Коллапан применяется во всех областях костной хирургии (стоматологии, челюстно-лицевой хирургии, травмато-логии и ортопедии, нейрохирургии, хирургии позвоночника, гнойной хирургии, торакальной хирургии и военно-полевой хирургии) для заполнения костных полостей и дефектов и лечения гнойных осложнений. Коллапан является носителем лекарственных веществ (линкомицина гидрохлорида, гентамицина сульфата, метро-нидазола, диоксидина, клафорана, рифампицина, изониазида), что позволяет выбрать препарат, воздействующий целенаправленно на выявленного возбудителя заболевания.
Фармакологические свойства
Ультрадисперсный порошок гидроксиапатита равномерно распределен в матрице из особо чистого коллагена второ-го типа и антибиотика. От большинства искусственных полимеров коллаген отличается полным отсутствием токсичности, канцерогенности, способностью полностью утилизироваться в организме, стимулировать репаративные процессы в тканях и образовывать прочные комплексы с лекарственными веществами. Антибиотик и микрокристаллы гидроксиапатита посте-пенно высвобождаются из коллагеновой матрицы при ее лизисе и разлагаются путем химических превращений до ионов Ca и P, входя затем в структуру костного регенерата; что было доказано методом изотопной метки. На частицах растворяюще-гося искусственного гидроксиапатита путем эпитаксиального роста осаждается биологический ГАП, составляющий мине-ральную основу будущей костной ткани. Формируется остеоидный матрикс, постепенно созревающий и превращающийся в зрелую пластинчатую кость, в которой определяются остатки резорбируемого гидроксиапатита. Таким образом, формирова-ние новой кости начинается непосредственно на Коллапане. Фиброзной прослойки между Коллапаном и новообразующей-ся костью не определяется. Из сказанного следует, что Коллапан обладает остеокондуктивностью, а присутствие в его со-ставе коллагена и антибиотиков придает ему противовоспалительные, антимикробные и остеоиндуктивные свойства. Коллапан позволяет предупредить осложнения за счет пролонгированного выделения содержащихся в нем лекарст-венных средств. Высокая антимикробная активность Коллапана сохраняется до 20 суток, в течение которых происходит равномерное выделение лекарства в полости.
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