Therapy and regeneration-combined bone cements for minimally invasive treatment of neoplastic bone defects

Author(s):  
Yu Qu ◽  
Hui Zhuang ◽  
Meng Zhang ◽  
Yufeng Wang ◽  
Dong Zhai ◽  
...  

Although calcium phosphate cements (CPC) have been clinically used to repair bone defects caused by bone tumor resection, traditional CPC cannot kill the remaining tumor cells after surgery and prevent...

2019 ◽  
Vol 17 (4) ◽  
pp. 228080001987259 ◽  
Author(s):  
Azizeh-Mitra Yousefi

Treatment of bone defects caused by trauma or disease is a major burden on human healthcare systems. Although autologous bone grafts are considered as the gold standard, they are limited in availability and are associated with post-operative complications. Minimally invasive alternatives using injectable bone cements are currently used in certain clinical procedures, such as vertebroplasty and balloon kyphoplasty. Nevertheless, given the high incidence of fractures and pathologies that result in bone voids, there is an unmet need for injectable materials with desired properties for minimally invasive procedures. This paper provides an overview of the most common injectable bone cement materials for clinical use. The emphasis has been placed on calcium phosphate cements and acrylic bone cements, while enabling the readers to compare the opportunities and challenges for these two classes of bone cements. This paper also briefly reviews antibiotic-loaded bone cements used in bone repair and implant fixation, including their efficacy and cost for healthcare systems. A summary of the current challenges and recommendations for future directions has been brought in the concluding section of this paper.


2020 ◽  
Vol Volume 12 ◽  
pp. 6533-6540
Author(s):  
Daniel A Müller ◽  
Yannik Stutz ◽  
Lazaros Vlachopoulos ◽  
Mazda Farshad ◽  
Philipp Fürnstahl

Sarcoma ◽  
2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Ahmed Hamed Kassem Abdelaal ◽  
Norio Yamamoto ◽  
Katsuhiro Hayashi ◽  
Akihiko Takeuchi ◽  
Shinji Miwa ◽  
...  

Limb salvage surgery has become the standard treatment for malignant primary bone tumors in the extremities. Limb salvage represents a challenge in skeletally immature patients. Several treatment options are available for limb reconstruction after tumor resection in children. We report our results using the technique of epiphyseal sparing and reconstruction with frozen autograft bone in 18 children. The mean follow-up period for the all patients included in this study is 72 ± 26 m. Eight patients remained disease-free, seven patients lived with no evidence of disease, two were alive but with disease, and one patient died of the disease. Five- and ten-year rates of survival were 94.4%. Graft survival at 5 and 10 years was 94.4%. Functional outcome using the Enneking scale was excellent in 17 patients (94.4%) and poor in one patient (5.5%). Complications include 2 nonunions, 2 fractures, 2 deep infections, 1 soft tissue recurrence, and leg length discrepancy in 7 cases. This technique is a good reconstructive choice in a child with a nonosteolytic primary or secondary bone tumor, responsive to chemotherapy, without involvement of the articular cartilage. It is a straight forward, effective, and biological technique, which affords immediate mobilization of joints and possible cryoimmune effects, with excellent long term functional outcome and less complication.


2011 ◽  
Vol 31 (5) ◽  
pp. 570-576 ◽  
Author(s):  
Thierry Villemagne ◽  
Christian Bonnard ◽  
Franck Accadbled ◽  
Mohamed LʼKaissi ◽  
Benoit de Billy ◽  
...  

Limb Salvage ◽  
1991 ◽  
pp. 543-551
Author(s):  
R. Capanna ◽  
M. Manfrini ◽  
D. Donati ◽  
A. Ferruzzi ◽  
M. Campanacci

2006 ◽  
Vol 88 (6) ◽  
pp. 1285-1293 ◽  
Author(s):  
DAVID BIAU ◽  
FLORENT FAURE ◽  
SANDRINE KATSAHIAN ◽  
CÉCILE JEANROT ◽  
BERNARD TOMENO ◽  
...  

1995 ◽  
Vol 14 (1) ◽  
pp. 4-5 ◽  
Author(s):  
E. FernÁndez ◽  
M. P. Ginebra ◽  
O. Bermúdez ◽  
M. G. Boltong ◽  
F. C. M. Driessens ◽  
...  

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