Long-Term Critical Evaluation of the Use of Calcium Phosphate Bioceramics in the Reconstructing, Distracting, and Bone Fixing of Exposed Fractures of Long Bones

摘要

In conclusion, it can be said that, based on clinical and radiological progress in the post-operatory stage, in cases followed for a long period of time, that bioceramics proved to be an effective and safe material for rebuilding bone raptures, due to its biocpmpatibility, demonstrating that it is a good vehicle for local use drugs with a presence in infectious processes.There were signs that using it in association with autogenous marrow blood alone may be a more efficient alternative. The same cases presented allow us to draw some conclusions with regard to some of the material's limitations, but when used with the proper procedure, good results are achieved. The use of bioceiamics in a larger number of more critical cases, and better adjustment of surgical procedures, which is currently being done, should allow us to better have prediction capabilities as to indications and prognoses, when calcium-phosphate bioceiamics are used. These evaluation can verify the viability of the new bone tissue formed as also the adjacent tissue when used the bioceramic as it is showed mainly in the results of the case number 8 (fig, 10).The elimination in 75% of cases presented of surgical procedures for the removal of autological bone, and/or the elimination of the use of homological and heterological materials, and their accompanying risks, may already be considered this alternative technique using bioceramic a great step forward for the treatment of large infected bone flaws.