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El tratamiento inicial fue con un fijador externo y el cambio a un clavo intramedular. Un año después el paciente se presentó en el ZEM-Germany. Había un defecto óseo de 8 cm de longitud y un acortamiento de otros 2 cm.",[],[337],"lg:col-span-6",{"_uid":339,"image":340,"title":343,"component":344,"copyright":9,"image_style":345,"component_style":346},"681b5e04-476c-4569-bb0a-6e5d6fa49476",{"id":341,"alt":102,"name":9,"focus":102,"title":102,"filename":342,"copyright":102,"fieldtype":11},3665807,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1860x3718\u002F45a5096f26\u002Fcase16_1.jpg","Acortamiento de 2cm y genu varo (piernas en O) a la izquierda","Image",[],[347],"col-span-3",{"_uid":349,"image":350,"title":353,"component":344,"copyright":9,"image_style":354,"component_style":355},"3bb80328-fb66-4beb-a733-4e2ba385100e",{"id":351,"alt":102,"name":9,"focus":102,"title":102,"filename":352,"copyright":102,"fieldtype":11},3665808,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F808x1615\u002F3c25a7dcfd\u002Fcase16_2.jpg","Defecto óseo de 8 cm en el muslo izquierdo",[],[347],{"_uid":357,"text":358,"component":324,"text_style":359,"component_style":360},"eb1da6c7-dc84-492b-abdb-78b765d5dfe3","## Tratamiento",[],[],{"_uid":362,"image":363,"title":366,"component":344,"copyright":9,"image_style":367,"component_style":368},"fd67caef-6c85-477c-9540-f71c37a07f94",{"id":364,"alt":102,"name":9,"focus":102,"title":102,"filename":365,"copyright":102,"fieldtype":11},3665810,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F3401x1866\u002F8997e4c0ac\u002Fcase16_3.jpg","Un segmento óseo se introduce en el defecto de forma totalmente automática y genera hueso nuevo a remolque",[],[],{"_uid":370,"text":371,"component":324,"text_style":372,"component_style":373},"cb816814-a9dc-4843-ad55-482184380a72","En una primera operación, se eliminó el tejido óseo de mala calidad del defecto y se implantó un clavo intramedular de distracción FITBONE, con el que es posible el llamado \"desplazamiento del segmento\" y su posterior alargamiento. En este caso, el hueso situado por encima del defecto se cortó suavemente a través de una incisión cutánea de 6 mm y el segmento inferior se introdujo en el defecto de forma totalmente automática para que se formara en el \"remolque\" un nuevo tejido óseo de alta calidad biológica. Debido a la gran distancia del defecto y al acortamiento adicional, este tratamiento duró 100 días, pero fue indoloro y sin problemas, ya que gracias a la novedosa técnica del clavo intramedular no se necesitó ningún fijador en el exterior de la pierna. Por último, se añadió hueso esponjoso de la cresta ilíaca en el lugar de contacto cerca de la articulación de la rodilla y se volvió a implantar un clavo intramedular normal para la estabilización temporal durante la fase de remodelación.",[],[],{"_uid":375,"text":376,"component":324,"text_style":377,"component_style":378},"1181f33c-c9bd-4e52-aa88-552fdf66612e","## Resultado",[],[],{"_uid":380,"text":381,"component":324,"text_style":382,"component_style":383},"68158ab6-4bd0-4663-ab7d-a0af18c62a95","Tras la consolidación ósea completa, el paciente pudo volver a poner todo su peso en la pierna por primera vez 2 años después del accidente. El hueso se reconstruyó de forma continua, la pierna estaba recta con un acortamiento residual de menos de 1 cm, y los rangos de movimiento eran lateralmente iguales.",[],[337],{"_uid":385,"image":386,"title":389,"component":344,"copyright":9,"image_style":390,"component_style":391},"46bd2779-7e4e-4ca9-85d0-ca4e8c5e5e49",{"id":387,"alt":102,"name":9,"focus":102,"title":102,"filename":388,"copyright":102,"fieldtype":11},3665811,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1835x3669\u002F267e8d7e03\u002Fcase16_5.jpg","Finalización del tratamiento",[],[347],{"_uid":393,"image":394,"title":397,"component":344,"copyright":9,"image_style":398,"component_style":399},"1d05f553-37ea-448c-bd13-9bfa5b78efb5",{"id":395,"alt":102,"name":9,"focus":102,"title":102,"filename":396,"copyright":102,"fieldtype":11},3665809,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F878x1756\u002F01191514c5\u002Fcase16_6.jpg","Hueso continuo y pierna recta",[],[347],{"_uid":401,"title":402,"stories":403,"component":418},"b0322016-634a-4d3f-b56a-f323cbdf48e7","Más información",[404,411],{"uuid":405,"full_slug":406,"content":407},"ef275d1d-8a6f-4eb4-9f30-6c3e1ca3fdec","es\u002Fespectro-de-tratamiento\u002Fdefecto-oseo",{"_uid":408,"_editable":-1,"image":409,"intro":410,"meta_title":245},"3858e206-5180-4299-a4bf-a9f4e7393208",{"id":102,"alt":102,"name":9,"focus":102,"title":102,"filename":9,"copyright":102,"fieldtype":11},"Los defectos óseos de gran longitud tras accidentes graves o tras la extirpación de tumores óseos pueden sustituirse por tejido óseo del propio cuerpo, de modo que se vuelve a crear un hueso continuo y estable. En ZEM-Germany se dispone para ello de los procedimientos más modernos del mundo.",{"uuid":412,"full_slug":413,"content":414},"6a48a309-fbcf-4fbb-846c-b83ce0ba81b3","es\u002Fespectro-de-tratamiento\u002Finfeccion-osea",{"_uid":415,"_editable":-1,"image":416,"intro":417,"meta_title":239},"1e6c726e-8ed9-4fd1-a763-f42b49f6391e",{"id":102,"alt":102,"name":9,"focus":102,"title":102,"filename":9,"copyright":102,"fieldtype":11},"Las infecciones óseas tras fracturas de huesos abiertos o por la propagación de gérmenes a través del torrente sanguíneo pueden convertirse en un problema permanente si el hueso está mal irrigado de sangre y ofrece a los gérmenes lugares donde residir donde los antibióticos no pueden llegar.","Reference",{"id":341,"alt":102,"name":9,"focus":102,"title":102,"filename":342,"copyright":102,"fieldtype":11},"Un paciente de 45 años tenía una fractura abierta de fémur con grandes daños en las partes blandas tras un politraumatismo grave (accidente de tren).","Page",[],[424],"max-w-screen-lg","knochendefekt","es\u002Festudios-de-caso\u002Fdefecto-oseo",170,[],5185868,"e83fba3a-00b6-4251-86f3-8b858d713da2","2020-12-29T13:15:35.000Z",[],"fallbeispiele\u002Fknochendefekt",[435,439,441,445,449],{"path":436,"name":437,"lang":438,"published":21},"cases\u002Fbone-defect","Bone defect","en",{"path":440,"name":245,"lang":204,"published":21},"estudios-de-caso\u002Fdefecto-oseo",{"path":442,"name":443,"lang":444,"published":21},"drasat-alhalh\u002Fayb","عيب","ar",{"path":446,"name":447,"lang":448,"published":21},"tematicheskie-issledovaniya\u002Fdefekt-kosti","Дефект кости","ru",{"path":450,"name":451,"lang":452,"published":21},"an4-li4-yan2-jiu1\u002Fgu3-zhi4-que1-sun3","骨质缺损","zh",1793077541126]