Bone Substitute Materials and Minimally Invasive Surgery: A Convergence of Fracture Treatment for Compromised Bone

Orthop Clin North Am. 2017 Jul;48(3):289-300. doi: 10.1016/j.ocl.2017.03.003.

Abstract

This article focuses on the understanding of the biochemistry and surgical application of bone substitute materials (BSMs) and particularly the newer calcium phosphate materials that can form a structural orthobiologic matrix within the metaphyseal components of the periarticular bone. Six characteristics of BSMs are detailed that can be used as a guide for the proper selection and application of the optimal BSM type for periarticular fracture repair. These 6 characteristics of BSMs are divided into 2 pillars. One pillar details the 3 biochemical features of BSMs and the other pillar details the 3 surgical application properties.

Keywords: Bone augmentation; Bone substitute materials (BSM); Calcium phosphate cements (CPC); Calcium phosphates; Compromised bone; Internal fixation; Minimally Invasive Surgery (MIS); Structural orthobiologic matrix (SOM).

Publication types

  • Review

MeSH terms

  • Bone Cements / pharmacology*
  • Bone Substitutes / pharmacology*
  • Bone Transplantation* / instrumentation
  • Bone Transplantation* / methods
  • Bone Transplantation* / trends
  • Fracture Fixation, Internal* / instrumentation
  • Fracture Fixation, Internal* / methods
  • Fracture Fixation, Internal* / trends
  • Fractures, Bone / surgery*
  • Humans
  • Minimally Invasive Surgical Procedures / methods

Substances

  • Bone Cements
  • Bone Substitutes