title: Complete bone remodeling after calcar reconstruction with metal wire mesh and impaction bone grafting: a case report.
abstract: We report the histological findings of a reconstructed calcar region four years after femoral impaction bone grafting using metal wire mesh for a case with massive defect of the proximal part of the femur. Thin cortical bone was formed just beneath the metal wire mesh and viable trabecular bone containing a small amount of granulation tissue was observed even at the bone-cement interface. Almost no necrotic bone was seen throughout the remodeled bony layer. Histological findings of the present case suggest that calcar reconstruction with impaction bone grafting using a metal wire mesh is a biologically and mechanically favorable reconstruction method for femoral revision cases combined with proximal medial segmental cortex defect.
authors.forename: Toshiki
authors.initials: T
authors.lastname: Iwase
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kouyama
authors.forename: Naoya
authors.initials: N
authors.lastname: Matsushita
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D001843:Bone Cements; D016723:Bone Remodeling; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005269:Femur / Q000473:pathology; D006801:Humans; D008670:Metals; D009336:Necrosis; D019651:Plastic Surgery Procedures; D012086:Reoperation; D013526:Surgical Mesh
chemical_list: D001843:Bone Cements; D008670:Metals