Bone Graft Substitutes: Current Concepts and Future Expectations
Owing to its osteoinductive and osteoconductive properties and the presence of osteogenic cells, freshly harvested autologous bone graft is the gold standard for skeletal reconstruction where there is inadequate native bone. Whereas these characteristics are difficult to replicate, engineered, comme...
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| Veröffentlicht in: | The Journal of hand surgery (American ed.) 2019-06, Vol.44 (6), p.497-505.e2 |
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| container_end_page | 505.e2 |
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| container_title | The Journal of hand surgery (American ed.) |
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| creator | Lobb, David C. DeGeorge, Brent R. Chhabra, A. Bobby |
| description | Owing to its osteoinductive and osteoconductive properties and the presence of osteogenic cells, freshly harvested autologous bone graft is the gold standard for skeletal reconstruction where there is inadequate native bone. Whereas these characteristics are difficult to replicate, engineered, commercially available bone graft substitutes aim to achieve a comparable osseoregenerative profile. This work furnishes the reader with an understanding of the predominant classes of bone graft substitutes available for reconstruction of upper extremity bone defects following trauma or oncological surgery. We review bone graft substitutes with respect to their mechanisms of action, their advantages and disadvantages, and their indications and contraindications. We provide examples of bone graft substitutes in clinical use and outline comparative costs. We also describe the future directions for this specific aspect of reconstructive surgery with a focus on the role of bioactive glass. |
| doi_str_mv | 10.1016/j.jhsa.2018.10.032 |
| format | Article |
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We also describe the future directions for this specific aspect of reconstructive surgery with a focus on the role of bioactive glass.</description><subject>allograft</subject><subject>autograft</subject><subject>Bone graft substitute</subject><subject>Bone Morphogenetic Proteins</subject><subject>Bone Substitutes</subject><subject>Calcium Phosphates</subject><subject>Calcium Sulfate</subject><subject>Durapatite</subject><subject>Glass</subject><subject>Humans</subject><subject>Polymethyl Methacrylate</subject><subject>Upper Extremity - surgery</subject><issn>0363-5023</issn><issn>1531-6564</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRbK3-AQ-So5fE2c-k4kEttQoFD-p52e5OMKVN6u5G9N-7pdWjp4HheV9mHkLOKRQUqLpaFsv3YAoGtEqLAjg7IEMqOc2VVOKQDIErnktgfEBOQlgCpBSXx2TAoQRRVmJIbu-7FrOZN3XMXvpFiE3sI4brbNJ7j23MJl1rcRNDZlqXPfSx95hNvzZoo4lN14ZTclSbVcCz_RyRt4fp6-Qxnz_PniZ389wKgJiXzElRoRnzhWTpYldLLkCWRgirpDQUVGUUoBo7tnBGOGcV2JrWTKqSo-Ujcrnr3fjuo8cQ9boJFlcr02LXB81oORaqYlImlO1Q67sQPNZ645u18d-agt6a00u9Nae35ra7ZC6FLvb9_WKN7i_yqyoBNzsA05efDXodbINJjmt8sqFd1_zX_wNzjH5I</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Lobb, David C.</creator><creator>DeGeorge, Brent R.</creator><creator>Chhabra, A. 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| ispartof | The Journal of hand surgery (American ed.), 2019-06, Vol.44 (6), p.497-505.e2 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | allograft autograft Bone graft substitute Bone Morphogenetic Proteins Bone Substitutes Calcium Phosphates Calcium Sulfate Durapatite Glass Humans Polymethyl Methacrylate Upper Extremity - surgery |
| title | Bone Graft Substitutes: Current Concepts and Future Expectations |
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