1. Multi Center Outcome Study USE AND EFFICACY OF TCP (TriCalcium Phosphate) By Jeff Freshour, Staci Lorimer and Laurie Holmes

3. Americans suffer 5.6 million fractures a year, and surgeons perform nearly half a million bone graft operations annually. Bone grafts are second only to blood transfusions on the list of transplanted materials.

4. In a typical bone graft involving a fracture, bone or synthetic material is shaped by the surgeon to fit the affected area. It is then held in place with pins or screws that hold the healthy bone to the implanted material.

6. Where Grafting Material Used? Upper Extremity Surgeries Colles Fracture Distal Radius Fracture Both Bone Forearm Fracture Supracondylar Humeral Fracture Proximal Fracture Clavicle Fracture

7. CLINICAL TRIAL TRICALCIUM PHOSPHATE IN ORTHOPEDIC SURGERY C.H. Siebert; D.C. Wirtz; D. Gottschalk; and C. Niedhart TCP implanted in 21 patients used in a variety of settings 1. Pelvic osteotomies in children 2. Filling of bone cysts or osseous defects 3. Dorsal spondylodesis 4. Grafting of pseudarthroses Follow-up period was 6 to 18 months

10. Methods – They used 10 matched pairs of cadaveric proximal humeri and implanted a metal screw-type suture anchor in one side and on the other side injected tricalcium phosphate cement into the anchor holes before anchor placement. They tested all specimens to failure using a ramped cyclic loading protocol.

11. Results - Tricalcium phosphate cement augmentation increased the final load to failure by 29% and the number of cycles to failure by 20%. Visual inspection confirmed that failure occurred at the cement-bone interface

13. THANK YOU! Questions or Comments?