Bioactive glass in the treatment of infected pseudoarthrosis of the distal tibia in a thirty five years old man. Case report

Among the most serious complications of modern osteosyntheses are nonunion and infections. The pathology is challenging even for experienced surgeons, and the treatment often ends in failure. Bioactive glass represents an attractive alternative to conventional methods, as it combines a unique chemi...

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Bibliographic Details
Main Authors: Georgi Georgiev, Atanas Paneff, Raduil Simeonov, Lubomir Tzvetanov, Plamen Kinov
Format: Article
Language:English
Published: Bulgarian Orthopaedics and Trauma Association 2023-07-01
Series:Journal of the Bulgarian Orthopaedics and Trauma Association
Subjects:
Online Access:https://www.jbota.org/index.php/jbota/article/view/73
Description
Summary:Among the most serious complications of modern osteosyntheses are nonunion and infections. The pathology is challenging even for experienced surgeons, and the treatment often ends in failure. Bioactive glass represents an attractive alternative to conventional methods, as it combines a unique chemical formula (53% SiO2, 23% Na2O, 20% CaO and 4% P2O) that is osteoinductive and increases the local pH as well as the osmotic pressure, which leads to its antibacterial effect. Herein, we present a clinical case of a 35-year-old man with infected pseudarthrosis of the distal tibia treated with bioactive glass. The excellent clinical and radiological results at the 6-month follow-up and positive data from the literature lead us to be optimistic about the treatment of these severe conditions.
ISSN:0473-4378
2815-3715