Papers by Keyword: Bone Filling

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Authors: Olivera Lupescu, Mihail Nagea, Alexandru Dimitriu, Iulian Vasile Antoniac
Abstract: Bone infections are challenging due to their difficult and prolonged treatment, considerable possibility of relapse and strong negative physical and emotional impact. Since their treatment require thorough excisions, bone substitutes have been studied for restoring bone continuity, but with limited efficacy due to the pathophysiology of bone infections; one of the classes which proved to be efficient were the BioActive Glasses [BAG], synthetic biocompatible inorganic materials with a controlled ionic release, with demonstrated properties of wound healing, osteoconduction, angiogenesis and antibacterial activity. This paper presents the clinical experience from a Level 1 Trauma Centre where post-traumatic osteitis was treated using BioActive Glasses as bone fillers, demonstrating the potential clinical impact of these materials. The outcome of the patients was favourable, with no relapse of sepsis, therefore proving the efficacy of BAG in cases with limited grafting possibilities
Authors: T. Miramond, T. Galtier, G. Daculsi, Pascal Borget
Abstract: The present study focuses on the physico-chemical and structural properties of composite scaffolds composed of biopolymer matrices (collagen or polysaccharide) loaded with calcium phosphate granules. A systematic three-dimensional analysis method was used to quantitatively characterize a series of plugs, strips and putties in terms of percentage of inorganic filler particles, size of the loaded granules, and spatial homogeneity of the calcium phosphate granules distribution. It appears clearly that each biomaterial currently available on the market offers specific properties. As a consequence, surgeons have to choose the medical device that best suits their needs depending on the clinical constraints but also should be aware of the mineral properties which remains key to bone reconstruction.
Authors: Marie-Laure Fontaine, Christèle Combes, Thierry Sillam, Gérard Dechambre, Cristian Rey
Abstract: The feasibility of calcium carbonate-based cements involving the re-crystallization of metastable calcium carbonate varieties has been demonstrated. Two cement compositions were obtained by mixing either calcium carbonate phases (cement A) or a calcium carbonate and a calcium phosphate phase (cement B) with an aqueous media. These cements set and hardened after 30 minutes and 90 minutes respectively. The final composition of cement A was calcite and aragonite whereas cement B lead to a carbonated apatite analogous to bone mineral. Despite poor mechanical properties the presence of a high carbonate content in the final phase might be of interest to increase the cement resorption rate and to favour its replacement by bone tissue. First assays of implantation performed on fresh anatomical pieces (fresh cadavers) at 37°C revealed important advantages of such cement compositions: easiness of use, rapid setting, good adhesion to bone, very good homogeneity and stability of the cement.
Authors: Thierry Fabre, Dominique Chauveaux, Maryse Moinard, Claude Mais, Marlene Durand, Claire Pollart, G. Daculsi
Abstract: The biomaterial studied here is a composite associating a mineral phase of an intimate nanoscale melting of hydroxyapatite and beta tri calcium phosphate and an aqueous phase containing a synthetic polymer derived from cellulose HPMC (hydroxyl propyl methyl cellulose), marketed under name MBCP Gel (FDA approval, Biomatlante manufacturer). The present exploratory study aim was to study the safety of MBCP-gel, and to determine in the osseous healthy area the performance of MBCP gel. We expected to prove bone ingrowth into the osseous cavities created during drilling biopsy of the aseptic osteonecrosis of femoral head. The current results obtained in the first two patients with 1 year follow up demonstrate the resorption and bone ingrowth with trabecular bone architecture in the hole created into the femoral neck.
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