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Published on: June 14, 2015
[Alloplastic cancellous bone replacement and fibrin glue in hand surgery]
T P Wolter1, P Fuchs, N Pallua
1Klinik für Plastische Chirurgie, Hand- u. Verbrennungschirurgie, Universitätsklinikum der Medizinischen Fakultät der RWTH Aachen. twolter@ukaachen.de
Introduction:
Alloplastic replacement of cancellous bone is being increasingly used in the clinical setting. The use in hand surgery, however, is only sparsely documented.
Materials And Methods:
We report about the use of micro- and macroporous biphasic calicium phosphate granulate (Tricos (®)) in combination with fibrin sealant (Tissucol (®)) in six patients undergoing surgery of the hand involving cancellous bone deficits. The indications ranged from carpal stabilisation to DIP athrodesis. Follow-up time was up to 15 months.
Results:
Because cancellous bone harvesting could be avoided, morbidity and the extent of surgery could be reduced in all patients. Healing was uneventful and the clinical course as documented by X-ray controls, toleration of physiotherapeutic exercises and stability was analogous to that of conventional surgery involving cancellous bone grafting.
Conclusion:
These first results indicate that alloplastic replacement of spongiosa grafts, especially by micro- and macroporous biphasic calcium phosphate granulate can possibly be successfully used in surgery of the hand. The extent of bony remodelling still needs to be determined by further examination.
