2002, Number 5
<< Back Next >>
Acta Ortop Mex 2002; 16 (5)
Use of porous hydroxiapatite (coralline) in the cystic lesions of the skeleton in children. Analysis of results
de la Rosa FR, Guinchard y SE, Ríos MR, Bernal LR
Language: Spanish
References: 16
Page: 261-264
PDF size: 60.97 Kb.
ABSTRACT
Objective. To analize the worth of using porouse hydroxyapatite (Coralin) as a bone substitute on skeletal sistic lesions on children, having an alternative on treatment. Material and methods. Fourteen pediatric patients with bone cystic lesions were operated, with curetage and application of coralin to fila up the cavity, on the 1995 to 2001 period, with a clinical and radiological follow up. Results. 85.7% of the patients were male, and 14% female. The rank of age were 4 years-9 months old to 12 years-11 months old. The follow bones were affected: humerus (50%), femur (28.5%), radius (7.1%), calcaneus (7.1%), and acetabulum (7.1%). More affected on the right side (64.2%) than the left (35.7%). We found four pathologies: simple bone cyst (57%), aneurysmatic bone cyst (28.5%), fibrous cystic displasia (21.4%), and non ossificant bone fibroma (14.2%). Complete integration of coralin were observed on 10 patients (71.4%), and partial on 4 (28.5%). There was no rejection of the material, neither an infection. Coralin has a great value as a bone graft substitute on skeletal cystic lesions in children, because of its architectural similarity and compatibility with human bone, any amount needed available, and harmless application.
REFERENCES
Adamsbaum C, Kalifa G, Seringe R, Dubousset J. Direct ethibloc injection in benign bone cysts: preliminary report on four patients. Skeletal Radiol 1993; 22(5): 317-20.
Bucholz RW, Carlon A, Holmes R. Interporous hydroxyapatite as a bone graft substitute in tibial plateau fractures. Clin Orthop Relat Res 1989; 240: 53-62.
Elsionger EC, Leal L. Coralline hydroxyapatite bone graft substitutes. J Foot and Ankle Surg 1996; 35(5): 396-99.
Freiberg AA, Loder RT, Heidelberger KP, Hensinger RN. Aneurysmal bone cysts in young children. J Pediatr Orthop 1994; 14(1): 86-91.
Holmes R, Mooney V, Bucholz R. A coralline hydroxyapatite bone graft substitute. Clin Orthop Relat Res 1984; 188: 252-62.
Jones S, Walters D. Lumbar laminectomy with posterolateral arthrodesis without graft or internal instrumentation. International Intradisc Society. San Diego, Cal. March 15, 1995.
Lewonowski K, Dorr LD. Review of cementless total knee arthroplasty with massive osteolytic lesions. J Arthroplas 1994; 9(6): 661-3.
Martin RB, Chapman MW, Sharkey NA, Zissios SI, Bay B, Shors EC. Bone ingrowth and mechanical properties of coralline hydroxyapatite, 1 year after implantation. Biomaterials 1993; 14(5): 341-8.
Moreau G, Letts M. Unicameral bone cyst of the calcaneus in children. J Pediatr Orthop 1994; 14(1): 101-4.
Mylle J, Burssens A, Fabry G. Simple bone cysts. Arch Orthop Trauma Surg 1992; 111(6): 287-300.
Nakamura T, Yamamuro T, Higashi S, Kokubo T, Itoo S. A new glass-ceramic for bone replacement: evaluation of its bonding to bone tissue. J Biomed Mater Res 1985; 19(6): 685-98.
Osamu I, Kunio I, Hiroyuki S, Yoshisada S. Packing with high-porosity hydroxyapatite cubes alone for the treatment of simple bone cyst. Clin Orthop Relat Res 1993; 283: 287-92.
Skondia K, Davydov AB, Belykh SI, Heusghem C. Chemical and physicomechanical aspects of biocompatible orthopaedic polymer (BOP) in bone surgery. J Int Med Res 1989; 15: 293-302.
Tachdjian MO. Pediatric orthopedics. W.B. Saunders. Philadelphia, London, Toronto. 1972; Vol. 1, 1a edición: 509-39.
Yamamuro T, Shikata J, Okumura H, Nakamura Y, Yoshii S, Ono K, Kitsugi T. Clinical application of bioactive ceramics. Treatise on bioceramics. H. Oonishi, Ed. Tokio 1988: 476-2.
Younger EM, Chapman MW. Morbility at bone graft donor sites. J Orthop Trauma 1987; 3(3): 192-5.
Full text