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Percutaneous upper extremity fracture fixation using a novel glass-based adhesive
Paul Zalzal1, Oleg Safir2, Adel Alhalawani3,4
1Oakville Trafalgar Memorial Hospital, Oakville, L6J 3L7, Ontario, Canada.
Journal of Orthopaedics
|April 17, 2018
Summary
A novel glass-based adhesive shows promise for percutaneous fracture fixation in the upper extremity. This technique demonstrated successful delivery and bonding in cadaveric wrist and humerus fractures.
Area of Science:
- Orthopedic Surgery
- Biomaterials Science
- Surgical Innovation
Background:
- Percutaneous fracture fixation offers minimally invasive treatment options.
- Novel biomaterials are continuously being explored for enhanced bone healing and fixation.
Purpose of the Study:
- To develop and evaluate a surgical technique for percutaneous upper extremity fracture fixation.
- To assess the feasibility of using a novel glass-based adhesive, Banna Bone Adhesive (BBA), for fracture repair.
Main Methods:
- Three cadaveric upper extremity specimens were used to model distal radius and proximal humerus fractures.
- Fractures were created percutaneously, and Banna Bone Adhesive (BBA) was delivered via a 16-gauge needle under fluoroscopic guidance.
- Post-application, specimens were dissected to evaluate adhesive delivery, placement, and fracture fragment bonding.
Main Results:
- Banna Bone Adhesive (BBA) was successfully delivered percutaneously through a 16-gauge needle with controlled flow.
- The adhesive demonstrated minimal extravasation into surrounding soft tissues.
- Qualitative assessment confirmed successful bonding of fractured bone segments.
Conclusions:
- Percutaneous delivery of Banna Bone Adhesive (BBA) presents a potentially feasible technique for distal radius and proximal humerus fractures.
- Further biomechanical and animal model testing is necessary to validate this innovative fracture fixation method.
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