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- Title
THE RESULTS: OF DIAGNOSIS AND TREATMENT ALGORHYTHM OF PATIENTS THAT HAVE PAIN AFTER HIP AND KNEE ARTHROPLASTY.
- Authors
Umut, Eren Erol; Yildiz, Cemil; Tüzün, Harun Yasin; Akyildiz, Faruk; Ozkan, Huseyin; Tunay, Servet
- Abstract
The management of bone defects caused by trauma as a stage of a complex reconstructive surgery is a part of the everyday work in the operation theatre. The choice of a proper bone graft or bone graft substitute depends on the careful consideration of patient factors (presence of chronic disease, nutritional status), state of the soft tissues as well as the characteristics of the defect. MATERIAL AND METHOD: For 28 months, 22 patients with 23 closed fractures were operated. There were 8 women and 14 men at an average age of 42. In each case the bone defect was a result of acute fracture - 5 humeral fractures /AO/OTA 11.C.1- 2, 11,C.2 - 2, 11.B1-1/, 18 tibial fractures / Schatzker II -13, Schatzker III - 2, Schatzker V- 2, Schatzker VI-1/. The lost of substance was mainly cancellous. In all cases the defect / between 6 and 12cc/ was filled with a synthetic bone substitute - beta tricalcium phosphate,calcium phospho silicate or hydroxyapatite .Osteosynthesis was performed in 23 cases. Results The follow up period was between 8 and 24 months. The criteria of Irwin et al. were used for assessment of the osteointegration process. Bone healing was achieved in 22 patients. Excellent osteointegration /gr.III/ was assessed between the 3th and the 6th postoperative month. Resorption of the substitutes and the bone regeneration process were defined as two simultaneously ongoing processes with equal speed. No case of fibrous encapsulation of the substitutes or heterotopic ossification due to its migration in the soft tissues. CONCLUSION:The bone graft substitutes in our series are an alternative of autologous bone graft for cancellous defects in fracture treatment. They are biocompatible, osteoconductive, osteointegrative and bioactive but not osteoinductive. Their use decreases the operative time, blood loss and the potential complications from the donor site.
- Publication
Balkan Military Medical Review, 2013, Vol 16, p120
- ISSN
1107-6275
- Publication type
Article