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Archives of Orthopaedic and Trauma Surgery

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01-10-2009 | Orthopaedic Surgery

Behaviour of nonresorbable bioactive glass–ceramic implanted into long bone defects: comparison with cancellous allografts

Authors: Pavel Šponer, Karel Urban, Elen Urbanová, Karel Karpaš, Pradeep George Mathew

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2009

Abstract

Introduction

The goal of this retrospective study was to compare the long-term results after implantation of the nonresorbable glass–ceramic material and transplantation of the cancellous allografts into the defects of long bones.

Method

The bone cysts were excochleated and filled using granules of glass–ceramic material or cancellous allografts. Clinical, radiographic and scintigraphic examinations of 30 patients were carried out 2–14 years after their surgery.

Results

Though signs of complete incorporation allowing full weight-bearing capacity were observed on plain radiographs, we detected pain in six out of nine patients after diaphyseal implantation of nonresorbable glass–ceramic. We found an increase in ⁹⁹ ^mTc-methylene diphosphonate uptake on the delayed images in the area of glass–ceramic implantation, mainly in its diaphyseal location. In patients after bone transplantation, the cancellous allografts were completely integrated and the scintigraphic findings were physiological.

Conclusion

The implantation of the nonresorbable glass–ceramic material into the diaphyseal defects of long bones is not suitable based on our study.

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Title: Behaviour of nonresorbable bioactive glass–ceramic implanted into long bone defects: comparison with cancellous allografts
Authors: Pavel Šponer
Karel Urban
Elen Urbanová
Karel Karpaš
Pradeep George Mathew
Publication date: 01-10-2009
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 10/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-0839-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Behaviour of nonresorbable bioactive glass–ceramic implanted into long bone defects: comparison with cancellous allografts

Abstract

Introduction

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Method

Results

Conclusion

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