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A third K-wire (labeled C, Fig. 3c) can be inserted into the distal bone segment and parallel to K-wire B. After osteotomy, the distal bone segment can be rotated about the line perpendicular to the cutting plane, until K-wire C is parallel to K-wire A (Fig. 3d).
From these, the volume of each bone segment can be calculated, and the mass of the bone can be calculated using estimates of modern bone density.
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Secure fixation of the bone transport construct to the bone transport segment can be challenging, particularly if the bone is small and osteopenic.
The entire segment can be viewed here.
(The full segment can be viewed here).
Three major segments can be distinguished.
The transported segment of bone can be deviated as it passes through the soft tissues, leading to translation at the docking site.
It is often extremely difficult to decide whether the affected bone segment has to be resected, or whether bone continuity can be preserved.
Bone resorption and bone formation markers can be measured.
Bone transport can be internal or external; in the former, the transport segment is pulled by a construct that is inside the limb exiting distally, whereas during the latter, the bone segment is attached to a transport ring, with the construct moving through the soft tissues.
In view of the absence of an MR bone signal, the bone structures can be extracted from the registered atlas CT and combined with an MR image segmented for air and soft tissue.
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