Post-traumatic Tibial Osteomyelitis
- Reconstruction of Lower Leg Soft Tissue Defect by Tailored Latissimus Dorsi Free Flap-A Case Report
- Anterior Knee Pain after Intramedullary Tibial Nailing
- Paget's Disease of the Tibia
- 腓脛骨骨折之診斷與處理
- Intraosseous Ganglion of the Distal Tibia--A Case Report and Review of the Literature
頁籤選單縮合
題 名 | 改良式自體脛骨海綿骨移植術於顎骨重建的臨床應用=Modified Autogenous Tibial Cancellous Bone Grafting: Applications in Jaw Bone Reconstruction |
---|---|
作 者 | 陳遠謙; 柯政全; 傅立志; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 16:1 民94.03 |
頁 次 | 頁36-47 |
分類號 | 416.95 |
關鍵詞 | 脛骨; 脛骨小隆凸; 顆粒狀海綿骨; Tibia; Tibial tuberosity; Gerdy's tubercle; Particulate marrow cancellous bone; PMCB; |
語 文 | 英文(English) |
中文摘要 | 自體脛骨海綿骨移植 (tibial cancellous bone grafting) 雖已於數十年前由骨科醫師應用於長骨缺損之重建,然而以自體脛骨海綿骨應用於顎骨缺損之初步臨床報告卻於1992年才首見於文獻。本篇報告是採用改良式自體脛骨海綿骨移植來重建顎骨缺損及輔助人工植牙的30個病例。吾等自民國87年3月至民國90年11月期間,為30位需要顎骨重建或人工植牙的病人,施行了31次的改良式自體脛骨海綿骨移植術。病人的年齡分佈為18-55歲。造成這 些病例顎骨缺損的原因為:外傷、慢性顎骨感染、良性腫瘤切除、囊腫摘除或嚴重的無牙脊生理性吸收等。每位病人於術前都接受膝關節之放射線攝影檢查,以便排除曾有膝關節病史的病例。與Dr.Cantone et al所發表的取骨方法比較,以改良式手術所能取得之脛骨海綿骨的總量雖然相當,但傷口縫合更為簡單,則是本方法最大的優點。 |
英文摘要 | The use of cancellous bone from the proximal tibia for long bone reconstruction has been well documented for several decades by orthopedic surgeons. However, the first clinical report of tibia as donor site for jaw bone reconstruction was published in 1992. Through the years, a few modifications of bone procurement from the proximal tibia have been made by our group. So we would like to share our experience in a series of 30 cases dealing with jaw bone defect and adjunctive implant surgery by using this modified technique. During a period of more than 3.5 years, from March, 1998 to November, 2001, 31 consecutive tibial bone grafts were procured from a group of 30 patients with jaw bone defects resulted from trauma, infection, tumor ablation, or physiological resorption of the edentulous area. The age distribution was 18~55 y/o. Pre-operative radiographic examination was mandatory for evaluation and to exclude the patients with history of knee joint problems. The modified incision technique in this case series produced approximately equal amount of cancellous bone volume from the tibia, yet it rendered wound closure much more easier, which is the greatest advantage, than the procuring technique described by Dr. Cantone et al. in 1992. |
本系統中英文摘要資訊取自各篇刊載內容。