Topical hemostatic agents to reduce bleeding from cancellous bone. A comparison of microcrystalline collagen, thrombin, and thrombin-soaked gelatin foam

J Bone Joint Surg Am. 1976 Jan;58(1):70-3.

Abstract

In fifty-three dogs microcrystalline collagen, thrombin-soaked gelatin foam, and thrombin powder were evaluated as hemostatic agents when applied to bleeding cancellous surfaces after osteotomy of the greater trochanter using two quantitative models: one, a single osteotomy; the other, a double osteotomy. All three agents significantly reduced bleeding compared with the controls, the microcrystalline collagen being most effective. At three months there was no evidence that microcrystalline collagen and thrombin-gelatin interfered with bone healing after the greater trochanter was reattached with two wires.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Topical
  • Animals
  • Bone Diseases / drug therapy*
  • Collagen / administration & dosage
  • Collagen / therapeutic use
  • Disease Models, Animal
  • Dogs
  • Gelatin Sponge, Absorbable / administration & dosage
  • Gelatin Sponge, Absorbable / therapeutic use
  • Hemorrhage / drug therapy*
  • Hemostatics / administration & dosage
  • Hemostatics / therapeutic use*
  • Osteotomy
  • Thrombin / administration & dosage
  • Thrombin / therapeutic use

Substances

  • Hemostatics
  • Collagen
  • Thrombin