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- Title
Custom-made hydroxyapatite cranioplasty: Radiological and histological evidence of bone-biomaterial osteointegration in five patients.
- Authors
Bruno, Zanotti; Angelo, Nataloni; Riccardo, Spaggiari; Nicola, Zingaretti; Stefano, Pizzolitto; Camillo, Parodi; Federico, Nicolosi; Carlotta, Morselli
- Abstract
Custom-made cranial implants facilitate the surgical reconstruction of destructive pathologies of the skull or extensive demolitive skull surgery. Customized cranioplasty allows for an immediate restoration of the functional integrity of the cranial defect (restitutio ad integrum), with excellent functional and esthetic outcome and a quick, safe, and simple procedure. In this context, bioceramics like hydroxyapatite (HA) claim high biocompatibility and bone-binding capability. The osteoconductive properties of the HA have been reported in animal models and humans. The purpose of this study is to demonstrate with radiological and histological examination and how HA prosthesis may integrate after their implantation showing data related to five patients that needed primary HA cranial reconstruction with secondary removal after few years. The histological examination showed neo-formed lamellar/trabecular bone tissue fragments accompanied by the amorphous reticular tissue (HA prosthesis) revealing diffuse ossification sites in all included cases.
- Subjects
OSSEOINTEGRATION; ARTIFICIAL implants; CANCELLOUS bone; SKULL surgery; SKULL base; OSSIFICATION; PROSTHETICS
- Publication
Asian Journal of Neurosurgery, 2020, Vol 15, Issue 1, p198
- ISSN
1793-5482
- Publication type
Article
- DOI
10.4103/ajns.AJNS_208_19