I love these posts. As a research scientist looking at metal corrosion in the body,
Reed Ayers, Mackenzie Miller, Jeffery Schowinsky, CJ Kleck, Evalina Burger, Vikas Patel. Three Cases of Significant Metallosis in the Spine. J Mater Sci: Mater Med (2018) 29: 3.
Reed Ayers, Christopher Kleck, Mackenzie Miller, Evalina Burger. Bacterial Infection of Spine Instrumentation and Microbial Influenced Corrosion (MIC): Chicken or Egg. Biomed J Sci & Tech Res 1(6)- 2017.
I am less inclined to suggest a patient should leave their hardware in simply because you can. We are now reaching a point where implants have been in patients long enough to find the health effects of metal leaching into tissues.
Also, the suggestion for using Tildren shows a lack of understanding what that drug does. It SHUTS DOWN the resorption of bone meaning that once the bone callus forms after a fracture, it is never remodeled into quality bone, resulting in weaker bone more likely to fracture. It is becoming more clear, now that bisphosphonates are on the market, they cause very strange and abnormal fractures in horses and humans.
As for bone putties and collagen scaffolds, no, they do not accelerate the healing and conversion of bone into high quality normal bone. They can help fix bone rapidly in the terms that āfixā means keep immobile. But, the biological and physiological processes to repair bone to its original form remain rooted in a 12 week temporal structure.
