8 research outputs found
New national and regional bryophyte records, 72
ABSTRACT: New record of Sphagnum palustre L. to Graciosa Island (Azores).info:eu-repo/semantics/publishedVersio
Anabolic and antiresorptive actions of locally delivered bisphosphonates for bone repair
During the last decades, several research groups have used bisphosphonates for local application to counteract secondary bone resorption after bone grafting, to improve implant fixation or to control bone resorption caused by bone morphogenetic proteins (BMps). We focused on zoledronate (a bisphosphonate) due to its greater antiresorptive potential over other bisphosphonates. Recently, it has become obvious that the carrier is of importance to modulate the concentration and elution profile of the zoledronic acid locally. Incorporating one fifth of the recommended systemic dose of zoledronate with different apatite matrices and types of bone defects has been shown to enhance bone regeneration significantly in vivo. We expect the local delivery of zoledronate to overcome the limitations and side effects associated with systemic usage; however, we need to know more about the bioavailability and the biological effects. The local use of BMp-2 and zoledronate as a combination has a proven additional effect on bone regeneration. This review focuses primarily on the local use of zoledronate alone, or in combination with bone anabolic factors, in various preclinical models mimicking different orthopaedic conditions
Combined fracture and mortality risk evaluation for stratifying treatment in hip fracture patients: A feasibility study
Objectives: This study aims to test the feasibility of the Fracture and
Mortality Risk Evaluation (FAME) Index. Patients and methods: Two
academic centers in Lithuania and Turkey participated in this
retrospective study conducted between November 2018 and July 2019. A
total of 100 consecutive patients (22 males, 78 females; mean age 78.9
years; range, 45 to 100 years) with low energy proximal femur fractures
admitted for surgery were included in the study. Fracture Risk
Assessment tool (FRAX) and the Sernbo scores were calculated and
patients were classified into one of the nine subcategories of the FAME
Index. Results: Demographics and FAME Index classifications were similar
between centers. Patients with high risk of fracture and low risk of
mortality accounted for 18\% of all patients, which is the FAME Index
subcategory to theoretically benefit from cancellous bone augmentation
during internal fixation of a fragility hip fracture the most.
Conclusion: The FAME Index was successfully applied in clinical
emergency setting utilizing a simple form, and demonstrated promising
potential in stratification of hip fractures most suitable for screw and
device augmentation. Larger studies with at least one-year of follow-up
are warranted to verify the validity of FAME Index