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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.10.2006 | Trauma Surgery

Void filling of tibia compression fracture zones using a novel resorbable nanocrystalline hydroxyapatite paste in combination with a hydroxyapatite ceramic core: first clinical results

verfasst von: Franz-Xaver Huber, Nicholas McArthur, Joachim Hillmeier, Hans Jürgen Kock, Martin Baier, Martin Diwo, Irina Berger, Peter Jürgen Meeder

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2006

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Abstract

Introduction

It is a generally accepted standard surgical practice to fill-in the metaphyseal defect zones resulting from the reduction of tibia compression fractures. The development of various innovative bone substitutes is also currently on the increase.

Materials and methods

In our prospective study, we used Ostim^®, a novel resorbable nanocrystalline hydroxyapatite paste, together with Cerabone^®, a solid hydroxyapatite ceramic, in combination with angularly stable osteosynthesis to treat 24 tibia compression fractures. Types B2 and B3, as well as types C2 and C3 fractures, according to the AO classification, were included in the study.

Results

The mean total range of joint motion in terms of flexion and extension was improved from the immediate postoperative value of 79 ± 14° to 97 ± 13° at 6 weeks after surgery, to 109 ± 16° at 3 months, and finally to 118 ± 17° at 1 year. In three patients, a delayed wound healing was observed as a local complication.

Conclusion

The use of the Ostim^® and Cerabone^® combination is an effective method in treating tibia compression fractures with large defect zones left after reduction.

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Titel: Void filling of tibia compression fracture zones using a novel resorbable nanocrystalline hydroxyapatite paste in combination with a hydroxyapatite ceramic core: first clinical results
verfasst von: Franz-Xaver Huber
Nicholas McArthur
Joachim Hillmeier
Hans Jürgen Kock
Martin Baier
Martin Diwo
Irina Berger
Peter Jürgen Meeder
Publikationsdatum: 01.10.2006
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2006
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-006-0170-1

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Void filling of tibia compression fracture zones using a novel resorbable nanocrystalline hydroxyapatite paste in combination with a hydroxyapatite ceramic core: first clinical results