Clinical Experience with a Macroporous Synthetic Bone Substitute (Eurocer®) in the Treatment of the Patients with Bone Defects

Sîrbu, Paul Dan; Petreuş, Tudor; Munteanu, Fl; Perţea, Mihaela; Luncă, Sorinel; Poroch, Vladimir; Botez, Paul

doi:10.1007/978-3-642-22586-4_75

Cited by 10 publications

(14 citation statements)

References 7 publications

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“…The osseointegration of the uncemented metaphyseal corundum blasted humeral titanium stem was optimal [25], with no partial or complete radiolucency around the humeral component. Two patients had significant limitations of movement that were treated conservatively with long-term rehabilitation.…”

Section: Discussionmentioning

confidence: 95%

Hemiarthroplasty in Complex Proximal Humeral Fractures Is uncemented methaphyseal corundum blasted titanium humeral stem an efficent alternative?

Scripcaru¹,

Berea²,

Cotrutz³

et al. 2018

Mat.Plast.

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The aim of this experimental study is to reveal the design and characteristics of unipolar shoulder prosthesis type Arrow (Groupe FH�, France) as well as to evaluate the outcome of the proximal humerus fracture treated with this implant. 8 patients with a mean age of 62.5 years were operated with immediate passive rehabilitation and active exercises initiated around day 45. All patients had good results with minimal pain, a mean Constant - Murley score of 74 and an acceptable shoulder amplitude. The clinical success was assured by the anatomic union of the tuberosities around the implant. The Arrow metaphyseal corundum blasted humeral titanium stem assures a perfect osseointegration with optimal stability and is an efficient alternative for shoulder hemiarthroplasty.

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Section: Discussionmentioning

confidence: 95%

Hemiarthroplasty in Complex Proximal Humeral Fractures Is uncemented methaphyseal corundum blasted titanium humeral stem an efficent alternative?

Scripcaru¹,

Berea²,

Cotrutz³

et al. 2018

Mat.Plast.

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“…We encourage further research in the direction of joint preserving procedures for the hip in carefully selected patients, as confocal microscopy proves healthy contact surface on more than half of the femoral head [13][14][15].…”

Section: Experimental Part Materials and Methodsmentioning

confidence: 99%

New Evidence Supporting Joint Preservation Procedures of the Hip A confocal microscopy study of the femoral head

Lazarescu¹,

Cojocaru²,

Boanca³

et al. 2019

Rev. Chim.

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Surgical indication of joint preserving alternative procedures, remain extremely rare worldwide in comparison to total hip arthroplasty. The aim of our study was to map the femoral head in regard to quality of the articular surface using confocal microscopy, and to bring more arguments that would encourage orthopedic surgeons to take into consideration procedures that preserve the femoral head and joint in young patients, as opposed to direct total arthroplasty of the hip. Furthermore we believe that new procedures could be described in order to reach these two main goals: sparing the femoral head and, of course, better function of the hip. Our results show that while the superior pole of the femoral head presents completely deteriorated cartilage and contact surface, other areas of the femoral head present relatively good quality cartilage, whereas the inferior pole of the femoral head which is non-weightbearing has unaltered surface anatomy. In conclusion, we do encourage for further research in the direction of femoral head sparing procedures of the hip, in order to improve function and delay total hip arthroplasty in carefully selected patients.

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“…Tranexamic acid was initially used about 40 years ago in cardio-thoracic surgery, in gynecological hemorrhage control, as well as in the control of hemorrhages following major traumas. Also, the effectiveness of tranexamic acid has also been studied in hematological pathologies such as von Willlebrand factor deficiency, hemophilia or thrombocytopenia [4]. It is frequently and successfully used in orthopedic surgery to reduce perioperative hemorrhagiparous phenomena, especially in patients with total hip or knee replacement.…”

Section: Abstract: Hemophilia Arthropathy Hemarthrosis Tranexamic mentioning

confidence: 99%

Tranexamic Acid - Major Antifibrinolytic Agent Used to Achieve Hemostasis in Hemophilic Patients with Anti-Factor VIII Anti-Bodies Who Must Undergo Total Joint Replecement

Bădulescu¹,

Ciocoiu²,

Filip³

et al. 2019

Rev. Chim.

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Hemophilia is a congenital coagulopathy characterized by a deficiency of coagulation factor VIII or IX. The main complication of this hemopathy is represented by the hemorrhagiparous phenomena that affect mainly the musculoskeletal system. Of the various chronic complications of this condition, hemarthrosis is responsible for the onset of chronic arthropathy, which is a disabling condition. In addition to hematologist-prescribed coagulation factor replacement therapy, acute hemarthrosis and chronic arthropathy management requires close collaboration with both orthopedic surgeons and physiotherapists. This multidisciplinary collaboration is essential both to prevent the onset of hemarthroses and to manage acute bleeding episodes, to assess joint function and to effectively treat hemophilic chronic arthropathy. Hemophilic arthropathy causes significant joint instability and reduced mobility or even total ankylosis, which may lead to permanent disability and hence to a decrease in the patient�s quality of life. From an orthopedic point of view, disabling hemophilic arthropathy may be treated by surgery. Achieving effective hemostasis is vital in order to be able to perform these extremely difficult surgical procedures, due to the high risk of bleeding. This paper aims at highlighting the hemostatic efficacy of tranexamic acid in orthopedic surgery in hemophilic patients who must undergo total joint replacement.

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Clinical Experience with a Macroporous Synthetic Bone Substitute (Eurocer®) in the Treatment of the Patients with Bone Defects

Cited by 10 publications

References 7 publications

Hemiarthroplasty in Complex Proximal Humeral Fractures Is uncemented methaphyseal corundum blasted titanium humeral stem an efficent alternative?

Hemiarthroplasty in Complex Proximal Humeral Fractures Is uncemented methaphyseal corundum blasted titanium humeral stem an efficent alternative?

New Evidence Supporting Joint Preservation Procedures of the Hip A confocal microscopy study of the femoral head

Tranexamic Acid - Major Antifibrinolytic Agent Used to Achieve Hemostasis in Hemophilic Patients with Anti-Factor VIII Anti-Bodies Who Must Undergo Total Joint Replecement

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