The Use of Highly Porous Cellular Carbon to Replace Defects after the Removal of Diseased Bone from Children

Abstract

The results of surgical treatment of 8-16-year-old children with extensive bone defects after pathological tissue resection with the use of high-porosity cellular carbon in isolation (9 patients) and in combination with autografts (3 patients) are presented. Children with lesions of long bone segments – the tibia, humerus, and femur (10 patients) predominated. The Musculo Skeletal Tumor Society Score was used as the basis for outcome assessment, and clinical and radiological data were assessed. The results in 100% of treated patients were rated as good in terms of 7 to 12 years after surgery. There were no complications in the operated patients. The efficacy of treatment according to the ISOLS system was + 56.8% after treatment in the group after carbon plastic surgery, the postoperative score became higher by more than 1.5 times, there were no recurrences of the defects, full integration of the implanted materials with good clinical and radiological results were registered. High-porous cellular carbon is suitable for effective plasty of bone defects in children and when properly applied leads to good results and no complications.