Can Bone Grafts Provide An Advantage In Foot And Ankle Surgery?
Bone graft, whether it is cortical, cancellous or cortico-cancellous, has many applications in foot and ankle surgery. Most commonly, it is used to fill osseous defects or facilitate enhanced healing after surgery.15,16 Autograft continues to be the preferred choice due to its ability to develop mesenchymal cells into bone and cartilage forming cells; build pro-lattice for osteoblast and other support cells; and induce osteoprogenerative cells into new cells for bone production.15,17 However, the advantages of autogenous bone graft can sometimes be outweighed by problems such as donor site pain and morbidity, increased blood loss and the cost of graft harvest.17 Allograft has been shown to be advantageous in providing structural support for deformity and correction of deformities without complications of autogenous bone graft.18-20 However, allograft bone graft materials can incorporate at a slower rate, may induce an immune response and the techniques of preservation may affect the me
Bone graft, whether it is cortical, cancellous or cortico-cancellous, has many applications in foot and ankle surgery. Most commonly, it is used to fill osseous defects or facilitate enhanced healing after surgery.15,16 Autograft continues to be the preferred choice due to its ability to develop mesenchymal cells into bone and cartilage forming cells; build pro-lattice for osteoblast and other support cells; and induce osteoprogenerative cells into new cells for bone production.15,17 However, the advantages of autogenous bone graft can sometimes be outweighed by problems such as donor site pain and morbidity, increased blood loss and the cost of graft harvest.17 Allograft has been shown to be advantageous in providing structural support for deformity and correction of deformities without complications of autogenous bone graft.18-20 However, allograft bone graft materials can incorporate at a slower rate, may induce an immune response and the techniques of preservation may affect the me