Long-term clinical outcome following the use of hydroxyapatite/β-tricalcium phosphate to fill bone defects in revision hip arthroplasty: A case report

Ruta Jakušonoka; Sandris Petronis; Viktors Ļiņovs; Andris Jumtiņš; Zane Pavāre; Alexander   Lerner

Abstract

Introduction: With the increasing number of primary total hip joint replacements, a substantial increase in the number of revision operations is to be expected. During arthroplasty revision, bone defects should be filled. In case of femoral bone defects during revisions, there are no metal augments for filling these defects.
Case report: The authors present the case of the use of biphasic calcium phosphate (BCP) ceramic granules with hydroxyapatite/β-tricalcium phosphate (HAp/β-TCP) filling bone defects during hip arthroplasty revisions and eight years follow-up. A 59-year-old female suffered infected loosening of the left hip non-cemented endoprosthesis. During arthroplasty revisions bone defects occurred which were filled with HAp/β-TCP. Patient had periprosthetic fracture of the distal third of the femur one year after revision arthroplasty. Osteosynthesis of periprosthetic fracture with blade plate and two cerclage wires was performed and BCP ceramic granules with HAp/β-TCP were used to fill the bone defect. Patient returned to previous work and activities.
Discussion and conclusion: This case highlights the possibilities of alternative method, which might be used to fill femoral bone defects during revision arthroplasty. We suggest that BCP ceramic granules with HAp/β-TCP can be used for filling bone defects, as BCP ceramic granules transplant is adjusted to meet the demands of the bone defect anatomy. Further studies are recommended

Original language	English
Number of pages	1
Publication status	Published - 2020
Event	40th Israeli Association of Orthopedics Annual Virtual Congress - Tel-Aviv, Israel Duration: 3 Dec 2020 → 4 Feb 2021 Conference number: 40

Congress

Congress	40th Israeli Association of Orthopedics Annual Virtual Congress
Country/Territory	Israel
City	Tel-Aviv
Period	3/12/20 → 4/02/21

Field of Science*

3.2 Clinical medicine

Publication Type*

3.4. Other publications in conference proceedings (including local)

Cite this

@conference{5f01eef7ebc2451cbe4243c511f9f867,

title = "Long-term clinical outcome following the use of hydroxyapatite/β-tricalcium phosphate to fill bone defects in revision hip arthroplasty: A case report",

abstract = "Introduction: With the increasing number of primary total hip joint replacements, a substantial increase in the number of revision operations is to be expected. During arthroplasty revision, bone defects should be filled. In case of femoral bone defects during revisions, there are no metal augments for filling these defects. Case report: The authors present the case of the use of biphasic calcium phosphate (BCP) ceramic granules with hydroxyapatite/β-tricalcium phosphate (HAp/β-TCP) filling bone defects during hip arthroplasty revisions and eight years follow-up. A 59-year-old female suffered infected loosening of the left hip non-cemented endoprosthesis. During arthroplasty revisions bone defects occurred which were filled with HAp/β-TCP. Patient had periprosthetic fracture of the distal third of the femur one year after revision arthroplasty. Osteosynthesis of periprosthetic fracture with blade plate and two cerclage wires was performed and BCP ceramic granules with HAp/β-TCP were used to fill the bone defect. Patient returned to previous work and activities. Discussion and conclusion: This case highlights the possibilities of alternative method, which might be used to fill femoral bone defects during revision arthroplasty. We suggest that BCP ceramic granules with HAp/β-TCP can be used for filling bone defects, as BCP ceramic granules transplant is adjusted to meet the demands of the bone defect anatomy. Further studies are recommended",

author = "Ruta Jaku{\v s}onoka and Sandris Petronis and Viktors Ļiņovs and Andris Jumtiņ{\v s} and Zane Pavāre and Alexander Lerner",

year = "2020",

language = "English",

note = "40th Israeli Association of Orthopedics Annual Virtual Congress ; Conference date: 03-12-2020 Through 04-02-2021",

}

Long-term clinical outcome following the use of hydroxyapatite/β-tricalcium phosphate to fill bone defects in revision hip arthroplasty: A case report. / Jakušonoka, Ruta ; Petronis, Sandris; Ļiņovs, Viktors et al.
2020. Abstract from 40th Israeli Association of Orthopedics Annual Virtual Congress, Tel-Aviv, Israel.

Research output: Contribution to conference › Abstract

TY - CONF

T1 - Long-term clinical outcome following the use of hydroxyapatite/β-tricalcium phosphate to fill bone defects in revision hip arthroplasty

T2 - 40th Israeli Association of Orthopedics Annual Virtual Congress

AU - Jakušonoka, Ruta

AU - Petronis, Sandris

AU - Ļiņovs, Viktors

AU - Jumtiņš, Andris

AU - Pavāre, Zane

AU - Lerner, Alexander

N1 - Conference code: 40

PY - 2020

Y1 - 2020

N2 - Introduction: With the increasing number of primary total hip joint replacements, a substantial increase in the number of revision operations is to be expected. During arthroplasty revision, bone defects should be filled. In case of femoral bone defects during revisions, there are no metal augments for filling these defects. Case report: The authors present the case of the use of biphasic calcium phosphate (BCP) ceramic granules with hydroxyapatite/β-tricalcium phosphate (HAp/β-TCP) filling bone defects during hip arthroplasty revisions and eight years follow-up. A 59-year-old female suffered infected loosening of the left hip non-cemented endoprosthesis. During arthroplasty revisions bone defects occurred which were filled with HAp/β-TCP. Patient had periprosthetic fracture of the distal third of the femur one year after revision arthroplasty. Osteosynthesis of periprosthetic fracture with blade plate and two cerclage wires was performed and BCP ceramic granules with HAp/β-TCP were used to fill the bone defect. Patient returned to previous work and activities. Discussion and conclusion: This case highlights the possibilities of alternative method, which might be used to fill femoral bone defects during revision arthroplasty. We suggest that BCP ceramic granules with HAp/β-TCP can be used for filling bone defects, as BCP ceramic granules transplant is adjusted to meet the demands of the bone defect anatomy. Further studies are recommended

AB - Introduction: With the increasing number of primary total hip joint replacements, a substantial increase in the number of revision operations is to be expected. During arthroplasty revision, bone defects should be filled. In case of femoral bone defects during revisions, there are no metal augments for filling these defects. Case report: The authors present the case of the use of biphasic calcium phosphate (BCP) ceramic granules with hydroxyapatite/β-tricalcium phosphate (HAp/β-TCP) filling bone defects during hip arthroplasty revisions and eight years follow-up. A 59-year-old female suffered infected loosening of the left hip non-cemented endoprosthesis. During arthroplasty revisions bone defects occurred which were filled with HAp/β-TCP. Patient had periprosthetic fracture of the distal third of the femur one year after revision arthroplasty. Osteosynthesis of periprosthetic fracture with blade plate and two cerclage wires was performed and BCP ceramic granules with HAp/β-TCP were used to fill the bone defect. Patient returned to previous work and activities. Discussion and conclusion: This case highlights the possibilities of alternative method, which might be used to fill femoral bone defects during revision arthroplasty. We suggest that BCP ceramic granules with HAp/β-TCP can be used for filling bone defects, as BCP ceramic granules transplant is adjusted to meet the demands of the bone defect anatomy. Further studies are recommended

M3 - Abstract

Y2 - 3 December 2020 through 4 February 2021

ER -