Evaluation of the clinical effectiveness of bioactive glass (S53P4) in the treatment of non-unions of the tibia and femur: study protocol of a randomized controlled non-inferiority trial
Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in quantity and its harvesting incurs an additional surgical intervention leaving the risk for associated complications and morbidities. Therefor...
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Published in | Current controlled trials in cardiovascular medicine Vol. 19; no. 1; pp. 299 - 9 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
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BioMed Central Ltd
30.05.2018
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Abstract | Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in quantity and its harvesting incurs an additional surgical intervention leaving the risk for associated complications and morbidities. Therefore, artificial bone graft substitutes that might replace autologous bone are needed. S53P4-type bioactive glass (BaG) is a promising material which might be used as bone graft substitute due to its osteostimulative, conductive and antimicrobial properties. In this study, we plan to examine the clinical effectiveness of BaG as a bone graft substitute in Masquelet therapy in comparison with present standard Masquelet therapy using an ABG with tricalciumphosphate to fill the bone defect.
This randomized controlled, clinical non-inferiority trial will be carried out at the Department of Orthopedics and Traumatology at Heidelberg University. Patients who suffer from tibial or femoral non-unions with a segmental bone defect of 2-5 cm and who are receiving Masquelet treatment will be included in the study. The resulting bone defect will either be filled with autologous bone and tricalciumphosphate (control group, N = 25) or BaG (S53P4) (study group, N = 25). Subsequent to operative therapy, all patients will receive the same standardized follow-up procedures. The primary endpoint of the study is union achieved 1year after surgery.
The results from the current study will help evaluate the clinical effectiveness of this promising biomaterial in non-union therapy. In addition, this randomized trial will help to identify potential benefits and limitations regarding the use of BaG in Masquelet therapy. Data from the study will increase the knowledge about BaG as a bone graft substitute as well as identify patients possibly benefiting from Masquelet therapy using BaG and those who are more likely to fail, thereby improving the quality of non-union treatment.
German Clinical Trials Register (DRKS), ID: DRKS00013882 . Registered on 22 January 2018. |
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AbstractList | Abstract Background Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in quantity and its harvesting incurs an additional surgical intervention leaving the risk for associated complications and morbidities. Therefore, artificial bone graft substitutes that might replace autologous bone are needed. S53P4-type bioactive glass (BaG) is a promising material which might be used as bone graft substitute due to its osteostimulative, conductive and antimicrobial properties. In this study, we plan to examine the clinical effectiveness of BaG as a bone graft substitute in Masquelet therapy in comparison with present standard Masquelet therapy using an ABG with tricalciumphosphate to fill the bone defect. Methods/design This randomized controlled, clinical non-inferiority trial will be carried out at the Department of Orthopedics and Traumatology at Heidelberg University. Patients who suffer from tibial or femoral non-unions with a segmental bone defect of 2–5 cm and who are receiving Masquelet treatment will be included in the study. The resulting bone defect will either be filled with autologous bone and tricalciumphosphate (control group, N = 25) or BaG (S53P4) (study group, N = 25). Subsequent to operative therapy, all patients will receive the same standardized follow-up procedures. The primary endpoint of the study is union achieved 1year after surgery. Discussion The results from the current study will help evaluate the clinical effectiveness of this promising biomaterial in non-union therapy. In addition, this randomized trial will help to identify potential benefits and limitations regarding the use of BaG in Masquelet therapy. Data from the study will increase the knowledge about BaG as a bone graft substitute as well as identify patients possibly benefiting from Masquelet therapy using BaG and those who are more likely to fail, thereby improving the quality of non-union treatment. Trial registration German Clinical Trials Register (DRKS), ID: DRKS00013882. Registered on 22 January 2018. BackgroundTreatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in quantity and its harvesting incurs an additional surgical intervention leaving the risk for associated complications and morbidities. Therefore, artificial bone graft substitutes that might replace autologous bone are needed. S53P4-type bioactive glass (BaG) is a promising material which might be used as bone graft substitute due to its osteostimulative, conductive and antimicrobial properties. In this study, we plan to examine the clinical effectiveness of BaG as a bone graft substitute in Masquelet therapy in comparison with present standard Masquelet therapy using an ABG with tricalciumphosphate to fill the bone defect.Methods/designThis randomized controlled, clinical non-inferiority trial will be carried out at the Department of Orthopedics and Traumatology at Heidelberg University. Patients who suffer from tibial or femoral non-unions with a segmental bone defect of 2–5 cm and who are receiving Masquelet treatment will be included in the study. The resulting bone defect will either be filled with autologous bone and tricalciumphosphate (control group, N = 25) or BaG (S53P4) (study group, N = 25). Subsequent to operative therapy, all patients will receive the same standardized follow-up procedures. The primary endpoint of the study is union achieved 1year after surgery.DiscussionThe results from the current study will help evaluate the clinical effectiveness of this promising biomaterial in non-union therapy. In addition, this randomized trial will help to identify potential benefits and limitations regarding the use of BaG in Masquelet therapy. Data from the study will increase the knowledge about BaG as a bone graft substitute as well as identify patients possibly benefiting from Masquelet therapy using BaG and those who are more likely to fail, thereby improving the quality of non-union treatment.Trial registrationGerman Clinical Trials Register (DRKS), ID: DRKS00013882. Registered on 22 January 2018. Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in quantity and its harvesting incurs an additional surgical intervention leaving the risk for associated complications and morbidities. Therefore, artificial bone graft substitutes that might replace autologous bone are needed. S53P4-type bioactive glass (BaG) is a promising material which might be used as bone graft substitute due to its osteostimulative, conductive and antimicrobial properties. In this study, we plan to examine the clinical effectiveness of BaG as a bone graft substitute in Masquelet therapy in comparison with present standard Masquelet therapy using an ABG with tricalciumphosphate to fill the bone defect. This randomized controlled, clinical non-inferiority trial will be carried out at the Department of Orthopedics and Traumatology at Heidelberg University. Patients who suffer from tibial or femoral non-unions with a segmental bone defect of 2-5 cm and who are receiving Masquelet treatment will be included in the study. The resulting bone defect will either be filled with autologous bone and tricalciumphosphate (control group, N = 25) or BaG (S53P4) (study group, N = 25). Subsequent to operative therapy, all patients will receive the same standardized follow-up procedures. The primary endpoint of the study is union achieved 1year after surgery. The results from the current study will help evaluate the clinical effectiveness of this promising biomaterial in non-union therapy. In addition, this randomized trial will help to identify potential benefits and limitations regarding the use of BaG in Masquelet therapy. Data from the study will increase the knowledge about BaG as a bone graft substitute as well as identify patients possibly benefiting from Masquelet therapy using BaG and those who are more likely to fail, thereby improving the quality of non-union treatment. Background Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in quantity and its harvesting incurs an additional surgical intervention leaving the risk for associated complications and morbidities. Therefore, artificial bone graft substitutes that might replace autologous bone are needed. S53P4-type bioactive glass (BaG) is a promising material which might be used as bone graft substitute due to its osteostimulative, conductive and antimicrobial properties. In this study, we plan to examine the clinical effectiveness of BaG as a bone graft substitute in Masquelet therapy in comparison with present standard Masquelet therapy using an ABG with tricalciumphosphate to fill the bone defect. Methods/design This randomized controlled, clinical non-inferiority trial will be carried out at the Department of Orthopedics and Traumatology at Heidelberg University. Patients who suffer from tibial or femoral non-unions with a segmental bone defect of 2-5 cm and who are receiving Masquelet treatment will be included in the study. The resulting bone defect will either be filled with autologous bone and tricalciumphosphate (control group, N = 25) or BaG (S53P4) (study group, N = 25). Subsequent to operative therapy, all patients will receive the same standardized follow-up procedures. The primary endpoint of the study is union achieved 1year after surgery. Discussion The results from the current study will help evaluate the clinical effectiveness of this promising biomaterial in non-union therapy. In addition, this randomized trial will help to identify potential benefits and limitations regarding the use of BaG in Masquelet therapy. Data from the study will increase the knowledge about BaG as a bone graft substitute as well as identify patients possibly benefiting from Masquelet therapy using BaG and those who are more likely to fail, thereby improving the quality of non-union treatment. Trial registration German Clinical Trials Register (DRKS), ID: DRKS00013882. Registered on 22 January 2018. Keywords: Non-union, Bioactive glass, Masquelet therapy, Bone regeneration, S53P4, Pseudarthrosis, Bone grafting Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in quantity and its harvesting incurs an additional surgical intervention leaving the risk for associated complications and morbidities. Therefore, artificial bone graft substitutes that might replace autologous bone are needed. S53P4-type bioactive glass (BaG) is a promising material which might be used as bone graft substitute due to its osteostimulative, conductive and antimicrobial properties. In this study, we plan to examine the clinical effectiveness of BaG as a bone graft substitute in Masquelet therapy in comparison with present standard Masquelet therapy using an ABG with tricalciumphosphate to fill the bone defect. This randomized controlled, clinical non-inferiority trial will be carried out at the Department of Orthopedics and Traumatology at Heidelberg University. Patients who suffer from tibial or femoral non-unions with a segmental bone defect of 2-5 cm and who are receiving Masquelet treatment will be included in the study. The resulting bone defect will either be filled with autologous bone and tricalciumphosphate (control group, N = 25) or BaG (S53P4) (study group, N = 25). Subsequent to operative therapy, all patients will receive the same standardized follow-up procedures. The primary endpoint of the study is union achieved 1year after surgery. The results from the current study will help evaluate the clinical effectiveness of this promising biomaterial in non-union therapy. In addition, this randomized trial will help to identify potential benefits and limitations regarding the use of BaG in Masquelet therapy. Data from the study will increase the knowledge about BaG as a bone graft substitute as well as identify patients possibly benefiting from Masquelet therapy using BaG and those who are more likely to fail, thereby improving the quality of non-union treatment. German Clinical Trials Register (DRKS), ID: DRKS00013882 . Registered on 22 January 2018. |
ArticleNumber | 299 |
Audience | Academic |
Author | Tanner, Michael C Fischer, Christian Schmidmaier, Gerhard Heller, Raban Ferbert, Thomas Gantz, Simone Westhauser, Fabian Miska, Matthias Haubruck, Patrick |
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CitedBy_id | crossref_primary_10_1016_j_actbio_2021_03_035 crossref_primary_10_1002_adhm_201801542 crossref_primary_10_1016_j_tcr_2020_100382 crossref_primary_10_1088_1755_1315_937_2_022016 crossref_primary_10_3390_jpm13121644 crossref_primary_10_1016_j_injury_2020_09_029 crossref_primary_10_3390_ma15051697 crossref_primary_10_3390_ma12182929 crossref_primary_10_1016_j_colsurfb_2020_110853 crossref_primary_10_1016_j_mtcomm_2020_100923 crossref_primary_10_3390_jcm12134239 |
Cites_doi | 10.1093/jac/dkv327 10.1097/00007632-199505000-00012 10.1097/01.TA.0000047811.13196.02 10.1016/0020-1383(93)90002-N 10.1016/j.ijsu.2011.09.004 10.1016/S0020-1383(10)70005-X 10.1097/00003086-199810001-00003 10.2147/JIR.S110621 10.1016/j.otsr.2011.11.001 10.1002/jor.22815 10.1038/sc.2017.69 10.1016/j.injury.2013.06.008 10.1186/1471-2105-12-77 10.1055/s-0035-1558259 10.1016/S0736-0266(03)00165-7 10.11138/ccmbm/2017.14.1.186. 10.1007/s00264-017-3656-2 10.1097/00005131-200001000-00002 10.3390/ijerph8010015 10.1186/s12950-016-0111-x 10.7863/ultra.15.06107 10.1016/j.jor.2016.08.002 10.1155/2015/684826 10.3928/0147-7447-20040102-17 10.1007/s10856-016-5732-3 10.1007/s00068-017-0821-7 10.1016/j.injury.2016.05.005 10.1371/journal.pone.0159764 10.1016/j.ocl.2009.07.011 10.1016/j.actbio.2011.03.016 10.1097/BOT.0b013e318213f709 10.1371/journal.pone.0196051 10.1016/j.injury.2011.05.011 10.1038/sc.2016.104 10.1136/bmj.e7586 10.1097/BOT.0b013e3181cec4a1 10.1016/S0020-1383(10)70014-0 10.1007/s00264-010-1189-z 10.3390/ma10121341 10.1097/01.blo.0000163836.66906.74 10.1016/S0020-1383(15)30017-6 10.1016/j.bone.2006.05.023 10.1016/j.injury.2017.01.021 10.1080/08977194.2017.1401618 10.1016/S0020-1383(08)70010-X 10.2106/JBJS.F.00465 10.1007/978-0-387-98141-3 10.1016/j.jor.2016.10.003 10.1302/0301-620X.98B1.35682 |
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Keywords | Bioactive glass Bone regeneration Non-union Bone grafting Masquelet therapy Pseudarthrosis S53P4 |
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References | KM Sturmer (2681_CR21) 1993; 24 JC Banwart (2681_CR14) 1995; 20 2681_CR25 2681_CR28 A Moghaddam (2681_CR46) 2017; 55 J Boniver (2681_CR15) 1992; 6 F Hoegel (2681_CR20) 2004; 56 RC Team (2681_CR41) 2015 HA Vallier (2681_CR49) 2011; 25 PV Giannoudis (2681_CR37) 2008; 39 WG De Long Jr (2681_CR31) 2007; 89 A Moghaddam (2681_CR24) 2017; 14 P Haubruck (2681_CR27) 2016; 9 C Fischer (2681_CR29) 2017; 48 J Efird (2681_CR36) 2011; 8 C Fischer (2681_CR26) 2016; 47 A Moghaddam (2681_CR11) 2015; 46 P Haubruck (2681_CR39) 2018; 13 A Moghaddam (2681_CR45) 2016; 11 B Blum (2681_CR18) 2004; 27 HC Pape (2681_CR32) 2010; 24 G Cox (2681_CR16) 2011; 35 AC Masquelet (2681_CR9) 2010; 41 F Westhauser (2681_CR22) 2016; 13 F Westhauser (2681_CR34) 2016; 27 2681_CR48 P Bosemark (2681_CR7) 2015; 33 M Bhandari (2681_CR17) 2000; 14 P Pelissier (2681_CR10) 2004; 22 B Reible (2681_CR23) 2017; 35 NA van Gestel (2681_CR33) 2015; 2015 H Wickham (2681_CR42) 2009 PR Stafford (2681_CR6) 2010; 41 AW Chan (2681_CR50) 2013; 346 2681_CR2 2681_CR1 2681_CR4 2681_CR5 L Audige (2681_CR3) 2005; 438 MN Rahaman (2681_CR47) 2011; 7 LM Qvick (2681_CR13) 2013; 44 G Schmidmaier (2681_CR12) 2006; 39 C Fischer (2681_CR30) 2016; 35 RA Heller (2681_CR44) 2017; 55 M Bortolin (2681_CR35) 2016; 71 J Green (2681_CR19) 2010; 41 G Schmidmaier (2681_CR38) 2015; 153 X Robin (2681_CR43) 2011; 12 M Miska (2681_CR40) 2016; 98-B KF Schulz (2681_CR51) 2011; 9 C Karger (2681_CR8) 2012; 98 |
References_xml | – volume: 71 start-page: 123 year: 2016 ident: 2681_CR35 publication-title: J Antimicrob Chemother doi: 10.1093/jac/dkv327 contributor: fullname: M Bortolin – volume: 20 start-page: 1055 year: 1995 ident: 2681_CR14 publication-title: Spine (Phila Pa 1976) doi: 10.1097/00007632-199505000-00012 contributor: fullname: JC Banwart – volume: 56 start-page: 363 year: 2004 ident: 2681_CR20 publication-title: J Trauma doi: 10.1097/01.TA.0000047811.13196.02 contributor: fullname: F Hoegel – volume: 24 start-page: S7 issue: Suppl 3 year: 1993 ident: 2681_CR21 publication-title: Injury doi: 10.1016/0020-1383(93)90002-N contributor: fullname: KM Sturmer – volume: 9 start-page: 672 year: 2011 ident: 2681_CR51 publication-title: Int J Surg doi: 10.1016/j.ijsu.2011.09.004 contributor: fullname: KF Schulz – volume: 41 start-page: S24 issue: Suppl 2 year: 2010 ident: 2681_CR19 publication-title: Injury doi: 10.1016/S0020-1383(10)70005-X contributor: fullname: J Green – ident: 2681_CR1 doi: 10.1097/00003086-199810001-00003 – volume: 9 start-page: 155 year: 2016 ident: 2681_CR27 publication-title: J Inflamm Res doi: 10.2147/JIR.S110621 contributor: fullname: P Haubruck – volume: 98 start-page: 97 year: 2012 ident: 2681_CR8 publication-title: Orthop Traumatol Surg Res doi: 10.1016/j.otsr.2011.11.001 contributor: fullname: C Karger – volume: 33 start-page: 488 year: 2015 ident: 2681_CR7 publication-title: J Orthop Res doi: 10.1002/jor.22815 contributor: fullname: P Bosemark – volume: 55 start-page: 1002 year: 2017 ident: 2681_CR44 publication-title: Spinal Cord doi: 10.1038/sc.2017.69 contributor: fullname: RA Heller – volume: 44 start-page: 1263 year: 2013 ident: 2681_CR13 publication-title: Injury doi: 10.1016/j.injury.2013.06.008 contributor: fullname: LM Qvick – volume: 12 start-page: 77 year: 2011 ident: 2681_CR43 publication-title: BMC Bioinformatics doi: 10.1186/1471-2105-12-77 contributor: fullname: X Robin – volume: 6 start-page: 83S issue: Suppl 3 year: 1992 ident: 2681_CR15 publication-title: Leukemia contributor: fullname: J Boniver – volume: 153 start-page: 659 year: 2015 ident: 2681_CR38 publication-title: Zeitschrift fur Orthopadie und Unfallchirurgie doi: 10.1055/s-0035-1558259 contributor: fullname: G Schmidmaier – volume: 22 start-page: 73 year: 2004 ident: 2681_CR10 publication-title: J Orthop Res doi: 10.1016/S0736-0266(03)00165-7 contributor: fullname: P Pelissier – ident: 2681_CR4 doi: 10.11138/ccmbm/2017.14.1.186. – ident: 2681_CR25 doi: 10.1007/s00264-017-3656-2 – volume: 14 start-page: 2 year: 2000 ident: 2681_CR17 publication-title: J Orthop Trauma doi: 10.1097/00005131-200001000-00002 contributor: fullname: M Bhandari – volume: 8 start-page: 15 year: 2011 ident: 2681_CR36 publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph8010015 contributor: fullname: J Efird – ident: 2681_CR28 doi: 10.1186/s12950-016-0111-x – volume: 35 start-page: 933 year: 2016 ident: 2681_CR30 publication-title: J Ultrasound Med doi: 10.7863/ultra.15.06107 contributor: fullname: C Fischer – volume: 13 start-page: 404 year: 2016 ident: 2681_CR22 publication-title: J Orthop doi: 10.1016/j.jor.2016.08.002 contributor: fullname: F Westhauser – volume: 2015 start-page: 684826 year: 2015 ident: 2681_CR33 publication-title: Biomed Res Int doi: 10.1155/2015/684826 contributor: fullname: NA van Gestel – volume: 27 start-page: s161 year: 2004 ident: 2681_CR18 publication-title: Orthopedics doi: 10.3928/0147-7447-20040102-17 contributor: fullname: B Blum – volume: 27 start-page: 119 year: 2016 ident: 2681_CR34 publication-title: J Mater Sci Mater Med doi: 10.1007/s10856-016-5732-3 contributor: fullname: F Westhauser – ident: 2681_CR5 doi: 10.1007/s00068-017-0821-7 – volume: 47 start-page: 1725 year: 2016 ident: 2681_CR26 publication-title: Injury doi: 10.1016/j.injury.2016.05.005 contributor: fullname: C Fischer – volume: 11 start-page: e0159764 year: 2016 ident: 2681_CR45 publication-title: PLoS One doi: 10.1371/journal.pone.0159764 contributor: fullname: A Moghaddam – volume: 41 start-page: 27 year: 2010 ident: 2681_CR9 publication-title: Orthop Clin N Am doi: 10.1016/j.ocl.2009.07.011 contributor: fullname: AC Masquelet – volume: 7 start-page: 2355 year: 2011 ident: 2681_CR47 publication-title: Acta Biomater doi: 10.1016/j.actbio.2011.03.016 contributor: fullname: MN Rahaman – volume: 25 start-page: 736 year: 2011 ident: 2681_CR49 publication-title: J Orthop Trauma doi: 10.1097/BOT.0b013e318213f709 contributor: fullname: HA Vallier – volume: 13 start-page: e0196051 year: 2018 ident: 2681_CR39 publication-title: PLoS One doi: 10.1371/journal.pone.0196051 contributor: fullname: P Haubruck – ident: 2681_CR2 doi: 10.1016/j.injury.2011.05.011 – volume: 55 start-page: 8 year: 2017 ident: 2681_CR46 publication-title: Spinal Cord doi: 10.1038/sc.2016.104 contributor: fullname: A Moghaddam – volume: 346 start-page: e7586 year: 2013 ident: 2681_CR50 publication-title: BMJ doi: 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doi: 10.1016/j.bone.2006.05.023 contributor: fullname: G Schmidmaier – volume: 48 start-page: 357 year: 2017 ident: 2681_CR29 publication-title: Injury doi: 10.1016/j.injury.2017.01.021 contributor: fullname: C Fischer – volume: 35 start-page: 179 year: 2017 ident: 2681_CR23 publication-title: Growth Factors doi: 10.1080/08977194.2017.1401618 contributor: fullname: B Reible – volume: 39 start-page: S5 issue: Suppl 2 year: 2008 ident: 2681_CR37 publication-title: Injury doi: 10.1016/S0020-1383(08)70010-X contributor: fullname: PV Giannoudis – volume: 89 start-page: 649 year: 2007 ident: 2681_CR31 publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.F.00465 contributor: fullname: WG De Long Jr – volume-title: ggplot2: Elegant graphics for data analysis year: 2009 ident: 2681_CR42 doi: 10.1007/978-0-387-98141-3 contributor: fullname: H Wickham – volume-title: R: A Language and Environment for Statistical Computing year: 2015 ident: 2681_CR41 contributor: fullname: RC Team – volume: 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Snippet | Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is limited in... Background Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is... BackgroundTreatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG). ABG is... Abstract Background Treatment of non-union remains challenging and often necessitates augmentation of the resulting defect with an autologous bone graft (ABG).... |
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SubjectTerms | Autografts Bioactive glass Biological products Bone marrow Bone Regeneration Bone Substitutes - adverse effects Bone Substitutes - therapeutic use Bone surgery Bone transplantation Bone Transplantation - adverse effects Bone Transplantation - methods Care and treatment Defects Equivalence Trials as Topic Femoral Fractures - diagnostic imaging Femoral Fractures - physiopathology Femoral Fractures - surgery Fracture Healing Fractures Fractures, Ununited - diagnostic imaging Fractures, Ununited - physiopathology Fractures, Ununited - surgery Germany Glass Humans Joint diseases Magnetic resonance imaging Masquelet therapy Medical imaging Non-union Osseointegration Patient outcomes Patients Prospective Studies Pseudarthrosis Quality of life S53P4 Skin & tissue grafts Stem cells Study Protocol Substance abuse treatment Tibial Fractures - diagnostic imaging Tibial Fractures - physiopathology Tibial Fractures - surgery Time Factors Trauma Treatment Outcome Ultrasonic imaging X-rays |
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Title | Evaluation of the clinical effectiveness of bioactive glass (S53P4) in the treatment of non-unions of the tibia and femur: study protocol of a randomized controlled non-inferiority trial |
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