Evidence map›Paper›PMID 39903260›Full record

ArticleInternational orthopaedics2025

Beta-tricalcium phosphate combined with native bone proteins (β-TCP - NBP): a novel bone graft substitute for ankle and hindfoot arthrodesis.

Juhana Leppilahti, Mari Kuoppala, Timo Sirola, Lukasz Kolodziej, Katri Ahonen, Mikko Aulamo, Jaakko Niinimäki, Pekka Jalovaara

Abstract readMulticenter Study
In one paragraph

Article in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Juhana LeppilahtiTranslational Medicine Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Mari KuoppalaTranslational Medicine Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Timo SirolaDepartment of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Lukasz KolodziejOrthopaedic Traumatology and Orthopaedic Oncology Clinic SPSK No 1, Pomeranian Medical University, Szczecin, Poland.
Katri AhonenCentral Hospital of Central Finland, Jyväskylä, Finland.
Mikko AulamoSouth Karelia Central Hospital, Lappeenranta, Finland.
Jaakko NiinimäkiDepartment of Radiology, Faculty of Medicine, University of Oulu, Oulu, Finland.
Pekka JalovaaraTranslational Medicine Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland. pekka.jalovaara@oulu.fi.ORCID 0009-0007-7673-064X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this prospective, multi-centre study was to assess the performance and safety of a combination of osteoconductive β-tricalcium phosphate and osteoinductive native bone proteins (β-TCP - NBP) used as alternative for autograft in ankle and hindfoot arthrodesis.

methodsThirty-four patients enrolled underwent ankle or hindfoot arthrodesis with β-TCP - NBP and were evaluated radiographically, clinically, and functionally up to fifty-two weeks. The primary performance endpoint was fusion rate evaluated with CT at six months. Safety was assessed based on the severity and incidence of adverse events. Functional evaluation was performed using the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score and pain was recorded using the Visual Analogue Scale (VAS).

resultsCT at 6 months showed that 85.3% had osseous bridging of the joint of ≥ 25%, 52.9% ≥50%, 8.8% <25% and 5.9% showed no bridging. The AOFAS score increased significantly from 60.4 ± 17.6 points at operation to 68.6 ± 17.2 points at six months and to 73.5 ± 17.7 points at 12 months. The group with fusion rate ≥25% showed significantly higher AOFAS score than that with fusion rate < 25% at 12 months. The mean VAS pain score at rest and during weight bearing decreased significantly (p < 0.0001) from operation to six and 12 months.

conclusionThis study demonstrated that β-TCP - NBP is a valuable bone graft substitute for fusion of ankle and hindfoot due to debilitating osteoarthritis and offers an alternative for autograft. LEVEL OF EVIDENCE: Level II.

Indexed as

Ankle JointArthrodesisBone SubstitutesBone TransplantationCalcium PhosphatesOsteoarthritisAdultAgedFemaleHumansMaleMiddle AgedPain MeasurementProspective StudiesTreatment Outcomebeta-tricalcium phosphateBone SubstitutesCalcium PhosphatesAnkle fusionBeta-tricalcium phosphateBone graft substituteBone growth factorsFunction of ankle and hindfootHindfoot fusionNonunionOsteoinductionPain relief

Identifiers

PMID39903260
PMCPMC11889035

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.