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At least 775 records · Page 43Linked to original sources
PubMed1994

Incorporation and clinical results of large allografts of the extremities and pelvis.

The results of implantation of 37 large deep-frozen allografts with 29 osteoarticular grafts of the extremities and pelvis following the resection of malignant or aggressive benign bone tumors were evaluated at followup (mean, 6 years; range, 2.5-20 years). The patients had excellent or good results in 62% of all cases according to the Mankin-Waber functional rating score, and a corresponding rating of 81% in the Musculoskeletal Tumor Society Score. Benign versus malignant disease rated 83% and 76%, respectively, in the Musculoskeletal Tumor Society Score, and 67% and 46%, respectively, in the Mankin-Waber score. Radiological and nuclear medicine (single-photon emission computed tomography) studies and histological biopsies indicated that the incorporation, perfusion, and replacement with new bone was only partial and of a low degree. Late degenerative cartilage and sclerotic changes occurred in 20 of 29 cases with osteoarticular grafts. The best functional results were achieved with knee osteoarticular allografts (81%-88%) compared with modest results in the proximal humerus (69%) and hemipelvis (57%) according to the Musculoskeletal Tumor Society Score rating. Chemotherapy did not influence the union or infection rate of the allografts. In the 4 cases (11%) with infection, all grafts could be salvaged, but the functional results were only 63% in the Musculoskeletal Tumor Society Score. The overall complication rate was high (57%); graft-related complications occurred in 43%, including fatigue fractures in 27%. There were no cases of nonunion at the host graft junction. Clinical rejection did not occur. These clinical results may be improved in the future by new technology that uses bone substitutes, growth factors, and bone morphogenetic proteins.

Adult↗
PubMed1997

[Clinical application of biological bone carrier in repair of long bone defect of femur].

It is difficult to repair long defect of bone. Biological bone carrier (BBC) was one of the artifical bone substitutes. It was obtained from human or swine bone after a series of biochemical treatment. It had good histocompatibility. It had the same components and structure of bone, and its biological strength was samiliar to bone. In clinic, BBC was applied to repair of long defect of bone in two cases. The lengths of defect were 13 cm and 11 cm, respectively. After followed up for 2 to 3 years, it was found that the implanted BBC had been combined with the femur with new bone. It had the same metabolism and density as that of the normal bone.

Adolescent↗
PubMed1998

A method of cranioplasty using coralline hydroxyapatite.

INTRODUCTION: Current cranioplasty materials include autologous or homologous bone grafts, wire mesh and methyl methacrylate, either alone or in combination. However, each material has its own unique disadvantages. Although hydroxyapatite has been used extensively in other specialties as a bone substitute, the coralline form has rarely been used to repair cranial bone defects. Coralline hydroxyapatite, similar to that found in bone, provides a matrix on which living tissue can form and grow. Because it is an ideal bioimplant, a method of cranioplasty using coralline hydroxyapatite was employed. METHODS: The hydroxyapatite granules are mixed with Avitene and autologous blood to form a paste which can be contoured as needed. RESULTS: Over the past few years, we have used hydroxyapatite either alone or in combination with tantalum mesh in 19 pediatric patients for a variety of conditions. The cosmetic results were good to excellent. Furthermore, postoperative CT scans have documented bony substitution of the hydroxyapatite granules. Follow-up ranged from 1 to 43 months with a mean of 26 months. CONCLUSION: In neurosurgical procedures when a bone substitute is needed, hydroxyapatite is an effective alternative to other currently available materials.

Bone Substitutes↗
PubMedDate not supplied

Angle-dispersive diffraction with synchrotron radiation at Laboratório Nacional de Luz Síncrotron (Brazil): potential for use in biomedical imaging.

At low angles the scattering of X-rays in the diagnostic energy range (low-momentum transfer), it is probable that the scattering interaction will be coherent. This coherence gives rise to interference effects resulting in X-ray diffraction patterns that are characteristic of the scattering material. The usefulness of coherent scattering is not limited to crystallography. It can provide information about biological material as well. The interatomic and intermolecular co-operative effects which modify the free-atom coherent scattering process are well known for highly ordered structures such as crystalline materials but are important for amorphous solids and liquids where short-range ordering occurs. X-ray diffraction using synchrotron radiation has became a well established technique. This work introduces a non-destructive synchrotron radiation X-ray diffraction imaging technique. The feasibility of the X-ray diffraction computed microtomography using synchrotron radiation has been investigated. This research was carried out at the X-ray diffraction beam line of the National Synchrotron Light Laboratory supported by the National Council for Scientific and Technological Development (LNLS/CNPq) in Brazil. These experimental patterns were carried out with a 500 microm slit in front of the detector and an 11.101 keV beam (lambda = 1.117 A) monochromatic beam from the double crystal monochromator. The diffracted beam was detected by a fast scintillation detector (10(6) counts s(-1)) designed specifically to meet the needs of high quality X-ray diffraction and synchrotron radiation experiments. The data were recorded at rates of one second per degree of 2theta (angular steps equal to 0.05 +/- 0.01 degrees) and registered by a multichannel analyzer. These experimental data could be used to evaluate the scattering properties of different tissue-substitute (water, lucite, nylon, plastic and polystyrene) and bone-substitute (hydroxyapatite and aluminum) materials. The data are in good agreement with those obtained by other authors, indicating the feasibility of the imaging technique.

Aluminum↗