Abstract

Research Article

Preventive treatment in an osteoporotic femoral upper metaphysis-A clinical case: Me Louise V…

Yves Cirotteau*

Published: 29 May, 2020 | Volume 4 - Issue 1 | Pages: 009-012

In 1992, a patient, born July 10, 1910, aged 82, with major osteoporosis [1-3], was operated on her left hip. The surgeon performs a biomaterial transplant using natural coral [4]. Follow-up is two years. She died in 1994 of acute respiratory failure. Three bone graft osteodensitometry [5] shows a regular increase in mineralization; however, on the opposite side, bone mineralization decreases. The anatomical part is examined using x-rays, scanners, photographs, histology [6]. The article reports the findings of this study. It is noted a partial resorption of the biomaterial essentially at the periphery of the graft as well as the different local connections of the preexisting bone with the newly formed bone from the grafted area. The severity of fractures of the femoral neck is no longer to be demonstrated [7]. Multiple therapeutic trials have demonstrated their effectiveness [8,9]. Twenty two patients were transplanted. There was no failure. All died without fracturing their grafted hips. 

Read Full Article HTML DOI: 10.29328/journal.aceo.1001008 Cite this Article Read Full Article PDF

References

  1. Cirotteau Y. Upper femoral metaphysis morphological modifications of a human struck down by osteoporotic disease. C.R. Acad. Sci. Paris, Sciences de la vie / Life Sciences. 1999; 322: 401-411.
  2. Cirotteau Y. Morphological modifications of a human bone diaphysis. Theoretical therapeutic deductions. The Surgical Letter. Special issue S.O.F.C.O.T. 1994. N° 128.
  3. Bone Tissue. L. Theo, J. Vidal, J. Dossa. Coll. Biologie de l’appareil Locomoteur, Sauramps medical. 1989; 67-74.
  4. Cirotteau Y. Behavior of natural coral in a human osteoporotic bone. Eur J Orthop Surg Traumatol. 2001; 11: 149-160.
  5. Osteodensitometries are made by biphotonic absorptiometry with no danger of radiation by the use of micro-doses. Hologic QDRqooo/W (S/N 851). They are performed by C. Bergot MD. Service de radiologie, Pr M. Laval-Jeantet MD, Head of service, H6pital Saint Louis, Paris.
  6. Histological technic: After formalin fixation followed by decalcification, specimens taken from various areas were embedded in paraffin and multiple histologic step sections were prepared which were stained with hematoxylin-eosin-saffron and studied with polarized light. Samples were treated macroscopilcally and microscopically.
  7. Pison G. The aging of the population. Cahiers d'Anthropologie et Biométrie Humaine.1995; XIII, n°1-2: 39-48.
  8. Cornell CN. Management of fractures in patients with osteoporosis. Orthop Clinical North Am. 1990; 21: 125-141.
  9. Barrios C. Healing Complications after internal fixation of trochanteric hip fractures: The prognostic value of osteoporosis. J Orthop Trauma. 1993; 7: 438-442. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8229380
  10. Patat JL. Study of bone habitation of porous material and irregular surface, Doctoral Thesis in Medicine. University of Paris V. 1976.
  11. Viateau V, Guillemin G, Bousson B, Oudina K, Hannouche D, et al. Long-bone Critical-Size Defects Treated With Tissue-Engineered Grafts: A Study on Sheep. J Orthop Res. 2007; 25: 741-749. PubMed: https://pubmed.ncbi.nlm.nih.gov/17318898/
  12. Kehr PH, Graftiaux AG, Gosset F, Bencheikh K. Use of coral in cervical intersomatic grafting. Biomineralization 93, 7th intern. Symp on Biominer Monaco. 1993; N*I4: 123-128.
  13. Guillemin G, Fournie J, Patat JL, Chetail M. Fate of a Fragment of Madrepore Coral Skeleton Implanted in the Diaphysis of Long Bones in Dogs. CR Acad Sci Paris. 1981; 293: 371-376. PubMed: https://pubmed.ncbi.nlm.nih.gov/6119143/
  14. Guillemin G, Meunier A, Dallant P, Christel P, Pouliquen JC, et al. Comparison of coral resorption and bone apposition with two natural corals of different porosities. J Biomed Mater Res. 1989; 23: 765-779. https://www.ncbi.nlm.nih.gov/pubmed/2738087
  15. Ouhayoun P, Issahakian S, Patat JL, Shabana AHM, Guillemin G. Histological evaluation of natural coral skeleton as a grafting material in miniature swine mandible. J Materials Science. 1992; 3: 222-228
  16. Marchac D, Sandor G. Experience with the use of coral granules in the craniofacial skeleton. J Craniofacial Surgery. 1994; 5: 213-217.
  17. Scanner technic: All soft issues are removed; The simples are embedded in a wet sheet and put under the machine (80 KV- 100 mA) in a frontal plane. 20 cuts, every 1,5 mm, are made from the anterior (1) to the posterior ( 20) side of both samples.
  18. Laboratoire Carat: state of knowledge on coral: Morphology, Porosity, Crystal structure, Chemical composition, Mechanical resistance, New purification process. CNRS of Bordeaux. 1999-2005.
  19. Le Petitcorps Yann, Jean-Christophe Fricain, Vincent Souillac, Mathieu Augustin, Purification of the coral and modification of the product, Lab-Adisseo

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