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KMID : 0378019720150060113
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New Medical Journal
1972 Volume.15 No. 6 p.113 ~ p.118
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The Physiologic Bony Replacement in Segmental Defect of Long Bones.
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Abstract
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In past segmental defect of long bone was common as a secondary result of bone disease but has in￢creased in recent times as a result of trauma from high-speed industrial machinery and traffic accidents.
In most cases bone graft is necessary, but we find occasionally that segmental defect of a long bone is physiologically replaced, during the waiting period of complete subsidence of inflammatory signs for the skin graft, in cases where there remained even a part of the periosteum.
The authors report 3 cases of segmental defect of long bone from trauma and diaphysectomy in chronic ostomyelitis.
The defects were physiologically replaced with complete and stable periosteal new bone formation
without bone graft or bone fragment reimplantation in otherwise healthy patients.
In cases 1 and 2, the patients were young and periosteum was partially intact. In case 3 the patient was an adult and the periosteum was crushed.
In cases 1 and 2 the patients could walk without cruthes in 8 months and in case 3 in 17 months. Bony replacement of defect occured more rapidly in the young patient and when some periosteum
remained even though the defect was larger than the other case.
Probably this was from physiologic bone formation.
Also we saw that new bone formation continued during the healing process of osteomyelitis.
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KEYWORD
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