Abstract:
:Previous clinical studies have shown the efficacy of a two-stage surgical procedure - the induced membrane (IM) technique - for reconstruction of large bone defects or bone non-union. The first stage involves radical debridement and insertion of a cement spacer into the bone defect. The second stage, performed weeks to months later, consists of removing the spacer while leaving the foreign body membrane induced by the cement in place, and then filling the cavity with bone autograft. The IM has been shown to (1) act as a protective physical barrier by preventing bone autograft resorption and (2) act as a bioreactor by promoting healing through revascularisation and growth factor secretion, and by concentrating mesenchymal stem cells (MSC) with osteogenic properties. New solutions to reduce this surgical procedure to a single step are being explored, for example by using an IM-like bioactive and protective barrier inserted into the bone defect at the same time as bone graft.
journal_name
Placentajournal_title
Placentaauthors
Gindraux F,Rondot T,de Billy B,Zwetyenga N,Fricain JC,Pagnon A,Obert Ldoi
10.1016/j.placenta.2017.06.340subject
Has Abstractpub_date
2017-11-01 00:00:00pages
116-123eissn
0143-4004issn
1532-3102pii
S0143-4004(17)30636-7journal_volume
59pub_type
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