Bioactive Glass Granules as Extender of Autogenous Bone Grafting in Cementless Intercalary Implant of the Canine Femur

2007 ◽  
Vol 96 (3) ◽  
pp. 243-251 ◽  
Author(s):  
P. Keränen ◽  
A. Itälä ◽  
J. Koort ◽  
I. Kohonen ◽  
M. Dalstra ◽  
...  

Background and Aims: Ceramic bone graft substitutes have a potential to be used as replacement of allogeneic bone grafting and, under optimal distribution of particle size, they may even provide mechanical support. The current study examined the efficacy of bioactive glass granules as an extender of autogenous bone grafting in a segmental bone replacement model of the canine femur. Material and Method: A 16 mm long segment of the femur shaft was bilaterally replaced with an intercalary titanium implant in eight animals. The implant had cementless grooved proximal and distal stems. In one leg, the peri-implant space was packed with composite graft consisting of a mixture of bioactive glass granules and autogenous bone graft in proportion of 50:50. In the opposite leg, the peri-implant space was treated with autogenous bone graft alone. After surgery, unlimited functional loading was allowed. The outcome was evaluated at three months. Results: Eight out of sixteen autografted implants and seven out of sixteen composite-grafted implants were radiographically incorporated and clinically stable at three months. In the paired comparison, the proximal components of composite-grafted implants showed lower maximum load under torsional testing (p=0.068), less new bone in the longitudinal grooves of the stems (p=0.036) and lower affinity of new bone to implant surface (p=0.046). The distal components of the two sides showed a similar trend for less new bone in the grooves and lower bone affinity of new bone in the distal composite-grafted components. Conclusions: The current study suggests that supplementation of periprosthetic bone graft with bioactive ceramic particles may not help to promote healing of cementless implants under high dynamic loading conditions.

1994 ◽  
Vol 84 (1) ◽  
pp. 1-9 ◽  
Author(s):  
KT Mahan

Autogenous bone grafting is an important part of many foot and ankle surgical procedures. Although alternative bone graft materials such as allogeneic bone are available, autogenous bone continues to be the material of choice for many procedures. The calcaneus provides a source of small amounts of autogenous corticocancellous or cancellous bone. The author describes the surgical technique for procurement of calcaneal bone grafts. Twenty-five cases are reviewed. The morbidity associated with procuring calcaneal bone grafts is favorably compared with that associated with procuring bone from other donor sites.


2013 ◽  
Vol 18 (6) ◽  
pp. 138-147 ◽  
Author(s):  
Omar Gabriel da Silva Filho ◽  
Terumi Okada Ozawa ◽  
Cláudia Bachega ◽  
Marco Aurélio Bachega

INTRODUCTION: Secondary bone grafting consists in a routine procedure on the treatment of patients with alveolar cleft. Usually, it is performed by the end of the mixed dentition, when the permanent canine is erupting, with autogenous cancellous bone from the iliac crest. OBJECTIVE: The present article discusses the alternative of autogenous bone grafting with allogeneic bone, obtained from human bone bank, illustrating the result with the presentation of a clinical case of left unilateral alveolar cleft.


Author(s):  
R Muthunagai ◽  
Mudit Agarwal ◽  
R Sivasankary

Maxilla-mandibular discontinuity produces severe cosmetic and functional deformities. There are many options available for the reconstruction of the maxilla-mandibular osseous defects. Alloplastic materials like organic calcium salts or synthetic materials such as methylmethacylate, proplast and Teflon and larger reconstruction plates, have all been used for reconstruction with varying degrees of success. At present, autogenous bone grafting is the gold standard and mainstay for maxilla-mandibular bony reconstruction. Key Words- Autogenous bone graft, Maxillary defect, Classification


1998 ◽  
Vol 88 (3) ◽  
pp. 130-134 ◽  
Author(s):  
F Nesheiwat ◽  
WM Brown ◽  
KM Healey

Autogenous bone grafting has been the standard approach to reconstruction of trauma-induced metatarsal defects. However, this treatment has well-known disadvantages related to the harvesting, size, shape, and availability of autografts. The authors used a synthetic hydroxyapatite bone-graft substitute manufactured from a marine coral with a morphology similar to that of cancellous bone in the reconstruction of a large, post-traumatic first metatarsal defect. The authors found grafting with coralline hydroxyapatite to be a safe and effective substitute for autogenous bone grafting in the post-traumatic setting.


1992 ◽  
Vol 82 (5) ◽  
pp. 264-268 ◽  
Author(s):  
KT Mahan

The author presents a case report with a 1-year follow-up period demonstrating successful bone graft stabilization of an iatrogenic flail second toe. The author discusses the techniques for calcaneal autogenous bone grafting for reconstruction of the iatrogenic shortened toe combined with ancillary procedures to improve the digital length pattern. After 18 months, this staged approach to stabilization of the digit and realignment of the digital length pattern appears to be successful.


2012 ◽  
Vol 11 (3) ◽  
pp. 180
Author(s):  
Irma Drismayanti ◽  
Sariatun T ◽  
A’la Unas B ◽  
Muh. Ruslin ◽  
Eri H. Jubhari

Endosseous dental implants are the treatment of choice for restoring function and reconstructing most edentulousareas of the maxilla and mandible. One of the most common problems in oral implantology is insufficient bone heightbetween the alveolar ridge and the mandible canal, as a result of mandibular atrophy from edentulism. Generally,alveolar bone defects can be reconstructed by either distraction osteogenesis (DO)or autogenous bone grafting(ABG). This paper discussed implant successful rate in DO versus ABG. DO shows a higher successful rate of implantthan ABG with the result more esthetic, lower rate of infection and bone resorption, no pain at donor area, andrelatively uncomplicated.


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