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After fractures, bone can experience different potential outcomes: successful bone consolidation, non-union and bone failure.
The near future for VBGs is to control bone consolidation thanks to progress in the bio-engineering of bone tissue, which may make them obsolete and, for VBJGs, vascularised joint allografts, thanks to progress in immunosuppressant treatments.
c Follow-up radiograph at the 3rd month at 45° cephalic tilt showing complete bone consolidation.
We allowed another 3 months for bone consolidation with REDII removal in the office.
Weight bearing was then gradually increased as bone consolidation progressed (Fig. 3).
Alternative therapeutic goals in palliative treatments include tumour reduction/decompression and bone consolidation.
Similar(29)
With the development of the microsurgical technique, the vascularized bone flap has proven to be a good reconstructive option because it enables greater bone integration, higher consolidation rates, and better functional response [ 1, 4, 5].
One fracture, at 4 months from operation, showed incomplete healing of the diaphyseal fracture and was consequently bone grafted; consolidation was achieved 2 months later.
histology of the tumour with differentiation of benign and malignant tumours; careful evaluation of the patient's general condition; understanding of the disease process; appreciation of the degree of bone destruction (consolidation); thorough working knowledge of available treatment options and multidisciplinary decision making; and precision of the treatment goal, i.e., curative or palliative.
For large volumes of ablation in tumours involving weight-bearing bones, additional consolidation with cementoplasty or surgery should be considered to prevent the risk of secondary fracture [ 28].
The early phases of this process are those of fracture healing whilst the succeeding process of bone lengthening and consolidation differ histologically [35, 36].
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