Tibia for bone graft and free flaps

Tibia

Large amounts of cancellous bone10-42cc of cancellous bone

Surgical anatomyAnt. Tuberosity 20mm under, 20mm medialLiagmentum patellae

MLMedial condylelateral condyleAnteriorcondyle

Surgical procedureAnaesthesia :mild IV sedation(meperidine, methoxital)2% lidocaine(1:80000) infiltration

access10 bladePeriosteal blade

Harvesting procedure8mm trephine

Bone trap(Astra)

Bone trap(Astra)

sutureLayerPeriosteal, subcutaneous, subcuticular 4/0 poliglactin4/0 nylon

Post operative careElastic dressing 1 NSAID : 12

complicationMedial approachSafeLimited access : prevent weakeningViolation

Clinical applicationUni- or bilateral sinus graftCystSimultaneusly two surgical fieldsOp time Transverse defect : + prp Delayed implant : + bovine bone

Cyst bone chip+ prp

Sinus Graft

+prp+anorganic bone sub

Sinus lift

5

Narrow & veritcal defect

5

Edentulous maxilla

Tear : buccal fat pad flap

PRP memb

4

Maxilla

Simple case

- 2006.1.17 bioss+auto

2006.3.142006.7.11

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