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Operating Technique for Cartilage-Bone Grafting

  • Klaus Draenert
  • Yvette Draenert
  • Tim Pohlemann
  • Gerd Regel
Chapter

Abstract

For a long time, the Burkhardt’s saw-toothed cutter was the only biopsy instrument with which a nearly artifact-free bone cylinder could be gathered (Burkhardt 1956). The first experiments on cancellous bone healing were performed with the low-speed Burkhardt’s device. Tissue traumatization in the donor bed, however, was not acceptable for bone healing experiments. Diamond-coated instruments and the wet-grinding procedure had been developed specifically for experiments on the contact healing of cancellous bone (Draenert et al. 1981). Compared with the saw-toothed cutters, nearly no loss of tissue occurred (Fig. 6.1). The technology with respect to cartilage-bone grafts and biopsies (Draenert and Draenert 1987) was ready for application in the early 1980s and publication in 1987. During the evaluation, eight different cutter heads were tested in bovine ribs. As a result, the wet-grinding process using diamond-coated instruments turned out to be the only process to present a nearly atraumatic cylinder and bed, leaving bone and bone marrow of the graft and donor bed intact as well (Fig. 6.1). Those results were published later (Draenert et al. 2007).

Keywords

Iliac Crest Hyaline Cartilage Diamond Tool Removal Tube Osteochondral Fragment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Klaus Draenert
    • 1
  • Yvette Draenert
    • 1
  • Tim Pohlemann
    • 2
  • Gerd Regel
    • 3
  1. 1.Zentrum fÜr Orthopädische WissenschaftenMÜnchenGermany
  2. 2.Klinik fÜr Unfall-, Hand- und WiederherstellungschirurgieUniversitätsklinikum des SaarlandesHomburgGermany
  3. 3.Klinikum Rosenheim UnfallchirurgieRosenheimGermany

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