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A drawback of all bony bridge techniques is that the initial level of the lesion cannot lie very proximal to the tibia, as this would prevent the construction of an osteoperiosteal flap of appropriate length.
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Maintaining the native articulations using the bone bridge technique ensures physiologic loads are measured.
The purpose of this study was to determine the efficacy of this bridge technique.
The cortical osteoperiosteal flap, which is a modification of the Ertl's bony bridge technique, has the advantage of a vascularised flap made of large strut grafts.
However, we did not encounter any major flap venous congestion due to the open bridge technique and non-watertight, loose but secure closure with intermittent sutures.
Also, preserving a skin paddle demands using an open bridge technique without tunnelling the skin between the donor area and the wound.
The cause of this complication is variable, but the split bridge technique, tight packing around the cochleostomy window, or canal wall reconstruction should decrease the occurrence of this complication.
However, if the nerve injury is extensive, forming an irreducible gap between the injured proximal and distal stumps, a nerve bridge technique would be preferred.
A modified version of the immunoglobulin enzyme bridge technique with the LSAB kit (Dako) was used.
A modified version of the immunoglobulin enzyme bridge technique with an LSAB kit (Dako, Glostrup, Denmark) was used.
18 We used a modified version of the immunoglobulin enzyme bridge technique with a Linked Streptavidin-Biotin kit (DakoCytomation, Glostrup, Denmark) as described elsewhere.
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