Biomedical subjects
Publications and source records attributed to J Gummel.
Report about therapy of a severe renal osteopathy, a case of tertiary hyperparathyroidism. It will be shown the good team work between paediatrics, surgery and orthopaedics. Only on this way the patient get the ability for a later dialysis or kidney transplantation.
Widely normal stability of the vertebral column with adequate load-bearing capacity should be achieved, following osseous reconstruction of a defect area from which benign tumours or tumour-like lesions had been removed by radical surgery. In malignant processes, surgical tumour removal may add to the effectiveness of chemotherapy or radiotherapy. Postoperative restoration of the vertebral column will also improve the psychic, physical, and social quality of survival.
A new biomaterial for bone substitution, a "machinable bioactive glass-ceramic" has been developed. The material contains two main crystal phases, mica and apatite, and is therefore machinable and bioactive. It has the advantage to be workable by the surgeon, if necessary, during operation. The preparation method of this glass-ceramic is described. Different types of the material can be produced in dependence of the composition, nucleation, and crystallization of the basic glass. In vivo and in vitro investigations showed a characteristic solubility of the material. A Ca-phosphate-rich interface layer with apatite crystals (from the basic glass-ceramic) and a thickness of about 5-10 micrometers grows as solid-state reaction between glass-ceramic and bone. This interface reaction is interpreted as a chemical process which includes a slight solubility of the glass-ceramic and a solid state reaction between the stable apatite crystals in the glass-ceramic and the bone.
Anorganic materials as glass ceramics with their main crystal phase apatite can be used as biomaterial for the bone substitute. An interior compound between bioglass-ceramics implants and the bone was showed in animal experiments. The apatite crystals in the bioglass-ceramics produce obviously the start point for this fusion process. The shear strength of the compound is on average the eightfold of highly compact Al2O3 ceramics. The bioactive glass ceramics could solve possibly the problems of implant loosening and defect bridging-over. Mechanical processable bioactive ceramics was developed and tested with regard to these employment spheres.
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