图书馆订阅: Guest
Begell Digital Portal Begell 数字图书馆 电子图书 期刊 参考文献及会议录 研究收集
器官移植长期效应期刊
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN 打印: 1050-6934
ISSN 在线: 1940-4379

器官移植长期效应期刊

DOI: 10.1615/JLongTermEffMedImplants.v21.i2.40
pages 139-148

Bioactive Glass S53P4 and Autograft Bone in Treatment of Depressed Tibial Plateau Fractures - A Prospective Randomized 11-year Follow-Up

K . Pernaa
Department of Orthopedics and Traumatology, Turku University Hospital, Turku, Finland
I. Koski
Medical Imaging Center of Southwest Finland, Turku University Hospital and University of Turku, Turku, Finland
K. Mattila
Medical Imaging Center of Southwest Finland, Turku University Hospital and University of Turku, Turku, Finland
E. Gullichsen
Department of Orthopedics and Traumatology, Turku University Hospital, Turku, Finland
J. Heikkila
Department of Orthopedic and Traumatology, The Biomaterial Project of Turku, Turku University Hospital, Turku, Finland
A. J. Aho
Department of Orthopedic and Traumatology, The Biomaterial Project of Turku, Turku University Hospital, Turku, Finland
Nina Lindfors
Helsnki University Central Hospital

ABSTRACT

The clinical and radiological outcomes of bioactive glass (BAG)-S53P4 and autograft bone (AB) used as bone-graft substitutes in depressed tibial plateau fractures were evaluated in a prospective randomized 11-year follow-up study. All patients (n = 29) had sustained tibial plateau fractures with a joint-line depression of >3 mm. Fifteen patients (5 patients the BAG group, 10 patients in the AB group) participated in this long-term follow-up. X-rays were taken preoperatively, postoperatively, and at the long-term follow-up, and computed tomography (CT) scans were made at the long-term follow-up for evaluation of the bone substitute, osteoarthritis, the tibial-femoral angle, and deviation of mechanical axes. No material-dependent adverse effects were seen in any patient. The means of the articular surface depression on X-rays at the long-term follow-up were 1.4 mm (range: 0−2 mm) in the BAG group and 1.4 mm (range: 0−4 mm) in the AB group, and on CT scans the means were 2.2 mm (range: 2−3 mm), and 2.1 mm (range: 0−3), respectively. No significant difference in the tibial-femoral angle or deviation of mechanical axes was observed between the two groups. BAG-S53P4 can be used as a bone substitute in depressed lateral tibial plateau fractures with good functional and radiological long-term results.


Articles with similar content:

Long-Term Survival of a Flat-on-Flat Total Condylar Knee Arthroplasty Fixed with a Hybrid Cementing Technique for Tibial Components
Journal of Long-Term Effects of Medical Implants, Vol.22, 2012, issue 4
Fabrizio Matassi, Roberto Civinini, Christian Carulli, Massimo Innocenti, Lorenzo Nistri

The Use of Combined Magnetic Field Treatment for Fracture Nonunions: A Prospective Observational Study
Journal of Long-Term Effects of Medical Implants, Vol.26, 2016, issue 3
Jon Zoltan, Sheila Sprague, Brad A. Petrisor, Mark Phillips, Judy Baumhauer

Limb Salvage Surgery Using the Intramedullary Diaphyseal Segmental Defect Fixation System
Journal of Long-Term Effects of Medical Implants, Vol.18, 2008, issue 1
Vasileios I. Sakellariou

10-Year Evaluation of the Cementless Low-Contact- Stress Rotating-Platform Total Knee Arthroplasty
Journal of Long-Term Effects of Medical Implants, Vol.19, 2009, issue 4
Vassilios Nikolaou, Demetrios S. Korres, Olga D. Savvidou, Panayiotis J. Papagelopoulos, Stergios N. Lallos, Nikolaos E. Efstathopoulos, Andreas F. Mavrogenis

Finite-Element Analysis of Stress and Strain in Mandibular Overdentures Supported by Splinted versus Nonsplinted Implants
Journal of Long-Term Effects of Medical Implants, Vol.28, 2018, issue 4
Amir Mahmoudi Motlagh, Majid Sedaghat Monfared, Ardeshir Lafzi, Mohammad Dehghan, Paniz Fasih, Forouzan Faghani