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Bone grafts and their substitutes.

Y Fillingham1, J Jacobs1

  • 1Rush University Medical Center, 1611 West Harrison Street, Suite 300, 60612, Illinois, USA.

The Bone & Joint Journal
|January 7, 2016
PubMed
Summary
This summary is machine-generated.

Bone repair relies on osteoblasts, osteocytes, and osteoclasts. Bone grafts and substitutes, like calcium phosphates, aid healing when natural bone repair is insufficient, requiring careful selection based on clinical needs.

Keywords:
AllograftAutogenous graftBone graftBone graft substitutesOsteoconductionOsteogenesisOsteoinduction

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Area of Science:

  • Biomaterials Science
  • Orthopedic Surgery
  • Regenerative Medicine

Background:

  • Bone remodeling involves osteoblasts, osteocytes, and osteoclasts.
  • Natural bone repair mechanisms can be insufficient in certain clinical scenarios.
  • Bone grafts and substitutes are utilized to augment bone healing.

Purpose of the Study:

  • To review the bone repair process.
  • To detail the properties of bone grafts and their substitutes.
  • To guide clinicians in selecting the optimal bone graft for specific situations.

Main Methods:

  • Literature review of bone repair mechanisms.
  • Analysis of fundamental bone graft properties: osteoconduction, osteoinduction, osteogenesis, and structural support.
  • Categorization of bone graft options: autografts, allografts, and various synthetic substitutes (calcium sulfate, calcium phosphate, tricalcium phosphate, coralline hydroxyapatite).

Main Results:

  • Bone grafts possess distinct properties influencing their efficacy.
  • The choice of bone graft depends on the clinical situation and desired properties.
  • Understanding graft characteristics is crucial for successful bone regeneration.

Conclusions:

  • Effective bone repair requires a thorough understanding of the bone remodeling process.
  • Selecting the appropriate bone graft or substitute is critical for successful outcomes.
  • This review provides a framework for clinicians to make informed decisions regarding bone grafting.