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b CT-scan of the ankle: defect situation distal fibula; destructed tibiotalar and tibiofibular joint.
A third and crucial factor is the biological reconstruction of femoral bone defects, to restore a functional implant bed capable of bearing physiologic loads [ 1], and to downgrade the femoral defect situation to facilitate a possible subsequent revision procedure [ 2].
Detailed evaluation of clinical and radiographic results with consideration given to the femoral defect situation and implant diameter: levels of significance in difference (p-values) between control and study group.
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Additionally, we hypothesized that stem length affects primary stability depending on bone defect situations.
One of the main research topics is therefore to scale up artificial tissue constructs for use in extended defect situations.
By using fully parameterized models, the optimization approach is adaptable to other scaffold designs and bone defect situations.
There are a variety of defect situations with increasing complexity, ranging from fenestrations, to dehiscences, to both horizontal and vertical deficiencies, while combinations of these also occur.
Fortunately, many of the birth defect situations are preventable [ 9- 11].
Lastly, we did not include patients with extensive metaphyseal and diaphyseal defect situations with cortical thinning and a wide diaphyseal medullary canal.
The overall dislocation rate (n = 20; 12%) was comparable with published results in equivalent bone-defect situations (Wagner and Wagner 1993, Böhm and Bischel 2001, Warren et al. 2002, Weeden and Paprosky 2002, Gutierrez et al. 2007).
Implant design for bone regeneration is expected to be optimized when implant structures resemble the anatomical situation of the defect site.
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