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Biomedical subjects

J F Kay

Publications and source records attributed to J F Kay.

21 records · Page 2Linked to original sources

Hydroxylapatite blocks and particles as bone graft substitutes in orthognathic and reconstructive surgery.

A three-year clinical evaluation of 98 patients in whom dense hydroxylapatite in particle and block form had been placed in facial contour defects and osteotomy sites, and in cystic and reconstructive defects, alone or with autogenous bone, was conducted. The results indicate that the implants were effective in reducing operating time and potential for infection and relapse, as well as in reducing or eliminating the necessity of a donor site. The clinical response was excellent, and complications with both forms were minor, generally related to lack of initial fixation or failure to use autogenous bone in specific situations.

Bone Transplantation↗

Evaluation of hydroxylapatite graft materials in canine cervical spine fusions.

The efficacy of ceramic hydroxylapatite implant materials as graft materials for cervical spine fusion was evaluated in canines. Bioresorbable and non-bioresorbable systems were evaluated at time periods ranging from 1 to 24 weeks. Implant interbody position and progression of fusion were evaluated radiographically and histologically. Implant fracture and extrusion into adjacent soft tissues occurred in nine of 23 cases. Implant fracture occurred in many of the remaining 14 cases, however, the implant materials remained within the interspace. Implant fracture occurred with both implant systems. Radiographically little evidence of fusion was observed at less than 6 weeks, however by 12 weeks evidence of fusion was noted and was confirmed histologically. No difference in fusion rate or degree of fusion was observed between the two implant systems.

Animals↗

Tissue, cellular and subcellular events at a bone-ceramic hydroxylapatite interface.

A new polycrystalline form of hydroxylapatite, durapatite, has been examined as a cortical bone implant in dogs. Utilizing histological and electron optical techniques, it has been found that durapatite does not elicit a foreign body response and that all new bone surrounding the material is normally calcified. Bone was found to strongly adhere to durapatite and preliminary evidence suggests this bonding may be due to direct chemical attachment of bone to the material.

Animals↗