By P. Bösch, W. Lack, F. Lintner (auth.), Prof. Dr. Günther Schlag, Prof. Dr. Peter Bösch, Prof. Dr. Helene Matras (eds.)
Within the box of orthopedic surgical procedure, extra parts of program and new symptoms were found for fibrin glue remedy, for instance, hemostasis in pseudotumors in hemophilic sufferers or in torn ligaments, and in spongiosa transplantation, basically whilst nonautologous bone fabric is getting used, or to fill huge defects. In maxillofacial surgical procedure fibrin glue is principally used for osseous contouring of the facial and frontal bones, for alveolar ridge augmentations in preprosthetic surgical procedure, and for delicate tissue reconstructions.
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Extra info for Fibrin Sealing in Surgical and Nonsurgical Fields: Volume 4 Orthopedic Surgery Maxillofacial Surgery
5-cc kits of Tissucol in sprayform. Two weeks later, the patient developed a purulent secretion and fever. A culture was performed, indicating the presence of Pseudomona aeruginosa, Citobacter freundii and Enterobacter cloacae, so Ciproxin and gentamicin were given. On September 10 (2V2 months after the first operation, resection of the pseudotumour was performed) factor VIII administration ceased. The patient was discharged from the hospital and started rehabilitation. One month afterward he required ambulatory short covering for a bleeding after cauterization of a granuloma in the wound.
Results Neither signs of infection, limping, nor contractures were encountered. In 14 animals, 5-10 ml clear joint effusion was found at either 4 or 8 weeks after transplantation, particularly in sheep in which collagen sponges were used. Macroscopically, in most of the non-weight-bearing areas in animals of group A and B, the surface level of the newly formed tissue reached the level of the surrounding cartilage by 4 weeks (Fig. 1). However, the new tissue in weight-bearing areas appeared depressed and its surface was disrupted .
Operative technique and long-term results are reported. Primary prosthesis stability at the bone implant interface and ensuing bone reaction to the implant are two basic criteria determining long-term prosthesis stability [1, 12, 16, 18,26, 27]. Both are largely influenced by prosthesis form and surface design [11, 12, 20, 24]. A prosthesis form which corresponds closest to the anatomical characteristics of the proximal femur medullary cavity enchances the conditions for optimal primary press fit and thereby primary prosthesis stability [3, 13, 15, 21, 29].