medigraphic.com
ISSN 2992-8036 (Digital)
ISSN 2306-4102 (Impreso)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2008, Número 4

<< Anterior Siguiente >>

Acta Ortop Mex 2008; 22 (4)


Osteointegración de vástagos de tantalio poroso implantados en necrosis avasculares de la cadera

Fernández-Fairen M, Murcia A, Iglesias R, Querales V, Sevilla P, Gil J

Idioma: Español
Referencias bibliográficas: 45
Paginas: 215-221
Archivo PDF: 429.13 Kb.


RESUMEN

La eficacia del sistema poroso de tantalio en conseguir su osteointegración ya se había demostrado a través de la experimentación con animales. Sin embargo, hay una ausencia absoluta de estudios de investigación de dicha osteointegración en implantes de tántalo recuperados tras un período de tiempo de implantación en el cuerpo humano. Con esta intención, se ha podido disponer 8 vástagos de tantalio utilizados en el tratamiento de la necrosis avascular de la cabeza femoral, recuperados tras el fallo del procedimiento por colapso y la conversión en artroplastía total de cadera. El tiempo de implantación osciló entre seis semanas y veintitrés meses. El análisis de los especímenes ha confirmado la eficacia de la osteointegración, en este plazo, observando hueso neoformado alrededor y dentro del sistema poroso de la barra de tantalio en todos los vástagos al momento de su exéresis. El crecimiento óseo, sin embargo, ha demostrado ser más lento y de menor intensidad al apreciado en algunas especies de animales durante los primeros meses después de la implantación. A pesar de todo, los resultados obtenidos en la evaluación cuantitativa de este proceso han demostrado ser similares a los conseguidos por otros autores en trabajos similares.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Pudenz RH: The repair of cranial defects with tantalum: An experimental study. JAMA 1943; 121: 478-81.

  2. Robertson RCL, Peacher WG: The use of tantalum foil in the repair of peripheral nerves. Surg Clin North Am 1943; 23: 1491-504.

  3. Venable CS, Stuck WG: A general consideration of metals for buried appliances in surgery. Int Abst Surg 1943; 76: 297-304.

  4. Echols DH, Colclough JA: Cranioplasty with tantalum plate. Report of eight cases. Surgery 1945; 17: 304-14.

  5. Goldberg SJ, Porper RP, Chyzus P, Friedman JM: A fractured mandible, from initial operation to removal of tantalum mesh. Oral Surg 1976; 41: 32-8.

  6. Heinrich B, Pruin E-H, Eschberger J, Kellner G, Plenk, H Jr: Histological observations of the implant site after endosseal implantation of tantalum in odontostomatological locations. Osterrichische Z fur Stomatologie 1978; 75: 214-24.

  7. Grundschober F, Kellner G, Eschberger J, Plenk H Jr: Long term osseous anchorage of endosseous dental implants made of tantalum and titanium. In: Winter GD, Gibbons DF, Plenk II Jr (eds): Biomaterials 1980, Chichester: John Wiley & Sons, 1982: 365-70.

  8. Alberius P: Bone reactions to tantalum markers. A scanning electron microscopic study. Acta Anat 1983; 115: 310-8.

  9. Johansson CB, Hansson HA, Albrektsson T: Qualitative interfacial study between bone and tantalum, niobium or commercially pure titanium. Biomaterials 1990; 11: 277-80.

  10. Black J: Biological performance of tantalum. Clin Mat 1994; 16: 167-73.

  11. Kato H, Nakamura T, Nishiguchi S, Matsusue Y, Kobayashi M, Miyazaki T, Kim H-M, Kokubo T: Bonding of alkali and heat-treated tantalum implants to bone. J Biomed Mat Res B Appl Biomater 2000; 53: 28-35.

  12. Tümmier HP, Thull R: Model of the metal/tissue connection of implants made of titanium and tantalum. In: Christel P, Meunier A, Lee AJC (eds): Biological and Biomechanical Performance of Biomaterials, Amsterdam: Elsevier, 1986: 403-8.

  13. Pflüger G, Plenk H Jr, Böhler N, Grundschober F, Schider S: Bone reaction to porous and grooved stainless steel, tantalum and niobium implants. In: Winter GD, Gibbons DF, PLenk II Jr (eds): Biomaterials 1980, Chichester: John Wiley & Sons, 1982: 45-9.

  14. Pflüger G, Plenk H Jr, Böhler N, Grunschober F, Schider S: Experimental studies on total knee and hip joint endoprostheses made of tantalum. In: Winter GD, Gibbons DF, Plenk H Jr (eds): Biomaterials 1980, Chichester: John Wiley & Sons, 1982: 161-7.

  15. Plenk H Jr, Pflüger G, Schider S, Böhler N, Grundschober F: The current status of uncemented tantalum and niobium femoral endoprostheses. In: Morsher E (ed): The Cementless Fixation of Hip Endoprostheses, Berlin: Springer-Verlag, 1984: 174-7.

  16. Aronson AS, Jonsson N, Alberius P: Tantalum markers in radiography. An assessment of tissue reactions. Skel Radio 1985; 14: 207-11.

  17. Zardiackas LD, Parsell DE, Dillon LD, Mitchell DW, Nunnery LA, Poggie R: Structure, metallurgy and mechanical properties of a porous tantalum foam. J Biomed Mat Res 2001; 58: 180-7.

  18. Bobyn JD, Poggie RA, Krygier JJ, Lewallen DJ, Hanssen AD, Lewis RJ, Unger AS, O’Keefe TJ, Christie MJ, Nasser S, Wood JE, Stulberg SD, Tanzer M: Clinical validation of a structural porous tantalum biomaterial for adult reconstruction. J Bone Joint Surg Am 2004; 86: 123-9.

  19. Levine BR, Sporer S, Poggie RA, Della Valle CJ, Jacobs JJ: Experimental and clinical performance of porous tantalum in orthopedic surgery. Biomaterials 2006; 27: 4671-81.

  20. Wigfield C, Robertson J, Gill S, Nelson R: Clinical experience with porous tantalum cervical interbody implants in a prospective randomized controlled trial. Br J Neurosurg 2003; 17: 418-25.

  21. Bobyn JD, Stackpool GJ, Hacking SA, Tanzer M, Krygier JJ: Characteristics of bone ingrowth and interface mechanics of a new porous tantalum biomaterial. J Bone Joint Surg Br 1999; 81: 907-14.

  22. Bobyn JD, Toh KK, Hacking SA, Tanzer M, Krygier JJ: Tissue response to porous tantalum acetabular cups: a canine model. J Arthroplasty 1999; 14: 347-54.

  23. Matsuno H, Yokoyama A, Watari F, Motohiro U, Kawasaki T: Biocompatibility and osteogenesis of refractory metal implants, titanium, hafnium, niobium, tantalum and rhenium. Biomaterials 2001; 22: 1253-62.

  24. Zou X, Li H, Bunger M, Egund N, Lind M, Bunger C: Bone ingrowth characteristics of porous tantalum and carbon fiber interbody devices: an experimental study in pigs. Spine J 2004; 4: 99-105.

  25. Rahbek O, Kold S, Zippor B, Overgaard S, Soballe K: Particle migration and gap healing around trabecular metal implants. Int Orthop 2005: 1-7.

  26. Adams JE, Zobitz ME, Reach Jr JS, An KN, Lewallen DG, Steinmann SP: Canine carpal joint fusion: a model for four-corner arthrodesis using a porous tantalum implant. J Hand Surg Am 2005; 30: 1128-35.

  27. Bunger MH, Foss M, Erlacher K, Li H, Zou X, Langdahl BL, Bunger C, Birkedal H, Besenbacher F, Pedersen JS: Bone nanostructure near titanium and porous tantalum implants studied by scanning small angle X-ray scatterin. Eur Cell Mater 2006; 12: 81-91.

  28. Gruen TA, Poggie RA, Lewallen DG, Hanssen AD, Lewis RJ, O’Keefe TJ, Stulberg SD, Sutherland CJ: Radiographic evaluation of a monoblock acetabular component: a multicenter study with 2- to 5-year results. J Arthroplasty 2005; 20: 369-78.

  29. Macheras GA, Papagelopoulos PJ, Kateros K, Kostakos AT, Baltas D, Karachalios TS: Radiological evaluation of the metal-bone interface of a porous tantalum monoblock acetabular component. J Bone Joint Surg Br 2006; 88: 304-9.

  30. Ronga M, Manelli A, Monteleone G, Cherubino P: Bone ingrowth in high porous tantalum biomaterial: a morphological study in a case series of human avascular necrosis of femoral head. J Bone Joint Surg Br 2006; 88 (Suppl III): 422.

  31. Steinberg ME, Hayken GD, Steinberg DR: Classification and staging of osteonecrosis. In: Urbaniak JR, Jones JP Jr, eds. Osteonecrosis: etiology, diagnosis and treatment. Rosemont, IL: Am Acad Orthop Surg 1997: 277-84.

  32. Deglurkar M, Davy DT, Stewart M, Goldberg VM, Welter JF: Evaluation of machining methods for trabecular metal implants in a rabbit intramedullary osseointegration model. J Biomed Mat Res B Appl Biomater 2007; 80(2): 528-40.

  33. Sumner DR, Bryan JM, Urban RM, Kuszak JR: Measuring the volume fraction of bone ingrowth: A comparison of three techniques. J Orthop Res 1990; 8: 448-52.

  34. Jasty M, Bragdon CR, Haire T Jr, Harris WH: Comparison of bone ingrowth into cobalt chrome and titanium fiber mesh porous coated cementless canine acetabular components. J Biomed Mat Res 1993; 27: 639-44.

  35. Jasty M, Harris WH: Observations on factors controlling bony ingrowth into weight bearing, porous, canine total hip replacements. In: Fitzgerald R, ed. Non-cemented total hip arthroplasty. New York, Raven Press, 1988: 175.

  36. Cook SD, Barrack RL, Thomas KA, Haddad RJ Jr: Quantitative analysis of tissue growth into human porous total hip components. J Arthroplasty 1988; 3: 249-62.

  37. Collier JP, Bauer TW, Bloebaum RD, et al: Results of implant retrieval from post mortem specimens in patients with well-functioning long-term total hip replacement. Clin Orthop 1992; 274: 97-112.

  38. Pidhorz LE, Urban RM, Jacobs JJ, Sumner DR, Galante JO: A quantitative study of bone and soft tissues in cementless porous-coated acetabular components retrieved at autopsy. J Arthroplasty 1993; 8: 213-25.

  39. Sumner DR, Jasty M, Jacobs JJ, et al: Histology of porous-coated acetabular components: 25 cementless cups retrieved after arthroplasty. Acta Orthop Scand 1993; 64: 619-26.

  40. Engh CA, Zettl-Schaffer KF, Kukita Y, Sweet D, Jasty M, Bragdon C: Histological and radiographic assessment of well functioning porous-coated acetabular components: A human post mortem retrieval study. J Bone Joint Surg Am 1993; 75: 814-24.

  41. Shimko DA, Shimko VF, Sander EA, Dickson KF, Nauman EA: Effect of porosity on the fluid flow characteristics and mechanical properties of tantalum scaffolds. J Biomed Mater Res B Appl Biomater 2005; 73: 315-24.

  42. Zhang Y, Ahn PB, Fitzpatrick DC, Heiner AD, Poggie RA, Brown TD: Interfacial frictional behavior: cancellous bone, cortical bone and a novel porous tantalum biomaterial. J Musculoskelet Res 1999; 3: 245-52.

  43. Tsao AK, Roberson JR, Christie MJ, Dore DD, Heck DA, Robertson DD, Poggie RA: Biomechanical and clinical evaluations of a porous tantalum implant for the treatment of early-stage osteonecrosis. J Bone Joint Surg Am 2005; 87: 22-7.

  44. Veillette ChJH, Mehdian H, Schemitsch EH, McKee MD: Survivorship analysis and radiographic outcome following tantalum rod insertion for osteonecrosis of the femoral head. J Bone Joint Surg Am 2006; 88: 48-55.

  45. Findlay DM, Welldon K, Atkins GJ, et al: The proliferation and phenotypic expression of human osteoblasts on tantalum metal. Biomaterials 2004; 25: 2215-27.




2020     |     www.medigraphic.com