Tibia
Large amounts of cancellous bone10-42cc of cancellous bone
Surgical anatomyAnt. Tuberosity 20mm under, 20mm medialLiagmentum patellae
MLMedial condylelateral condyleAnteriorcondyle
Surgical procedureAnaesthesia :mild IV sedation(meperidine, methoxital)2% lidocaine(1:80000) infiltration
access10 bladePeriosteal blade
Harvesting procedure8mm trephine
Bone trap(Astra)
Bone trap(Astra)
sutureLayerPeriosteal, subcutaneous, subcuticular 4/0 poliglactin4/0 nylon
Post operative careElastic dressing 1 NSAID : 12
complicationMedial approachSafeLimited access : prevent weakeningViolation
Clinical applicationUni- or bilateral sinus graftCystSimultaneusly two surgical fieldsOp time Transverse defect : + prp Delayed implant : + bovine bone
Cyst bone chip+ prp
Sinus Graft
+prp+anorganic bone sub
Sinus lift
5
Narrow & veritcal defect
5
Edentulous maxilla
Tear : buccal fat pad flap
PRP memb
4
Maxilla
Simple case
- 2006.1.17 bioss+auto
2006.3.142006.7.11
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