Alloplastischer Spongiosaersatz mit Fibrinkleber in der Handchirurgie
| Autor: | Norbert Pallua, Timm P. Wolter, Paul Fuchs |
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| Rok vydání: | 2010 |
| Předmět: | |
| Zdroj: | Handchirurgie · Mikrochirurgie · Plastische Chirurgie. 42:317-321 |
| ISSN: | 1439-3980 0722-1819 |
| DOI: | 10.1055/s-0030-1254111 |
| Popis: | INTRODUCTION: Alloplastic replacement of cancellous bone is being increasingly used in the clinical setting. The use in hand surgery, however, is only sparsely documented. MATERIALS AND METHODS: We report about the use of micro- and macroporous biphasic calicium phosphate granulate (Tricos ® ) in combination with fibrin sealant (Tissucol ® ) in six patients undergoing surgery of the hand involving cancellous bone deficits. The indications ranged from carpal stabilisation to DIP athrodesis. Follow-up time was up to 15 months. RESULTS: Because cancellous bone harvesting could be avoided, morbidity and the extent of surgery could be reduced in all patients. Healing was uneventful and the clinical course as documented by X-ray controls, toleration of physiotherapeutic exercises and stability was analogous to that of conventional surgery involving cancellous bone grafting. CONCLUSION: These first results indicate that alloplastic replacement of spongiosa grafts, especially by micro- and macroporous biphasic calcium phosphate granulate can possibly be successfully used in surgery of the hand. The extent of bony remodelling still needs to be determined by further examination. |
| Databáze: | OpenAIRE |
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