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Bone Grafting Options.

Sean T Grambart1, Danika S Anderson2, Travis Drew Anderson2

  • 1Des Moines University, College of Podiatric Medicine and Surgery, 3200 Grand Avenue, Des Moines, IA 50312, USA; Unitypoint Health - Iowa Methodist Medical Center, 1200 Pleasant Street, Des Moines, IA 50309, USA.

Clinics in Podiatric Medicine and Surgery
|May 31, 2020
PubMed
Summary
This summary is machine-generated.

Achieving bone healing in foot and ankle surgery relies on controllable factors like surgical technique and the healing environment. Bone grafts and orthobiologics can enhance osseous fusion for better surgical outcomes.

Keywords:
Bone graftBone marrow aspirate allograftRevision surgery

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Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Regenerative Medicine

Background:

  • Bone healing and union rates in foot and ankle arthrodesis are variable.
  • Achieving complete bone fusion in a timely manner is a primary surgical goal.
  • Patient-specific factors influencing healing are often beyond surgical control.

Purpose of the Study:

  • To review bone graft and orthobiologic options for improving bone healing in foot and ankle surgery.
  • To discuss methods surgeons can control to optimize the osseous fusion environment.

Main Methods:

  • Literature review of bone grafts and orthobiologics used in foot and ankle surgery.
  • Analysis of surgical techniques influencing the bone healing environment.
  • Discussion of factors controllable by surgeons to promote osseous fusion.

Main Results:

  • Surgeons can influence bone healing through osseous preparation, stable fixation, and soft tissue preservation.
  • The initial healing environment is critical for successful osseous fusion.
  • Bone grafts and orthobiologics represent key modifiable factors for enhancing bone healing.

Conclusions:

  • Optimizing the surgical environment and utilizing bone grafts/orthobiologics are crucial for successful foot and ankle bone healing.
  • Controlled surgical factors can significantly impact union rates in arthrodesis.
  • Further research into specific orthobiologic applications may yield improved clinical outcomes.