Box technique sonic weld PDLLA
This is a revolutionary new method of grafting and I am not sure of who in US is using. It basically consists of building a resorbable wall or box, placing bone graft and pericardium membrane, and suturing closed. It uses poly D,L-lactide acid (PDLLA) mesh plates by KLS Martin Tuttlingen, Germany and PDLLA pins with a Sonic Weld System by same company. Usual surgical protocol of 2 weeks CHX and 1 week AB then 6 months re-enter.
Can be done multiple times to build up even more by doing first surgery and leaving implants exposed and boxing around them for second surgery. 1
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