Traumatic Fracture Treatment: Calcium Phosphate Bone Substitute Case–Control Study in Humerus, Radius, Tibia Fractures—Assessing Efficacy and Recovery Outcomes
To date, insufficient investigation has been carried out on the biocompatibility of synthetic bioactive bone substitute materials after traumatically induced bone fractures in clinical conditions. This study encompasses the safety, resorption, healing process, and complications of surgical treatment...
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MDPI AG
2023-10-01
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| Series: | Biomedicines |
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| Online Access: | https://www.mdpi.com/2227-9059/11/10/2862 |
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| author | Gero Knapp Jonas Pawelke Christian Heiss Sera Elmas Vithusha Vinayahalingam Thaqif ElKhassawna |
| author_facet | Gero Knapp Jonas Pawelke Christian Heiss Sera Elmas Vithusha Vinayahalingam Thaqif ElKhassawna |
| author_sort | Gero Knapp |
| collection | DOAJ |
| description | To date, insufficient investigation has been carried out on the biocompatibility of synthetic bioactive bone substitute materials after traumatically induced bone fractures in clinical conditions. This study encompasses the safety, resorption, healing process, and complications of surgical treatment. Our current hypothesis posits that calcium phosphate-based bone substitutes could improve bone healing. In this retrospective case–control study, over 290 patients who underwent surgical treatment for acute fractures were examined. Bone defects were augmented with calcium phosphate-based bone substitute material (CP) in comparison to with empty defect treatment (ED) between 2011 and 2018. A novel scoring system for fracture healing was introduced to assess bone healing in up to six radiological follow-up examinations. Furthermore, demographic data, concomitant diseases, and complications were subjected to analysis. Data analysis disclosed significantly fewer postoperative complications in the CP group relative to the ED group (<i>p</i> < 0.001). The CP group revealed decreased risks of experiencing complications (<i>p</i> < 0.001), arthrosis (<i>p</i> = 0.01), and neurological diseases (<i>p</i> < 0.001). The fracture edge, the fracture gap, and the articular surface were definably enhanced. Osteosynthesis and general bone density demonstrated similarity (<i>p</i> > 0.05). Subgroup analysis focusing on patients aged 64 years and older revealed a diminished complication incidence within the CP group (<i>p</i> = 0.025). Notably, the application of CP bone substitute materials showed discernible benefits in geriatric patients, evident by decreased rates of pseudarthrosis (<i>p</i> = 0.059). Intermediate follow-up evaluations disclosed marked enhancements in fracture gap, edge, and articular surface conditions through the utilization of CP-based substitutes (<i>p</i> < 0.05). In conclusion, calcium phosphate-based bone substitute materials assert their clinical integrity by demonstrating safety in clinical applications. They substantiate an accelerated early osseous healing trajectory while concurrently decreasing the severity of complications within the bone substitute cohort. In vivo advantages were demonstrated for CP bone graft substitutes. |
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| issn | 2227-9059 |
| language | English |
| last_indexed | 2024-03-10T21:24:32Z |
| publishDate | 2023-10-01 |
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| series | Biomedicines |
| spelling | doaj.art-780735e9085b4f89b42aa57219ef270b2023-11-19T15:48:09ZengMDPI AGBiomedicines2227-90592023-10-011110286210.3390/biomedicines11102862Traumatic Fracture Treatment: Calcium Phosphate Bone Substitute Case–Control Study in Humerus, Radius, Tibia Fractures—Assessing Efficacy and Recovery OutcomesGero Knapp0Jonas Pawelke1Christian Heiss2Sera Elmas3Vithusha Vinayahalingam4Thaqif ElKhassawna5Department of Trauma, Hand and Reconstructive Surgery, Faculty of Medicine, Justus Liebig University of Giessen, 35392 Giessen, GermanyExperimental Trauma Surgery, Faculty of Medicine, Justus Liebig University of Giessen, 35392 Giessen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Faculty of Medicine, Justus Liebig University of Giessen, 35392 Giessen, GermanyDepartment of Trauma, Hand and Reconstructive Surgery, Faculty of Medicine, Justus Liebig University of Giessen, 35392 Giessen, GermanyExperimental Trauma Surgery, Faculty of Medicine, Justus Liebig University of Giessen, 35392 Giessen, GermanyExperimental Trauma Surgery, Faculty of Medicine, Justus Liebig University of Giessen, 35392 Giessen, GermanyTo date, insufficient investigation has been carried out on the biocompatibility of synthetic bioactive bone substitute materials after traumatically induced bone fractures in clinical conditions. This study encompasses the safety, resorption, healing process, and complications of surgical treatment. Our current hypothesis posits that calcium phosphate-based bone substitutes could improve bone healing. In this retrospective case–control study, over 290 patients who underwent surgical treatment for acute fractures were examined. Bone defects were augmented with calcium phosphate-based bone substitute material (CP) in comparison to with empty defect treatment (ED) between 2011 and 2018. A novel scoring system for fracture healing was introduced to assess bone healing in up to six radiological follow-up examinations. Furthermore, demographic data, concomitant diseases, and complications were subjected to analysis. Data analysis disclosed significantly fewer postoperative complications in the CP group relative to the ED group (<i>p</i> < 0.001). The CP group revealed decreased risks of experiencing complications (<i>p</i> < 0.001), arthrosis (<i>p</i> = 0.01), and neurological diseases (<i>p</i> < 0.001). The fracture edge, the fracture gap, and the articular surface were definably enhanced. Osteosynthesis and general bone density demonstrated similarity (<i>p</i> > 0.05). Subgroup analysis focusing on patients aged 64 years and older revealed a diminished complication incidence within the CP group (<i>p</i> = 0.025). Notably, the application of CP bone substitute materials showed discernible benefits in geriatric patients, evident by decreased rates of pseudarthrosis (<i>p</i> = 0.059). Intermediate follow-up evaluations disclosed marked enhancements in fracture gap, edge, and articular surface conditions through the utilization of CP-based substitutes (<i>p</i> < 0.05). In conclusion, calcium phosphate-based bone substitute materials assert their clinical integrity by demonstrating safety in clinical applications. They substantiate an accelerated early osseous healing trajectory while concurrently decreasing the severity of complications within the bone substitute cohort. In vivo advantages were demonstrated for CP bone graft substitutes.https://www.mdpi.com/2227-9059/11/10/2862bone substitutecalcium phosphatetrauma surgerygeriatricssynthetic bone materialalloplastic |
| spellingShingle | Gero Knapp Jonas Pawelke Christian Heiss Sera Elmas Vithusha Vinayahalingam Thaqif ElKhassawna Traumatic Fracture Treatment: Calcium Phosphate Bone Substitute Case–Control Study in Humerus, Radius, Tibia Fractures—Assessing Efficacy and Recovery Outcomes Biomedicines bone substitute calcium phosphate trauma surgery geriatrics synthetic bone material alloplastic |
| title | Traumatic Fracture Treatment: Calcium Phosphate Bone Substitute Case–Control Study in Humerus, Radius, Tibia Fractures—Assessing Efficacy and Recovery Outcomes |
| title_full | Traumatic Fracture Treatment: Calcium Phosphate Bone Substitute Case–Control Study in Humerus, Radius, Tibia Fractures—Assessing Efficacy and Recovery Outcomes |
| title_fullStr | Traumatic Fracture Treatment: Calcium Phosphate Bone Substitute Case–Control Study in Humerus, Radius, Tibia Fractures—Assessing Efficacy and Recovery Outcomes |
| title_full_unstemmed | Traumatic Fracture Treatment: Calcium Phosphate Bone Substitute Case–Control Study in Humerus, Radius, Tibia Fractures—Assessing Efficacy and Recovery Outcomes |
| title_short | Traumatic Fracture Treatment: Calcium Phosphate Bone Substitute Case–Control Study in Humerus, Radius, Tibia Fractures—Assessing Efficacy and Recovery Outcomes |
| title_sort | traumatic fracture treatment calcium phosphate bone substitute case control study in humerus radius tibia fractures assessing efficacy and recovery outcomes |
| topic | bone substitute calcium phosphate trauma surgery geriatrics synthetic bone material alloplastic |
| url | https://www.mdpi.com/2227-9059/11/10/2862 |
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