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Revista Cubana de Ortopedia y Traumatología
versión impresa ISSN 0864-215Xversión On-line ISSN 1561-3100
Resumen
PANCORBO SANDOVAL, Enrique A. et al. Emergency treatment of the fractures with HAP-200 coraline hydroxyapatite. Rev Cubana Ortop Traumatol [online]. 2006, vol.20, n.1. ISSN 0864-215X.
111 patients that had displaced fractures with bone defects in the limbs were studied. All the cases underwent emergency surgery and required bone graft. HAP-200 coraline hydroxyapatite was used as a substitute of the autograft, or of the freeze-dried bone. Diverse osteosynthesis methods were applied, depending on the individual characteristics of each case and of the available resources in the hospital. According to the clinical and radiographical evolution, the bone callus healing time, and the functionability of the affected limb, the patients received an evaluation of excellent, good, fair, or poor. 70 cases were registered as excellent, 35 as good, 7 as fair that evolved with consolidation delay, and 7 as poor that did not attain bone healing. A new property of hydroxyapatite was found among those patients who had been operated on more than 5 years ago: it reabsorbs and transforms itself into bone.
Palabras clave : Fractures with bone defect; hydroxyapatite; treatment.