Bone Marrow Aspirate Concentrate in large defect Dr. A.Chandrasekaran, MS ortho, PhD Chennai Orthopaedic care & Research Centre, Chennai
[email protected]/ 9444464055
Our Thanks • Sri Ramachandra University, Chennai • Sri. Abhaikumar, Tricell, Chennai
Case study 1 • • • • •
25 years male Traffic accident 2yrs 6mths back Lost other limb above knee Allograft failed 20 cm gap
Allograft
After allograft removal • • • •
20 cm gap Tibialisation of fibula Segmental transfer Membrane induced osteogenesis • Reamer irrigation aspirator
Segmental transportation
Rapid transportation
BMACs infiltrated
BMAC cell infiltration
Good regeneration
Wire cut through
Corticotomy through regenerate
Stage II
After completion
18 months follow up
18 months follow up