Rinsing morcellised bone grafts with bisphosphonate solution prevents their resorption. A prospective randomised double-blinded study
2006 (English)In: Journal of Bone and Joint Surgery, ISSN 0301-620X, Vol. 88, no 8, 993-996 p.Article in journal (Refereed) Published
During revision total hip replacement using morcellised compacted bone allograft, 16 patients were randomised to receive a graft which had been rinsed in either an ibandronate solution or in saline. Patients were assessed by dual energy x-ray absorptiometry after operation and at 3, 6, 12 and 24 months. A region of interest between the tip of the femoral stem and the distal plastic plug was chosen to measure the changes in bone density over time. The study was double-blinded. In all the control patients the bone density decreased during the first three months and then remained constant at this lower level. A large proportion of the mass of the bone graft was lost. In contrast, all patients with grafts treated with bisphosphonate showed a slight increase in bone density. The difference between the groups was highly significant at all points in time. We conclude that rinsing the graft in a bisphosphonate solution prevents its resorption and may therefore reduce the risk of mechanical failure. The treatment is simple, inexpensive, and appears virtually free of risk. ©2006 British Editorial Society of Bone and Joint Surgery.
Place, publisher, year, edition, pages
2006. Vol. 88, no 8, 993-996 p.
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-50175DOI: 10.1302/0301-620X.88B8.17457OAI: oai:DiVA.org:liu-50175DiVA: diva2:271071