Chinese Journal of Tissue Engineering Research ›› 2013, Vol. 17 ›› Issue (51): 8863-8868.doi: 10.3969/j.issn.2095-4344.2013.51.013

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Nano-hydroxyapatite artificial bone for collapsed fractures of the tibial plateau

Wang Da-ping 1, 2, Xiong Jian-yi 1, 2, Zhu Wei-min 1, 2, Huang Jiang-hong2, Duan Li2, Chen Jie-lin2,Zhang Ju-feng2   

  1. 1 Department of Traumatic Orthopedics, Shenzhen Second People’s Hospital, Shenzhen  518035, Guangdong Province, China; 2 Shenzhen Tissue Engineering Laboratory, Shenzhen  518000, Guangdong Province, China
  • Online:2013-12-17 Published:2013-12-17
  • Contact: Zhu Wei-min, Associate professor, Associate chief physician, Master’s supervisor, Department of Traumatic Orthopedics, Shenzhen Second People’s Hospital, Shenzhen 518035, Guangdong Province, China szhzwm@126.com
  • About author:Wang Da-ping☆, M.D., Professor, Chief physician, Doctoral supervisor, Department of Traumatic Orthopedics, Shenzhen Second People’s Hospital, Shenzhen 518035, Guangdong Province, China dapingwang1963@qq.com
  • Supported by:

    the Scientific Research and Development Program of Shenzhen City, No. GJHZ20130412153906739*, CXZZ20130321152713220*; the Medical Research Foundation of Guangdong Province, No. B2012320*; the Incubation Project of Guangdong Provincial Department of Education, No. 2012LYM_0120*

Abstract:

BACKGROUND: Nano-hydroxyapatite helps to improve the mechanical properties of bone implants.
OBJECTIVE: To study the clinical effect of nano-hydroxyapatite artificial bone on collapsed fracture of the tibial plateau. 
METHODS: Fourteen cases of collapsed fracture of the tibial plateau combined with bone defects from March 2010 to September 2012 were analyzed retrospectively. The bone defect range was from 1.5 cm×1.0 cm to    3.1 cm×4.5 cm. All patients were treated with nano-hydroxyapatite artificial bone at an implant amount of 5-14 g. Clinical and X-ray observations were applied at 1 week, 1 month and 3 months postoperatively. Hospital for Special Surgery scores were employed for recovery of knee function.
RESULTS AND CONCLUSION: The patients were followed up for 12-27 months. Except for one case of a small amount of wound exudates, no general side effects occurred in 13 cases. X-ray photo showed an integrity interface between nano-hydroxyapatite artificial bone and host bone at 3 months after treatment. Primary healing was obtained in all cases without any complications. Hospital for Special Surgery score was increased to (88.7±4.3) points at 1 year later. These findings indicate that the nano-hydroxyapatite artificial bone has a good biocompatibility and biomechanics, and it may be an ideal artificial bone for repairing collapsed fractures of the tibial plateau.


中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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Key words: biocompatible materials, nanoparticles, hydroxyapatites, fractures, bone

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