Odnowa tkanki kostnej i chrzęstnej po wszczepieniu do stawu kolanowego owiec bioceramiki korundowej, porowatej i litoporowatej.

• Autorzy: Badura R. , Buczek A. , Kotz J. , Osiński B. , Atamaniuk W. , Bieniek J. , Święcicki Z. , Jaegermann Z. , Rosiek G.

Warianty tytułu

EN

The partial reconstruction of the knee joint by the application of the corundum implants.

• Języki publikacji: PL

Abstrakty

EN

The elaborated in the Technical University of Wrocław biocompatibile porous corundum and porous - dense corundum layered composites, produced in the Institute of Glass and Ceramics in Warsaw, have been used in clinical practice in Poland for more than 20 years. These materials found its applications for filling the bone defects, bone cavities left after surgically removed neoplasmas etc., but they were not used in the area of joints. The presented study comprises the experiments carried out on sheep. The knee joint components were partially replaced by the dense-porous and porous corundum implants. The dense part of these implants had very carefully polished surface - they were inserted on the same level as the joint cartilage surface. The only porous implants used in this experiments had the surface few milimeters under the joint cartilage surface. After 2 years from the date of implantation the histological examination revealed that the dense - porous implants created a strong bond with bone tissue which penetrated into the implant pores. Its polished surface did not made any damages in the patella. The porous implants were as well penetrated by bone tissue which covered its surface. They also indicated recovery of the joint cartilage removed during implantation. The new joint cartilage located on the upper layer of the new bone had the same structure as the natural one. The received results of these investigations suggest the new possibilities of the operational treatment of knee joint damages.

Słowa kluczowe

PL

staw kolanowy; implant korundowy; implant ortopedyczny

EN

knee joint; corundum implant; orthopaedic implant

• Wydawca: Sieć Badawcza Łukasiewicz - Instytut Ceramiki i Materiałów Budowlanych
• Czasopismo: Szkło i Ceramika
• Rocznik: 1998
• Tom: R. 49, nr 6
• Strony: 6--11
• Opis fizyczny: Bibliogr. 21 poz., rys.

Twórcy

autor

Badura R.

• Katedra i Klinika Chirurgii Wydz. Med. Wet. AR we Wrocławiu

autor

Buczek A.

• Katedra i Klinika Chirurgii Wydz. Med. Wet. AR we Wrocławiu

autor

Kotz J.

• Katedra i Klinika Chirurgii Wydz. Med. Wet. AR we Wrocławiu

autor

Osiński B.

• Katedra i Klinika Chirurgii Wydz. Med. Wet. AR we Wrocławiu

autor

Atamaniuk W.

• Katedra i Klinika Chirurgii Wydz. Med. Wet. AR we Wrocławiu

autor

Bieniek J.

• Akademia Medyczna we Wrocławiu

autor

Święcicki Z.

• Instytut Szkła i Ceramiki w Warszawie

autor

Jaegermann Z.

• Instytut Szkła i Ceramiki w Warszawie

autor

Rosiek G.

• Politechnika Wrocławska

Bibliografia

• [1] Buckwalter J.A., Mow V.C., Cartilage repair in osteoarthirtis: Diagnosis and management, 2 nd. edit p. 71-107, Philadelphia, Saunders, 1992.
• [2] Buckwalter J.A., Lohmander S., Operative treatment of osteoarthrosis, J. Bone Joint Surg., 1994, 76A, p. 1405-1418.
• [3] Butnariu-Ephrat M., Robinson D. et al., Resurfacing of goat articular cartilage by chondrocytes derived from bone marrow., Clin. Orthop. Relat. Res., 1996, vol. 330, p. 234-343.
• [4] Caplan A.I., Elyaderani M. etal. Principles of cartilage repair and regeneration., Clin. Orthop. Relat. Res., 1997, 342, p. 254-269.
• [5] De Palma A.F., Mc Keever C.D., Subin D.K., Process of repair of articular cartilage demonstrated by histology and autoradiography with tritiated thymidine., Clin. Orthop., 1966, 48, p. 229-242.
• [6] Frost G.E., Cartilage healing and regeneration., J. of the S. Afr. Vet. Ass., 1979, 50; 3, p. 181-187.
• [7] Gazu D., Karmish M. et al., Regenerating marrow induces systemie increase in osteo- and chondrogenesis., Endocrinology, 1991, vol. 126: 5, p. 2607-2613.
• [8] Kotz J., Bieniek J., Bieniek A., Application of porous bioceramic in experimental therapy of bone injuries. Arch. Immun. at Ther. Exper., 1988, vol. 31: 1, p. 89-118.
• [9] The development of artificial osteochondral composite material., 9-th CIMTEC, Firenze 1998; Section: Materials in Clinical Applications, SXI - IL06.
• [10] Otsuka Y. et al., Requirement of fibroblast growth factor signaling for regeneration of epiphyseal morphology in rabbit full - thickness defects of articular cartilage., Dev. Growth Differ., 1997, vol. 39: 2, p. 143-156.
• [11] Padilha-Filho J.G. et al., Study on chondral and subchondral regeneration of the articular surface of the lateral condyle of the femur in dogs., Ars Veterinaria, 1988, 4: 1, p. 33-41.
• [12] Rosiek G., Miksiewicz C., Bieniek J., Properties of the bone - porous biomateriał composite., Szkło i Ceramika, 1984,25, p. 41-44.
• [13] Shahgaldi B.F., Coral graft restoration of osteochondral defects., Biomaterials, 1998, 19, p. 205-213.
• [14] Salter R., Bogoch E. i in: Ham A.W., Cormack D.H., Histology, J.B. Lippincott co., Philadelphia 1979.
• [15] Salter R., Simmonds D., Malcolm B., Rumble E. i in.: Ham A.W., Cormack D.H., Histology., J.B. Lippincott co., Philadelphia 1979.
• [16] Salter R., Hariss D. in: Ham A.W., Cormack D.H., Histology, J.B. Lippincott co., Philadelphia 1979.
• [17] Salter R.B., Simmonds D.J. et at., The biological effects of continous passiv motion on the healing of full thickness defects in articular cartilage., J. Bone Surg., 1980, 62A, p. 1232-1251.
• [18] Święcki Z., Bieniek J., Problemy Biocybernetyki i Inżynierii Biomedycznej., T.4 - Biomateriały, Rozdział - Bioceramika, p. 79-95, Warszawa 1990.
• [19] Święcki Z., Polesiński Z. et al., Laminated ceramic compopsites for orthopedic applications., 8-th CIMTEC, Firenze 1994, Section: Materials in Clinical Applications, p. 449-456.
• [20] Wiliams-Boyce P.K., Daniel J.C. Jr., Comparision of ear tissue regeneration in mammals., Journal of Anatomy, 1986, 149, p. 55-63.
• [21] Zarnett R., Salter R.B., Periosteal neochondrogenesis for bio¬logically resurfacing joints: Its cellular origin., Can. J. Surg., 1989, vol. 32: 3, p. 171-174.