Surgical Management of a Long Segmental Defect of the Humerus Using a Cylindrical Titanium Mesh Cage and Plates

2005 ◽  
Vol 19 (3) ◽  
pp. 211-216 ◽  
Author(s):  
Naftaly Attias ◽  
Richard E. Lehman ◽  
Leonard S. Bodell ◽  
Ronald W. Lindsey
2002 ◽  
Vol 16 (8) ◽  
pp. 597-601 ◽  
Author(s):  
Peter A. W. Ostermann ◽  
Nina Haase ◽  
Alexander Rübberdt ◽  
Michael Wich ◽  
Axel Ekkernkamp

2018 ◽  
Vol 100-B (5) ◽  
pp. 646-651 ◽  
Author(s):  
N. Attias ◽  
A. M. Thabet ◽  
G. Prabhakar ◽  
J. A. Dollahite ◽  
R. J. Gehlert ◽  
...  

Aims This study reviews the use of a titanium mesh cage (TMC) as an adjunct to intramedullary nail or plate reconstruction of an extra-articular segmental long bone defect. Patients and Methods A total of 17 patients (aged 17 to 61 years) treated for a segmental long bone defect by nail or plate fixation and an adjunctive TMC were included. The bone defects treated were in the tibia (nine), femur (six), radius (one), and humerus (one). The mean length of the segmental bone defect was 8.4 cm (2.2 to 13); the mean length of the titanium mesh cage was 8.3 cm (2.6 to 13). The clinical and radiological records of the patients were analyzed retrospectively. Results The mean time to follow-up was 55 months (12 to 126). Overall, 16 (94%) of the patients achieved radiological filling of their bony defect and united to the native bone ends proximally and distally, resulting in a functioning limb. Complications included device failure in two patients (12%), infection in two (12%), and wound dehiscence in one (6%). Four patients (24%) required secondary surgery, four (24%) had a residual limb-length discrepancy, and one (6%) had a residual angular limb deformity. Conclusion A titanium mesh cage is a useful adjunct in the treatment of an extra-articular segmental defect in a long bone. Cite this article: Bone Joint J 2018;100-B:646–51.


2011 ◽  
Vol 50 (4) ◽  
pp. 357 ◽  
Author(s):  
Won Heo ◽  
Dong Ho Kang ◽  
Kyung Bum Park ◽  
Soo Hyun Hwang ◽  
In Sung Park ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yuhang Wang ◽  
Yi Zhan ◽  
Huiming Yang ◽  
Hua Guo ◽  
Haiping Zhang ◽  
...  

AbstractFusion with a titanium mesh cage (TMC) has become popular as a conventional method after cervical anterior corpectomy, but postoperative TMC subsidence has often been reported in the literature. We designed a novel anatomic cervical TMC to reduce the postoperative subsidence rate. According to the test process specified in the American Society of Testing Materials (ASTM) F2267 standard, three-dimensional finite element analysis was used to compare the anti-subsidence characteristics of a traditional TMC (TTMC) and novel TMC (NTMC). Through analysis, the relative propensity values of a device to subside (Kp) of the TTMC and NTMC were 665.5 N/mm and 1007.2 N/mm, respectively. A higher Kp measurement is generally expected to indicate that the device is more resistant to subsidence into a vertebral body. The results showed that the novel anatomic titanium mesh cage (NTMC) significantly improved the anti-subsidence performance after anterior cervical corpectomy and fusion (ACCF), which was approximately 51.3% higher than that of the traditional titanium mesh cage.


2002 ◽  
Vol 16 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Hiroyuki Nakase ◽  
Yuki Ida ◽  
Rinsei Tei ◽  
Toshisuke Sakaki ◽  
Testuya Morimoto

2006 ◽  
Vol 29 (4) ◽  
pp. 706-709 ◽  
Author(s):  
G. Bierry ◽  
X. Buy ◽  
P. Chandra Mohan ◽  
J. Cupelli ◽  
J.P. Steib ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Tarantino Roberto ◽  
Marruzzo Daniele ◽  
Cappelletti Martina ◽  
De Giacomo Tiziano ◽  
Delfini Roberto

Pyogenic vertebral osteomyelitis (PVO) is still a rare pathology. However, its incidence is on the rise. This is due to an increasing population with predisposing factors. Also, the availability of more effective diagnostic tools has brought it increasingly to the surgeon’s attention. In this study the patients were treated in the Neurosurgery Division of the Department of Neurological Sciences and Psychiatry of the Sapienza University of Rome, between 2001 and 2009. They had thoracolumbar pyogenic spondylitis. This study was undertaken in order to identify the correct diagnostic and therapeutic treatment needed in such cases. From the cases studied here, it is evident that spinal infections can be extremely insidious and that diagnosis tends to be reached late. Surgery, along with the antibiotic treatment, allows for eradication of the causes of the pathology by the reclamation of the affected region. Surgery is also fundamental in helping to recover vital functions and in restoring as much as possible the correct curvature of the rachises. The use of an anterolateral approach is dictated by the necessity of obtaining 360° stability as well as by the need to clear away extensive infections, which are not always reachable using a posterior approach.


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