Bone Wax

Hill, Josh; Little, Jessica; Ford, TW

doi:10.1177/1938640013484797

Cited by 15 publications

(6 citation statements)

References 8 publications

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“…Moreover, in hip arthroplasty cases, the bone wax was covered by cement, providing an extra layer of protection. This approach differs from previous reports where bone wax was directly applied to the bone surface [ 11 - 14 ]. We speculate that our modified application method may have played a role in the absence of complications.…”

Section: Discussionmentioning

confidence: 91%

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A Simple Technique to Prevent Screw Stripping During Hardware Removal Using Bone Wax

Samargandi¹,

Nail²

2023

Cureus

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Hardware removal is a common procedure in orthopedics, but it can be challenging and time-consuming. Difficulties in screw removal may arise due to bone growth or cement covering the screw heads, leading to screw damage, and increased surgical time. In this article, we describe a simple and inexpensive technique utilizing bone wax to protect screw heads from bone growth or cement, facilitating future implant removal. The application of bone wax over screw heads acts as a barrier, preventing bone growth or cement from engaging with the screw heads.

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Section: Discussionmentioning

confidence: 91%

“…Although rare, bone wax can cause granulomas, characterized by chronic inflammation, which can also occur in some cases. These granulomas are thought to result from the body’s response to foreign material [ 14 ]. Furthermore, bone wax may interfere with bone healing.…”

Section: Discussionmentioning

confidence: 99%

A Simple Technique to Prevent Screw Stripping During Hardware Removal Using Bone Wax

Samargandi¹,

Nail²

2023

Cureus

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“…Although bone wax has a long history of orthopedic application, as a foreign local agent, many orthopedists have raised concerns, such as failed bone healing, foreign body reaction, granuloma growth, thrombosis, and infection ( 10 , 25 – 28 ). However, in the literature, the number of adverse events caused by bone wax is very small ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

Bone wax reduces blood loss after total hip arthroplasty: a prospective, randomized controlled study

Li,

Huang,

Ding

et al. 2023

Front. Med.

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BackgroundPrevious studies have demonstrated the efficacy of bone wax in reducing blood loss in various orthopedic surgeries. However, the effect of bone wax on total hip arthroplasty (THA) remains unclear. The objective of this study was to assess the efficacy of bone wax in THA.MethodsWe enrolled 104 patients in this randomized controlled trial. These patients were randomized (1:1) to either the bone wax or control group. The primary outcome was total blood loss after THA. The secondary outcomes included serum hemoglobin (Hb) level, change in Hb level, lower limb diameters on the first and third postoperative day (POD), range of motion at discharge, length of postoperative hospital stay, and adverse events.ResultsPatients in the bone wax group had significantly lower total blood loss on PODs 1 and 3 (p < 0.05). Moreover, patients in the bone wax group performed better in terms of postoperative serum Hb level, change in Hb level on PODs 1 and 3, and length of postoperative hospital stay (all p < 0.05). Patients in the bone wax group did not experience any bone wax-related adverse events.ConclusionBone wax administration in THA significantly reduced perioperative blood loss. Therefore, bone wax is promising for optimizing blood-conserving management protocols in THA.Clinical trial registration[https://clinicaltrials.gov/], identifier [ChiCTR2100043868].

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“…Poor biocompatibility of bone wax with human tissues can cause complications such as slowed or failed bone healing, foreign body reaction, granuloma formation, allergic reactions, infections, and thrombosis [2,10,26]. Common alternatives are Ostene and Surgifoam.…”

Section: Mechanical Hemostatsmentioning

confidence: 99%

Hemostatic Agents in Orthopedic Surgery

Tanghe

Chalmers

Blevins

et al. 2022

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Controlling blood loss is a crucial aspect of orthopedic surgery. Hemostatic agents can be used intraoperatively in combination with antifibrinolytics as part of an overall strategy to limit blood loss. Several new hemostatic agents have recently come to the market designed specifically for vascular surgery but have found uses in other surgical fields, including orthopedics. This article reviews the mechanisms of action and best uses of various mechanical hemostats, active hemostats, flowable hemostats, and fibrin sealants for achieving hemostasis in orthopedic surgery. Mechanical and active hemostats have been reported to successfully decrease blood loss from cancellous bone, capillaries, and venules. Flowable hemostats are generally favorable for use in small spaces where the swelling capabilities of mechanical and active hemostats can be detrimental to surrounding structures. Sealants are best used for closing defects in tissues.

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Bone Wax

Cited by 15 publications

References 8 publications

A Simple Technique to Prevent Screw Stripping During Hardware Removal Using Bone Wax

A Simple Technique to Prevent Screw Stripping During Hardware Removal Using Bone Wax

Bone wax reduces blood loss after total hip arthroplasty: a prospective, randomized controlled study

Hemostatic Agents in Orthopedic Surgery

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