Glass ionomer as an expander of allograft in revision arthroplasty of the hip.
The use of glass ionomer as a bone graft expander was investigated in an in vivo model of revision hip arthroplasty. Bone grafts of pure allograft and allograft + glass ionomer particles in a 50:50 by weight mixture were implanted in an ovine hemi-arthroplasty model. Post-operative assessments of locomotor function, radiographic appearance and quantitative changes in mineralisation around the graft were made at 2, 4 and 6 months. Post-mortem assessments of radiographic and histologic appearance of the grafts were made at 6 months. No significant differences were noted in any of the measured or assessed parameters between the two graft types. The glass ionomer particles seemed to be well tolerated within the matrix of new bone, smaller sized particles appearing to be better incorporated than larger ones. The use of particles of glass ionomer as a bone graft expander, in this in vivo model of revision hip arthroplasty, would therefore appear to offer no detriment in performance over pure allograft in the short to medium term.
Eldridge
J D J
JD
Department of Orthopaedic Surgery, University of Bristol, Bristol Royal Infirmary, Bristol, London, UK.
Cunningham
J L
JL
Samuels
A
A
Blunn
G W
GW
Lawes
T J
TJ
Learmonth
I D
ID
Goodship
A E
AE
D000180:Acrylic Resins; D000818:Animals; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001672:Biocompatible Materials; D015519:Bone Density; D016025:Bone Transplantation; D006615:Hip / Q000000981:diagnostic imaging; D006622:Hip Prosthesis; D008297:Male; D011859:Radiography; D012756:Sheep; D012822:Silicon Dioxide; D013997:Time Factors
D000180:Acrylic Resins; D001672:Biocompatible Materials; C015897:glass ionomer; D012822:Silicon Dioxide