Macroporous Biphasic Calcium Phosphate Bioceramics Wedges in High Tibial Osteotomy

Abstract:

Article Preview

In this study, we report human clinical and histological data on the use of micromacroporous biphasic calcium phosphate wedges in combination with osteosynthesis with adjustable screws for open tibial osteotomy. 42 patients were operated for open tibial osteotomy for valgisation due to incipient medial gonarthrosis. The population was composed of 43 knees (25 right knees and 18 left knees) in 13 women and 29 men, with a mean age of 46 years. Radiological follow-up at D+1, D+90 and D+360, and 12 biopsies for histology were processed after the removal of the osteosynthesis. Consolidation was obtained in 100 % of cases (except one, because of failure of the osteosynthesis). Regular bone ingrowth was observed on X-ray, with maintain of the corrections at one year in 98.5 % of cases. Only 8 % of cases showed a radiolucent interface after D+360. Histological examinations demonstrated resorption of the MBCP and large bone ingrowth. Polarised microscopy confirmed the lamellar bone, and the X-rays and microscanner revealed well mineralised and organised newly-formed bone.

Info:

Periodical:

Key Engineering Materials (Volumes 361-363)

Main Theme:

Edited by:

Guy Daculsi and Pierre Layrolle

Pages:

1319-1322

Citation:

J. L. Rouvillain et al., "Macroporous Biphasic Calcium Phosphate Bioceramics Wedges in High Tibial Osteotomy", Key Engineering Materials, Vols. 361-363, pp. 1319-1322, 2008

Online since:

November 2007

Export:

Price:

$38.00

[1] Coventry MB (1985). J Bone Joint Surg Am. Sep, 67-A, 7, 1136-1140.

[2] Vainionpaa S, Läike E, Kirves P, Tiusanen. (1981) J Bone Joint Surg Am. 63, 938-946.

[3] Insall JN, Joseph DM, Msika C. (1984°:. J Bone Joint Surg Am. Sep, 66-A, 5, 1040-1148.

[4] Lootvoet L, Massinon A, Rossillon R, Himmer O, Lamber K, Ghosez JP (1993). Rev Chir Orthop. 79 , 375-84.

[5] Jenny JY, Tavan A, Jenny G, Kehr P : (1998). Rev Chir Orthop. 84, 350-357.

[6] Hernigou PH, Medevielle D, Debeyre J, Goutallier D (1987). J Bone Joint Surg Am. Mar, 69-A, 3, 332-354.

[7] Lascart T, Favard L, Burdin P, Traoré O : (1998). Ann Orthop Ouest, , 30, 137-141.

[8] Bonnevialle P, Abid A, Mansat P, Verhaeghe L, Clement D, Mansat M : (2002). Rev Chir Orthop. 88, 486-492.

[9] Koshino T, Murase T, Saito T: (2003) J Bone Joint Surg Am. Jan, 85-A(1): 78-85.

[10] Alhback, S. (1968) Acta Radiol, 277 (suppl), 7-22.

[11] Cauchoix J, Duparc J, Lemoine A, Deburge A : (1968) Rev Chir Orthop. 54, 343-360.

[12] Goutallier D, Hernigou P, Medevielle D, Debeyre J. (1986) Rev chir Orthop. 72, 101-114.

[13] Goutallier D, Julieron A, Hernigou P. (1992) Rev Chir Orthop. 78, 138-44.

[14] Bové JC. (2002) Rev Chir Orthop. 88, 480-485.

[15] Lascar T, Burdin Ph. (1996) Ann Orthop Ouest 28, 48-49.

[16] Meynet JC. (1998) Ann Orthop Ouest, , 30, 137-141.

[17] Daculsi G, Passuti N, Martin S, Le Nihouannen JC, Brulliard V, Delecrin J, Kerebel B. (1989) Rev Chir Orthop. 75, 65-71.

[18] Passuti N, Daculsi G. (1989) La presse médicale, 7-14, Jan, 18, 1, 28-31.

[19] Gouin F, Delécrin J, Passuti N, Touchais S, Poirier P, Bainvel JV. (1995) Rev Chir Orthop. 81, 59-65.

[20] Delécrin J, Takahashi S, Gouin F, Passuti N : Spine, 2000, Mar 1, 25, (5), 563-569. Acknowledgments: we thanks Biomatlante SAS for technical assistance in microCT and histology.

Fetching data from Crossref.
This may take some time to load.