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At least 595 records · Page 33Linked to original sources

[Use of cancellous bone and periosteal transplants in primary and secondary cleft palate during a change in dentition].

A group of patients that was selected jointly with orthodontists consisted of 25 subjects, aged 8-16 years, having undergone operation for the cleft of primary and secondary palate, with left jaw defect. The patients had correct bites with good cure prognosis. Cancellous bone and periosteal flap taken from the wing-like portion of ilium were grafted into their jaw defects. After 1 year the alveolar process continuity was obtained in 23 patients (92%) and in the remaining ones the resorption of the graft was recorded. Reconstruction of the alveolar process was visible in radiographs, and eruption of canine tooth through the graft was evidenced in 40% of cases. No satisfactory results were obtained as regards the closure of naso-palatine fistula and the total underpadding of the alar base.

Adolescent↗

Modern cementing techniques. An experimental study of vacuum insertion of bone cement.

The results of these experiments show that an increase in the intramedullary pressure (IMP) can lead to embolization of bone marrow contents via the venous drainage system along the linea aspera. A vacuum applied distally to the medullary canal is very effective for filling the diaphyseal tube with cement. The cancellous bone honeycombs of the proximal metaphysis, however, can only be filled if the bone sponge is tunneled at the level of the femoral calcar; a proximal vacuum then yields filling of the cancellous bone framework with bone cement. In order to fill the weight-bearing spongious framework of the pelvic bone with cement, the acetabular cavity should be sealed with a rubber ring and vacuum applied proximo-laterally to the ilium, thereby giving an extremely high suction pressure.

Animals↗

[Age and sex diagnosis of the skeleton of immature individuals].

In connection with increasing theory-bound investigations in prehistoric anthropology age and sex diagnosis of children's skeletons is gaining importance. Developmental stages of the tympanic plate are introduced as an additional criterion for ageing infants. Discriminant functions derived from ilium and femur measurements allow preliminary access towards a metric sexual diagnosis of fetal and neonate individuals.

Age Determination by Skeleton↗

Traumatic iliofemoral arterial injury: an association with high anterior acetabular fractures.

Two patients with documented anteroposterior compression injuries to the pelvis sustained concomitant injury to the iliofemoral artery and fracture of the acetabulum involving the high anterior column (the portion of the ilium forming the anterior component of the acetabulum). In a series of 800 major pelvic fractures similar arterial injuries have not occurred in association with other documented mechanisms. A high index of suspicion for iliofemoral artery injuries should be held by the clinician treating patients with acetabular fractures of the high anterior column sustained from anteroposterior compressive forces.

Acetabulum↗

[Grafts in esthetic and functional corrective rhinoplasty].

Results of the use of grafts in primary and secondary rhinoplasty are reported, the grafts being either of cartilage (concha auriculae, nasal septum, alar cartilage), bone (mastoid, ilium) or connective tissue (temporal aponeurosis). The distinction is made between modelling grafts of softened cartilage, supporting grafts of non-softened cartilage and mastoid bone, of bone reconstruction and of cartilaginous filling grafts.

Bone Transplantation↗

Right iliac metastasis occurring eight years after resection of invasive bladder cancer: a case report.

A case of transitional cell carcinoma of the bladder which metastasized to the right ilium eight years after resection of the original tumor without recurrence in the urinary tract is reported. Both the original and metastatic tumors were shown by immunoperoxidase technique to contain carcinoembryonic antigen (CEA). The patient received a combination of intra-arterial chemotherapy, irradiation and hyperthermia with partial response.

Aged↗

Reconstruction of mandibular defects by autogenous bone grafts: a review of 37 cases.

Thirty-seven cases of autogenous bone grafted to the mandible at the maxillofacial unit, Kaduna, Nigeria, were reviewed. The ilium was used in the majority of cases. In four cases where the recipient beds were vascular, the rib was used. The various techniques for restoring the central arch defects of the mandible are discussed and the methods we used are described. The superiority of autogenous bone grafts over homografts and heterografts is emphasized.

Ameloblastoma↗

[The value of possible skull-cap replacement surgery].

After describing the valence of the various possible plastic procedures for covering defects of the skull cap, the results obtained by the authors are presented. In childhood, autografting from the inner layer of the wing of the ilium or from the ribs is given preference. In adults, the authors carry out alloplasty with hot-polymerizing methacrylate in order to prevent a second surgical intervention for obtaining autogenous material. If surgery has to be carried out in the vicinity of the paranasal sinuses, autogenous cartilaginous cubes must be inserted between the sinuses and the alloplasty because direct contact of the alloplastic material with the sinuses exposed to infection hazards must be avoided.

Adult↗

[Collection of autologous bone transplants].

For the collection of autologous cancellous bone transplants normally the anterior and posterior parts of the Os ilium are used. With proper techniques the conture of the pelvis and the muscle insertions can be conserved. All other collection places should only be used in unexpected situations and need of only small amounts of transplant. Serious complications are fractures and nervous lesions, which can be avoided by a careful procedure.

Bone Transplantation↗

Supernumerary ectopic penis in a bull.

A 1-month-old Beefmaster bull was admitted for removal of a congenital ectopic penis and sheath from the right paralumbar fossa. Gross and histologic evaluation of the excised tissue revealed a normal sheath containing a penis that terminated at a prostate gland, medial to the wing of the right ilium. Rectal palpation of the bull 14 months later disclosed no association between the excised ectopic tissue and the normal genital tract.

Animals↗

Complications following iliac crest bone grafting.

Avulsion of the anterior superior iliac spine occurred after procurement of bicortical bone grafts from the anterior superior iliac crest area in two patients. The defect in the anterior ilium with a weak spike of bone created a significant stress riser and led to avulsion of the anterior superior iliac spine by the action of the sartorius and tensor fascia lata. Bicortical grafts should be taken from areas as much as 5 cm posterior to the anterior superior iliac spine to avoid this complication.

Female↗

Disruption of the symphysis pubis and fatigue fractures of the pelvis in a patient with rheumatoid arthritis. A case report.

A 40-year-old woman, who suffered from severe rheumatoid arthritis causing avascular necrosis of the femoral head and protrusio acetabuli of the right hip, developed a severe spontaneous disruption of the symphysis pubis concomitant with a stress fracture of the left ilium adjacent to the left sacroiliac joint. After successful total hip arthroplasty, the symphysiolysis improved, but a new stress fracture of the left superior pubic ramus developed. Fourteen months after operation both stress fractures are healed. Altered hip and pelvic girdle mechanics acting on osteoporotic bone may account for this sequence of events.

Acetabulum↗

The microanatomy of trabecular bone loss in normal aging men and women.

Histomorphometric changes in normal bone were investigated using tissue from the ilium of 86 women and 98 men, aged 20-90 years. While loss of trabecular volume was common to both sexes, the histologic basis for the loss differed. Decreased formation (expressed primarily as static indices) seemed to be the principal factor in bone loss in men; in women these features remained unchanged, suggesting that increased resorption was the principal factor. Bone loss in women was principally attributable to the total removal of individual trabeculae; conversely in men, there was generalized attenuation of trabecular bone. Similar findings in bone tissues of vertebral bodies suggest that differences in bone remodelling between the sexes produce different patterns of bone loss as a sequence of aging.

Adult↗

Cellular survival of human marrow during placement of marrow-cancellous bone grafts.

The survival of human marrow cells during the placement of marrow-cancellous bone grafts was studied by three independent viability assays. Marrow cells are resistant cells able to survive the surgical harvest from the ilium. Salt solutions such as normal saline solution and 5% dextrose in water (D5W) were superior to tissue culture medium, the serum of the patients, and several other solutions in supporting the survival of the graft cells. High survival rates of marrow cells stored in normal saline solution and D5W for four hours or less established that 95% to 100% live cells can be transplanted even with long delays between harvest and placement of the graft.

Bone Marrow↗

[Clear-cell carcinoma of the thyroid gland].

The case of a 66-year old woman is presented involving the partial transformation of follicular carcinoma with a solid somponent into clear-cell carcinoma of the thyroid gland. The carcinoma in its follicular component was seen invading the capsule, striated muscle, and vessels, and metastasizing in the form of a solitary metastasis into the ilium. Postmortem examination ruled out any other aetiology of the clear-cell carcinoma.

Adenocarcinoma↗

Superior gluteal artery laceration, a complication of iliac bone graft surgery.

In the 2 cases cited, laceration of the superior gluteal artery occurred when removing bone from the posterior ilium. A review of the anatomy shows how the superior gluteal artery, as it exists the sciatic notch, can be compressed locally and exposed for clipping or ligation. The internal iliac artery can be occluded by embolization of a Fogerty catheter. The bony origin of the gluteus maximus is a good landmark to help avoid entering the sciatic notch and a special retractor provides the necessary exposure.

Adult↗

Hydatid disease of bone: a case report and review of the literature.

A rare case of hydatid disease involving the iliac bone is reported. The non-specific presenting history, the intraoperative diagnosis, the multiple recurrences and the relentless local spread of the disease are characteristically demonstrated in this patient over a 14-year follow-up period. An unusual form of radical surgery, resection of the ilium, did not succeed in eradicating the disease.

Bone Diseases↗