Novel Unidirectional Porous β-Tricalcium Phosphate Used as a Bone Substitute after Excision of Benign Bone Tumors of the Hand: A Case Series

J Hand Surg Asian Pac Vol. 2018 Sep;23(3):424-429. doi: 10.1142/S2424835518720293.

Abstract

Unidirectional porous β-tricalcium phosphate (UDPTCP; Affinos®, Kuraray, Tokyo, Japan) has been in clinical use since 2015. Animal studies have confirmed the excellent potential of UDPTCP with regard to bone formation and material absorption. We present the first three clinical cases using UDPTCP as a bone substitute after curettage of benign bone tumors of the hand. All three patients were males, 29-, 30- and 81-years-old, two having a diagnosis of enchondroma and the other, a bone ganglion, with a pathological fracture identified in one case. Over a mean follow-up of 10 months, all patients achieved satisfactory clinical result, with no adverse events of UDPTCP noted. Radiographic evidence of good bone formation and material absorption was observable over the postoperative course. UDPTCP provided satisfactory clinical results, with good biocompatibility and fast resorption characteristics. Therefore, UDPTCP could provide a safe and reliable filling substitute for bone defects following curettage of small bone tumors.

Keywords: Benign bone tumor; Bone substitute; Unidirectional porous structure; β-tricalcium phosphate.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged, 80 and over
  • Biocompatible Materials / administration & dosage
  • Biopsy
  • Bone Neoplasms / diagnosis
  • Bone Neoplasms / drug therapy
  • Bone Neoplasms / surgery*
  • Bone Substitutes / administration & dosage*
  • Calcium Phosphates / administration & dosage*
  • Chondroma / diagnosis
  • Chondroma / drug therapy
  • Chondroma / surgery*
  • Finger Phalanges
  • Fractures, Spontaneous / prevention & control
  • Humans
  • Male
  • Metacarpal Bones
  • Microscopy, Electron
  • Orthopedic Procedures
  • Postoperative Care

Substances

  • Biocompatible Materials
  • Bone Substitutes
  • Calcium Phosphates
  • beta-tricalcium phosphate