PATIENT INFORMATION: Hard Tissue / Bone – Implants

DEUTSCH

What … for? (Indications)
Hard tissue implants serve as replacement of bone or cartilage for deficits after injury, removal of tumor, degradation or special bone diseases (for special anatomic substitutes: see there, e.g. oral bone substitutes)

Numbers
n/a (many different applications)

Times
Healing times have great variations dependent on the size of the defect and the used technique

Contraindications

• behavioral: n/a
• medical: Infectious diseases, comorbidities precluding the expected benefit, frailty, procedure specific impediments.
• during surgery: n/a

Risks

• during surgery: Impracticability (e.g. inability to pass through), problems with general anesthesia.
  Inflammation, repulsion, injury of adjoining structures.
• long term: Loosening, dislocation, osteolysis, chronic inflammation, chronic pain, systemic influence.
• restrictions: Depending from defect grade, control regiment.

Failures
n/a, too many varieties

Materials available

• autologous
  Same individual: Core drilling, Block resection Transplantation, Scraping
  Special techniques: Same individual: Bone collected in cultures, Distraction osteogenesis
• isologous
  Twins  (no reports)
• allogenic
  Same species (human): Granules, Blocks
• xenogenous
  Different species: Granules, Blocks
  Bone-morphogenetic proteines (Gentech)
• alloplastic
  anorganic: TCP (Tricalciumphosphat), HA (Hydroxyapatite) a.o.

Statistics
n/a, too many varieties

Literature

– Basic

• Bone graft substitutes currently available in orthopaedic practice. The evidence for their use. T. Kurien, R. G. Pearson, B. E. Scammell, Bone Joint J 2013;95-B:583–97.
• Orthopaedic applications of bone graft & graft substitutes: a review. SK Nandi, S Roy, P Mukherjee, B Kundu, DK De, D Basu, Indian J Med Res 132, July 2010, pp 15-30
• The Kaiser Permanente Implant Registries: Effect on Patient Safety, Quality Improvement, Cost Effectiveness, and Research Opportunities. Paxton EW, Inacio MCS, Kiley M-L, Perm J. 2012 Spring; 16(2): 36–44.

– Problems

n/a, single case reports

– Science/ future

3D-printed spine, gentech

Criticism

n/a write a comment

Selected patient information

n/a write a comment
by companies

Registry for patients

• Be the match
• Bone marrow donors worldwide
• British bone marrow registry
• Helping Cristina
• Organ Transplant Association

You can register with us here (fee 15.00€/VAT)
or print a paper implant-passport for free here.

Medical societies

dealing with this subject are here.
You may also find some in the General Medical Society sector.

Disclaimer

The information and links and whatsoever shown on this page are compiled with care. However, Implant-Register can´t take any responsibility for the information given, nor their content, nor their up-to-date nature, particularly in interlinked pages. You may help us with your contribution, granting us the decision to publish or not. Be careful with conclusions for yourself, in doubt double-check and consider medical solutions are individual and have to be found with an educated medical person.