The influence of carbon fibres on the resorption time and mechanical properties of the lactide-glycolide co-polymer.

In this study the influence of short carbon fibres (CF) on mechanical properties and degradation time of the lactide-glycolide co-polymer (PGLA) and on the mechanism of bone ingrowth into the implants was determined. Mechanical properties and push-out tests were measured. The pH of solutions and the implants' weights were tested after incubation in Ringer fluid. Analysis was based upon FT-IR and SEM with EDS studies. Pathological examinations were also performed. The in vitro examination revealed that carbon fibres accelerated polymer degradation process and increased the mechanical strength of polymer. In the case of PGLA + CF under in vivo conditions, initially, the superficial polymer degradation with new tissue in-growth was observed. Next, the degradation process included also the inner part of the implant, while the bone began to grow on exposed carbon fibres. In the case of pure PGLA the growth of soft tissue can be observed at the bone-implant interface and in the implant area. Our research indicates that PGLA + CF composite can be used in bone surgery as a short-term multifunctional load-bearing implant, which initially provides a mechanical support. During the time of controlled resorption of PGLA, carbon fibres act as a scaffold for the bone growth.

[Diagnosis and treatment of zygomatic bone fractures]. / Rozpoznawanie i leczenie zlaman kosci jarzmowej.

Zygomatic bone fractures are the second most often injury of facial skeleton and sometimes cause diagnostic and treatment problems. Authors of this article present diagnostic and treatment methods applied in 165 patients (139 men, 22 women, 4 children) treated in I Department of Maxillofacial Surgery in Zabrze, in year 1996-2000. Closed repositioning was performed in 70 patients with fractures with single bone fragment. In multiple fractures complicated with sight disorders (diplopia) and in case of old fractures, open repositioning and fixation using mini- and microplates was a method of choice. Achieved clinical and radiological results of treatment show that both close repositioning with single-toothed hook and open repositioning and fixation are effective methods of treatment. Early diagnosis and treatment of zygomatic fractures make treatment easier and prevent from vision and mastication complication.