Name of the Procedure:

Porous Purified Collagen Matrix Bone Void Filler Common Name(s): Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty

Summary

The procedure involves the application of a specialized putty made from purified collagen matrix to fill bone voids. This putty helps support the growth of new bone tissue.

Purpose

Medical Conditions or Problems:

• Bone voids or defects due to surgery, trauma, or congenital conditions. ##### Goals or Expected Outcomes:
• Promote bone growth and healing.
• Provide structural support where bone tissue is missing.

Indications

• Patients with bone defects or voids.
• Requirements for bone grafts or fillers in orthopedic surgeries.
• Patients without allergies to collagen or related compounds.

Preparation

• Follow fasting guidelines if instructed.
• Adjust or discontinue certain medications as directed by your healthcare provider.
• Undergo any required imaging or diagnostic tests to assess the bone void.

Procedure Description

1. The surgical area is cleaned and prepared.
2. An incision is made to access the bone defect.
3. The Integra Mozaik or Integra OS scaffold putty is prepared and applied to the bone void.
4. The putty is molded to fit the defect and compacted to ensure stability.
5. The incision is closed and the area is dressed.

Tools and Equipment:

• Surgical incision tools.
• Integra Mozaik or Integra OS scaffold putty.
• Sterile dressing materials.

Anesthesia:

• Local or general anesthesia, based on the specific case and surgical site.

Duration

• The procedure typically takes 1-2 hours, depending on the size and location of the bone void.

Setting

• Hospital, outpatient clinic, or surgical center.

Personnel

• Orthopedic surgeon or specialized bone surgeon.
• Surgical nurses.
• Anesthesiologist (if general anesthesia is required).

Risks and Complications

Common Risks:

• Infection at the surgical site.
• Temporary pain or discomfort. ##### Rare Risks:
• Allergic reactions to the collagen matrix.
• Graft failure or displacement. ##### Management:
• Antibiotics for infection.
• Close monitoring and follow-up care.

Benefits

• Promotes new bone growth and healing.
• Provides structural support, potentially reducing recovery time.
• Reduces the need for harvesting bone from other sites.

Recovery

• Follow all post-procedure care instructions provided by the surgeon.
• Avoid strenuous activities as directed.
• Attend all follow-up appointments for monitoring and assessment. ##### Expected Recovery Time:
• Variable; can range from a few weeks to several months, based on individual healing rates and the extent of the bone defect.

Alternatives

• Autografts (bone harvested from the patient's own body).
• Allografts (donor bone tissue).
• Synthetic bone substitutes. ##### Pros and Cons:
• Autografts and allografts avoid implant-related complications but may involve additional surgery or risk of rejection.
• Synthetic substitutes may not integrate as well with natural bone.

Patient Experience

During Procedure:

• Under anesthesia, no pain or discomfort should be felt. ##### After Procedure:
• Some pain or discomfort as anesthesia wears off, managed with prescribed pain relief.
• Swelling and bruising around the surgical site are common.
• Follow-up care includes monitoring healing and ensuring the graft remains in place.