Saving the lower limb with GlassBONE™ - Successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type IIIC with bioactive glass grafting - A case report
Background: The management of bone defect due to trauma or surgical debridement is a current problem in orthopedic trauma surgery, often complicated by infection and bone nonunion. The graft is one of the most challenging variables in surgical treatment. Bioactive Glass (BAG) as a biocompatible and...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-02-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644020301060 |
| _version_ | 1818446096569991168 |
|---|---|
| author | L. Tetzel M. Guyard |
| author_facet | L. Tetzel M. Guyard |
| author_sort | L. Tetzel |
| collection | DOAJ |
| description | Background: The management of bone defect due to trauma or surgical debridement is a current problem in orthopedic trauma surgery, often complicated by infection and bone nonunion. The graft is one of the most challenging variables in surgical treatment. Bioactive Glass (BAG) as a biocompatible and osteogenic product is a promising bone substitute showing good results in maxillo-facial-, spine surgery and treatment of osteomyelitis. Surprisingly, there is very little data on BAG use in trauma surgery. Case presentation: A 51-year-old male patient, involved in a motorcycle accident, suffered an open proximal tibia fracture, type IIIC, of the left leg. Patient was admitted in January of 2013 to a general orthopedic department for surgical treatment. After several surgical revisions due to infection, vascular damage, and bone nonunion, the patient was successfully treated with Masquelet therapy followed by GlassBONE™ grafting (GlassBONE™ 45S5; Norarker). The patient demonstrated excellent results over the course of a two-year follow-up. Conclusions: In our experience, GlassBONE™ 45S5 has proven to be an effective bone substitute even in difficult grafting conditions, including multiple surgical revisions for bone nonunion and infection. In our case, at the end of 2 years and 3 months of follow-up, the patient reported no pain, and had no signs of infection. Bone union and full weight bearing was achieved.This case report is oriented by the CARE guidelines for clinical case reports; the patient gave consent for publication. |
| first_indexed | 2024-12-14T19:42:18Z |
| format | Article |
| id | doaj.art-2df4443c4ab14b7d9294a5fc6478bf68 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-14T19:42:18Z |
| publishDate | 2021-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-2df4443c4ab14b7d9294a5fc6478bf682022-12-21T22:49:40ZengElsevierTrauma Case Reports2352-64402021-02-0131100382Saving the lower limb with GlassBONE™ - Successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type IIIC with bioactive glass grafting - A case reportL. Tetzel0M. Guyard1Orthopedic Department, University Children’s Hospital Basel, Switzerland; Corresponding author.Orthopedic Department, Centre Hospitalier Saint Joseph Saint Luc, Lyon, FranceBackground: The management of bone defect due to trauma or surgical debridement is a current problem in orthopedic trauma surgery, often complicated by infection and bone nonunion. The graft is one of the most challenging variables in surgical treatment. Bioactive Glass (BAG) as a biocompatible and osteogenic product is a promising bone substitute showing good results in maxillo-facial-, spine surgery and treatment of osteomyelitis. Surprisingly, there is very little data on BAG use in trauma surgery. Case presentation: A 51-year-old male patient, involved in a motorcycle accident, suffered an open proximal tibia fracture, type IIIC, of the left leg. Patient was admitted in January of 2013 to a general orthopedic department for surgical treatment. After several surgical revisions due to infection, vascular damage, and bone nonunion, the patient was successfully treated with Masquelet therapy followed by GlassBONE™ grafting (GlassBONE™ 45S5; Norarker). The patient demonstrated excellent results over the course of a two-year follow-up. Conclusions: In our experience, GlassBONE™ 45S5 has proven to be an effective bone substitute even in difficult grafting conditions, including multiple surgical revisions for bone nonunion and infection. In our case, at the end of 2 years and 3 months of follow-up, the patient reported no pain, and had no signs of infection. Bone union and full weight bearing was achieved.This case report is oriented by the CARE guidelines for clinical case reports; the patient gave consent for publication.http://www.sciencedirect.com/science/article/pii/S2352644020301060BAGBone nonunionTibia fracture |
| spellingShingle | L. Tetzel M. Guyard Saving the lower limb with GlassBONE™ - Successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type IIIC with bioactive glass grafting - A case report Trauma Case Reports BAG Bone nonunion Tibia fracture |
| title | Saving the lower limb with GlassBONE™ - Successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type IIIC with bioactive glass grafting - A case report |
| title_full | Saving the lower limb with GlassBONE™ - Successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type IIIC with bioactive glass grafting - A case report |
| title_fullStr | Saving the lower limb with GlassBONE™ - Successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type IIIC with bioactive glass grafting - A case report |
| title_full_unstemmed | Saving the lower limb with GlassBONE™ - Successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type IIIC with bioactive glass grafting - A case report |
| title_short | Saving the lower limb with GlassBONE™ - Successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type IIIC with bioactive glass grafting - A case report |
| title_sort | saving the lower limb with glassbone™ successful surgical revision of pseudarthrosis after infected open proximal tibia fracture type iiic with bioactive glass grafting a case report |
| topic | BAG Bone nonunion Tibia fracture |
| url | http://www.sciencedirect.com/science/article/pii/S2352644020301060 |
| work_keys_str_mv | AT ltetzel savingthelowerlimbwithglassbonesuccessfulsurgicalrevisionofpseudarthrosisafterinfectedopenproximaltibiafracturetypeiiicwithbioactiveglassgraftingacasereport AT mguyard savingthelowerlimbwithglassbonesuccessfulsurgicalrevisionofpseudarthrosisafterinfectedopenproximaltibiafracturetypeiiicwithbioactiveglassgraftingacasereport |