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The Journal of Bone & Joint Surgery British Volume
Vol. 89-B, Issue 10 | Pages 1382 - 1386
1 Oct 2007
Bajada S Harrison PE Ashton BA Cassar-Pullicino VN Ashammakhi N Richardson JB

Successful healing of a nine-year tibial nonunion resistant to six previous surgical procedures was achieved by tissue engineering. We used autologous bone marrow stromal cells (BMSCs) expanded to 5 × 106 cells after three weeks’ tissue culture. Calcium sulphate (CaSO4) in pellet form was combined with these cells at operation. The nonunion was clinically and radiologically healed two months after implantation.

This is the description of on healing of a long-standing tibial nonunion by tissue engineering. The successful combination of BMSCs and CaSO4 has not to our knowledge been reported in a clinical setting.


The Journal of Bone & Joint Surgery British Volume
Vol. 89-B, Issue 6 | Pages 782 - 784
1 Jun 2007
Cribb GL Jaffray DC Cassar-Pullicino VN

We have treated 15 patients with massive lumbar disc herniations non-operatively. Repeat MR scanning after a mean 24 months (5 to 56) showed a dramatic resolution of the herniation in 14 patients. No patient developed a cauda equina syndrome.

We suggest that this condition may be more benign than previously thought.