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Gli innesti ossei omoplastici nei reimpianti di cotile

Gli innesti ossei omoplastici nei reimpianti di cotile. G. Pignatti, G.Gualdrini VII Divisione, Istituto Ortopedico Rizzoli. Direttore prof. A.Giunti. Paprosky 2B. emisfera irregolare colonne integre bordo continente migrazione pross. C.R. < 2cm. Paprosky 2B. Post-operatorio.

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Gli innesti ossei omoplastici nei reimpianti di cotile

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  1. Gli innesti ossei omoplastici nei reimpianti di cotile G. Pignatti, G.Gualdrini VII Divisione, Istituto Ortopedico Rizzoli. Direttore prof. A.Giunti

  2. Paprosky 2B • emisfera irregolare • colonne integre • bordo continente • migrazione pross. C.R. < 2cm.

  3. Paprosky 2B Post-operatorio Follow up: 2 aa

  4. Paprosky 2B Follow up: 4 aa Follow up: 3 aa

  5. Paprosky 2B Pre-operatorio Follow up: 4 aa

  6. Paprosky 2C • acetabolo continete • osteolisi mediale

  7. Paprosky 2C Post-operatorio Follow up: 1 aa

  8. Paprosky 2C Follow up: 2 aa Follow up: 3 aa

  9. Paprosky 2C Post-operatorio Follow-up 3 aa

  10. Paprosky 2C Follow up: 3 aa

  11. Paprosky 3A • osteolisi delle colonne • migrazione pross. C.R. > 2cm. • bordo insufficiente 30 - 60% • osteolisi mediale

  12. Paprosky 3A Post-operatorio

  13. Paprosky 3A Follow up: 1 aa Follow up: 5 aa

  14. Paprosky 3A Post-operatorio

  15. Paprosky 3A Follow up: 3 mesi Follow up: 3 aa

  16. Paprosky 3B • bordo insufficiente > 60% • ampia osteolisi mediale

  17. Follow up: 2 aa

  18. Paprosky 3B Follow up: 4 aa Follow up: 5 aa Follow up: 5.5 aa

  19. Paprosky 3B Post-operatorio Follow up: 6 mesi

  20. Paprosky 3B Follow-up: 1 aa Follow up: 1.5aa

  21. Paprosky 3B Post-operatorio Follow-up: 6 mesi

  22. Paprosky 3B Follow-up: 1 aa Follow-up: 3 aa

  23. Paprosky 3B

  24. Requisiti per la ricostruzione: Appoggio iliaco Cotile con viti (min 2)

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