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METAPHYSEAL BONE FRACTURE TREATMENT BY BALLOON TECHNIQUE ​

METAPHYSEAL BONE FRACTURE TREATMENT BY BALLOON TECHNIQUE

    HOME > SURGICAL PROCEDURES > METAPHYSEAL BONE FRACTURE TREATMENT BY BALLOON TECHNIQUE

Depositphotos_618747500_XL CT rendering image showing fracture tibia bone

CT rendering image showing fracture of tibia bone.

The procedure is indicated for the treatment of TYPE II and TYPE III fracture according to the Schatzker classification system.

Metaphyseal depression fractures, stemming from trauma or conditions like osteoporosis, pose complex challenges. A prominent example is the tibial plateau fracture, although this procedure applies to proximal humerus, heel, and distal radius fractures as well.

OSTEOPLASTY™ emerges as a groundbreaking solution, facilitating minimally invasive procedures under fluoroscopic guidance.

This technique involves a small balloon catheter that lifts and reshapes bone, complemented by a hardening, radio-opaque, and bioresorbable cement solidifying exclusively in moist environments. Emphasizing percutaneous access, it prioritizes safeguarding the metaphysis and its vascularization for enduring stability, and it ensures controlled elevation, tissue preservation, swift recovery, and minimal infection risk. 

SURGICAL PROCEDURE

 1.
 
A pre-operative plan is crucial to the success of this procedure. It involves taking X-rays to determine the joint’s depth and the lesion’s location. The data collected is used to plan the positioning of the balloon catheter and estimate its size.
 
The patient is positioned on the surgical bed and the procedure is performed under fluoroscopic control to ensure accuracy and safety. The surgeon starts by using a working cannula with a trocar tip to access the fracture site and then removes the trocar stylet. 

2.

A drill is then inserted to create access for the balloon catheter. 

3.

The balloon catheter, loaded with a mix of saline and contrast medium to ensure better visibility during inflation, is inserted through the Working cannula and inflated until the desired physiological anatomy is restored.

Once deflated and removed the balloon catheter, biological cement is injected in two possible ways: directly into the Luer-lock of the working cannula (OPTION A) or by filling 2.5 ml syringes and bone filler provided in the kit (OPTION B).

4.

Cement injection OPTION A:
Ready-to-use biological cement syringe
The cement syringe is connected to the Luer-lock connection of the working cannula and the cement is released into the area to be treated.

5.

Cement injection OPTION B:
Bone filler cannulas and 2,5 ml syringes
Bone fillers are filled with biological cement and inserted into the working cannula to release cement into the cavity thanks to their plunger.

The lesion should be filled starting from its deepest point, then the bone filler is progressively pulled back to fill it completely.

Empty bone filler before removing it from the working cannula to avoid any leakage, then remove the working cannula.

Subsequently, it is possible to implant screws/plates when necessary.

An arthroscopic procedure can be performed to check that no intra-articular leakage of the biological cement occurred. 

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