Perforaciones corticales, penetraciones intramedulares y decorticaciones en regeneración ósea guiada
DOI:
https://doi.org/10.21142/2523-2754-0502-2017-744-751Keywords:
Regeneración ósea, Cicatrización de heridas, Neovascularización fisiológicaAbstract
Las perforaciones corticales, penetraciones intramedulares o decorticaciones se realizan a menudo
como parte del procedimiento de regeneración ósea guiada (ROG). Su sustento biológico se basa en que
mejorarían la angiogénesis y proporcionarían una vía hacia el hueso esponjoso rico en vasos sanguíneos.
También se consideran como un “noxious stimuli” (estímulo nocivo) que iniciaría el fenómeno regional
acelerado con una respuesta local exuberante facilitando la cicatrización ósea normal. Además, mejorarían
la unión o enlace físico entre el injerto óseo y el lecho receptor asegurando estabilidad y fusión de los
bloques óseos. Sin embargo, se nos presentan algunas interrogantes relacionadas a su fundamento, a los
términos que las describen, a los tamaños, a su cantidad y disposición, al instrumental adecuado para
realizarlas y al confort del paciente.
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