Using bone wax for hemostasis tied to allergic reactions, granuloma development and disruption of bone healing: Case study

Samyabrata Das et al reported two cases of exostosis where the main surgical procedure for exostosis excision involved the use of bone wax to achieve hemostasis. A few months later, they presented with delayed migration and discharge of bone wax from the site of the surgery. To remove the bone wax off the primary application site, both of these individuals needed surgical intervention.

The article has been published in ‘Journal of Orthopaedic Case Reports.’

The authors opined - “When needed, bone wax should only be applied for the duration required to bring about hemostasis. Although it has several drawbacks, bone wax is an important surgical material. Surgeons must weigh the advantages of using it against any possible hazards. Careful observation is required after surgery to manage any possible complications. It acts as a foreign body; hence, using bone wax may result in foreign-body granulomas. Bone wax is a cost-effective, user-friendly, and promptly efficient hemostatic substance; nevertheless, its advantages should not be blindly used without prior assessment of the associated hazards. In conclusion, even though bone wax is very frequently used in Orthopedic surgeries to help with hemostasis and control bony bleeding, medical personnel must be aware of any possible risks involved with it. It is essential to closely follow individuals who have received bone wax treatment to address any issues or problems. To guarantee the best possible outcomes for their patients, surgical teams must remain up to date on the newest advancements and available options in hemostatic agents.”

Further reading:

Beyond Hemostasis: Understanding the Risks of Bone Wax in Orthopedic Surgery - A Case Report Samyabrata Das et al Journal of Orthopaedic Case Reports 2024 November:14(11): Page 56-61 https://doi.org/10.13107/jocr.2024.v14.i11.4914