Radiologic Evaluation of Compressive Osseointegration for the Fixation of Reconstruction Prostheses after Tumor Resection.
OBJECTIVE
In pursuance of thoroughly understanding and facilitating the evaluation of the radiological changes in the preloaded bone by Compliant Pre-Stress osseointegration (Compress Biomet, Warsaw, Indiana) a new staging method was created depicting four stages.


METHODS
Two cohorts (10 and 17 patients resp., not-receiving and receiving chemotherapy) were compared in terms of progression of osseointegration. Based on the changes at the bone-metal interface seen on röntgenorgrams four stages were defined: stage 0: immediate postoperative status, no ingrowth, or noncalcified callus; stage 1: early mineralization, calcified callus; stage 2: mature mineralization; and stage 3: hypertrophy at the level of the pins.


RESULTS
There were no significant differences between the two cohorts. Group 2, which was significantly younger than group 1 (p < 0.001), presented a delayed initial rate of bone formation and reached stage 1 at 6 months instead of 3 months like group 1. The children from the group 2 demonstrated a visible rebound ingrowth.


CONCLUSIONS
Despite the fact that the staging fails to demonstrate a statistical difference, it is rather simple and can be used for future studies.
Department of Orthopaedics, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium.
Manol
M
Lazarov
Department of Orthopaedics, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium.
Thomas
T
De Bo
Department of Orthopaedics, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium.
Bart
B
Poffyn
Department of Orthopaedics, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium.
Gwen
G
Sys
D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000601:surgery*; D002648:Child; D003710:Demography; D005260:Female; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D010012:Osteogenesis; D019736:Prostheses and Implants; D011859:Radiography; D055815:Young Adult