TY - JOUR
T1 - Norian SRS cement augmentation in hip fracture treatment
T2 - Laboratory and initial clinical results
AU - Goodman, Stuart B.
AU - Bauer, Thomas W.
AU - Carter, Dennis
AU - Casteleyn, Pierre Paul
AU - Goldstein, Steven A.
AU - Kyle, Richard F
AU - Larsson, Sune
AU - Stankewich, C. J.
AU - Swiontkowski, Marc F.
AU - Tencer, Allan F.
AU - Yetkinler, Duran N.
AU - Poser, Robert D.
PY - 1998/3
Y1 - 1998/3
N2 - Bone quality, initial fracture displacement, severity of fracture comminution, accuracy of fracture reduction, and the placement of the internal fixation device are important factors that affect fixation stability. New high strength cements that are susceptible to remodeling and replacement for fracture fixation may lead to improved clinical outcome in the treatment of hip fractures. Norian SRS is an injectable, fast setting cement that cures in vivo to form an osteoconductive carbonated apatite of high compressive strength (55MPa) with chemical and physical characteristics similar to the mineral phase of bone. It can be used as a space filling internal fixation device to facilitate the geometric reconstruction, load transfer, and healing of bone with defects and/or fractures in regions of cancellous bone. Furthermore, this cement can improve the mechanical holding strength of conventional fixation devices. Use of this material potentially could improve fracture stability, retain anatomy during fracture healing and improve hip function, thus achieving better clinical outcomes. In vivo animal studies have shown the material's biocompatibility, and cadaveric studies have shown the biomechanical advantage of its use in hip fractures. Initial clinical experience (in 52 femoral neck fractures and 39 intertrochanteric fractures) showed the potential clinical use of this innovative cement in the treatment of hip fractures.
AB - Bone quality, initial fracture displacement, severity of fracture comminution, accuracy of fracture reduction, and the placement of the internal fixation device are important factors that affect fixation stability. New high strength cements that are susceptible to remodeling and replacement for fracture fixation may lead to improved clinical outcome in the treatment of hip fractures. Norian SRS is an injectable, fast setting cement that cures in vivo to form an osteoconductive carbonated apatite of high compressive strength (55MPa) with chemical and physical characteristics similar to the mineral phase of bone. It can be used as a space filling internal fixation device to facilitate the geometric reconstruction, load transfer, and healing of bone with defects and/or fractures in regions of cancellous bone. Furthermore, this cement can improve the mechanical holding strength of conventional fixation devices. Use of this material potentially could improve fracture stability, retain anatomy during fracture healing and improve hip function, thus achieving better clinical outcomes. In vivo animal studies have shown the material's biocompatibility, and cadaveric studies have shown the biomechanical advantage of its use in hip fractures. Initial clinical experience (in 52 femoral neck fractures and 39 intertrochanteric fractures) showed the potential clinical use of this innovative cement in the treatment of hip fractures.
UR - http://www.scopus.com/inward/record.url?scp=0031924185&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031924185&partnerID=8YFLogxK
M3 - Article
C2 - 9553532
AN - SCOPUS:0031924185
SN - 0009-921X
VL - 348
SP - 42
EP - 50
JO - Clinical orthopaedics and related research
JF - Clinical orthopaedics and related research
ER -