Healing of cavitary bone defects
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Tomas Kucera · Karel Urban · Stavroula Ragkou
- چاپ و سال / کشور: 2011
Description
Background It has been a retrospective review of healing of bone defects, due to benign tumours or tumour-like lesions. We evaluated the therapeutical outcome in patients after use of either autologous bone grafts, or -tricalcium phosphate (-TCP), or mixture of both components. We tried to Wnd indications for -TCP application. Methods The initial volume of defects, as well as, their volume in the follow-up period resorption of the Wlling materials and trabeculation of the defects were measured using radiographs. By means of statistical analysis, we sought a dependence of bone healing on the initial volume of the defect, type of bone involved, patient’s age, gender and weight-bearing. Results During the period of 6 years from 2003 to 2009, 87 patients with bone defects (average volume 15 cm3) were included. SigniWcant factor for bone healing remains the volume of the defect, and in case of large defects, there was a restricted progress of trabeculation into the central part. Conclusions Autologous bone grafts remain the gold standard in the healing of bone defects. -TCP may be indicated in cases where there is insuYcient amount of autologous bone grafts or in cases of bone defects up to 4 cm3 particularly in epiphysis or metaphysis
Eur J Orthop Surg Traumatol DOI 10.1007/s00590-011-0831-9 Received: 28 January 2011 / Accepted: 31 March 2011
