Name of the Procedure:

Porous Purified Collagen Matrix Bone Void Filler (Integra Mozaik Osteoconductive Scaffold Strip), also referred to as HCPCS Code C9362.

Summary

This procedure involves the use of a specialized collagen matrix to fill bone voids. The Integra Mozaik Osteoconductive Scaffold Strip acts as a framework to support bone regeneration and healing.

Purpose

The procedure is designed to address bone voids or gaps that can result from trauma, surgery, or disease. The primary goal is to promote bone growth and facilitate the natural healing process, ultimately restoring the bone's structural integrity and function.

Indications

This procedure is indicated for patients with bone defects or voids due to:

• Trauma
• Surgical removal of bone (e.g., cancer or cyst removal)
• Bone degenerative conditions

It is suitable for patients who have not responded to other treatments and require a scaffold to support new bone growth.

Preparation

• Patients may need to fast for several hours before the procedure.
• They should inform their healthcare provider about all medications they are taking. Some medications might need to be adjusted or discontinued.
• Pre-procedure imaging studies like X-rays or CT scans may be necessary to evaluate the extent of the bone void.

Procedure Description

1. The area around the bone void is exposed through a surgical incision.
2. The bone void is cleared of any debris or unhealthy tissue.
3. The Integra Mozaik Osteoconductive Scaffold Strip is placed into the bone void. This strip is porous and allows for the infiltration of cells and nutrients.
4. The site is then closed using sutures or other appropriate methods.
5. The scaffold acts as a support matrix for new bone growth, eventually becoming integrated into the surrounding bone tissue.

Tools and equipment include surgical instruments, the collagen matrix strip, and possibly imaging equipment for guidance.

Anesthesia details:

• General or regional anesthesia may be used depending on the location and extent of the procedure.

Duration

The procedure typically takes 1-2 hours, varying based on the size and location of the bone defect.

Setting

The procedure is generally performed in a hospital or a specialized surgical center.

Personnel

• Orthopedic surgeon
• Surgical nurses
• Anesthesiologist

Risks and Complications

Common risks:

• Infection
• Bleeding
• Swelling

Rare risks:

• Delayed bone healing
• Rejection of the scaffold material
• Damage to surrounding tissues

Possible complications:

• Non-union of the bone
• Chronic pain, which may require further treatment

Benefits

• Supports natural bone regeneration
• May provide structural support and stability
• Potentially reduces healing time compared to other methods
• Expected benefits can be realized within a few months as bone integration progresses

Recovery

Post-procedure care:

• Wound care to prevent infection
• Pain management using prescribed medications
• Physical therapy may be recommended to regain strength and mobility

Expected recovery time:

• Initial healing within a few weeks
• Full recovery might take several months, depending on the extent of the bone void and overall patient health

Patients should avoid strenuous activities and follow any weight-bearing restrictions as advised by their healthcare provider. Follow-up appointments are essential for monitoring progress.

Alternatives

• Autografts (using the patient’s own bone)
• Allografts (using donor bone)
• Synthetic bone substitutes
• These alternatives may have different success rates, risks, and recovery times. For instance, autografts might have lower rejection rates but require additional surgery to harvest the bone.

Patient Experience

During the procedure:

• Patients will be under anesthesia, so they won't feel any discomfort during the surgery.

After the procedure:

• Some discomfort and pain are expected, which can be managed with medications.
• Gradual improvement in bone stability and function over time as the bone regenerates.

Pain management:

• Pain relief measures include medications and possibly physical therapy exercises for pain reduction and improved mobility.

With appropriate care and adherence to post-procedure instructions, patients can expect satisfactory outcomes and restoration of bone function.