Page 30 - boneArtis - Digital Catalog
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                     GBoenlenakn- dunJodinKtnoRcehcoenrsetrkuocntisotrnuktion
GLarrogseseTsraTnraspnlsapnlatantiaotnioSnest-:SLeotnlagng
 28
REV0116112017EN
Fig. 28
Grössen ab TL14 Large grafts, starting with
thesteTlLle1n4 esiinze, gpreossesnet a
marked challenge for the Herausforderung
surgeon. The contour and für den Chirurgen
morphology have to be
dar. Die Konturen
tuned to the recipient in a
müssen genau mit very precise and careful
dem des Emp- manner. The large trans‐
plafnätnagtieornlatogoelrsssomabeg‐teim- es
offer the last chance to save stimmt sein. Es sind
an articular surface.
die Instrumente für
In most cases in which
die sogenannten
young patients are con‐
„hopeless cases“, cerned, the so‐called
Patienten, meist ‘hopeless‐cases’ the SDI
prosecehdrurjeungcean Paptriesne-rve
their joints and therefore ten, deren einzige
change their lives. An und letzte Chance
exceptional case occurred
für die Wiederher-
with an 18‐year‐old high‐
stellung ihres Ge- level athletic female suffer‐
lenkes, diese gros- ing an osteoarthritis disse‐
casnes nwith aGpealretniaklltyrdainsse-ct‐
ed surface (Figs. 28a ‐ d). fers darstellen. Die
The large convex articular grossen konvexen
surface was replaced by a
Gleitflächen wer-
donor graft gathered from
den ausschliesslich the medial posterior con‐
aus der hinteren dyle (Figs. 28e and 28f (1)
asmdeedsicarlibeend abFoevme.urT-he
second convex graft was kondyle entnom-
taken from the medial part men (1), welche
of the trochlea patellae (Fig.
mit einer Keramik
28e (2), and the donor bed
press-fit aufgefüllt of the posterior condyle
wird (1c).
was refilled using a ß‐TCP
ceramic in a press‐fit‐tight manner, so that no sliding layer was necessary (Figs. 28g – i (3).


















































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