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Comparative Efficacy Of Autograft And Synthetic Bone Graft For The Repair Of Bone Defects

By: Amjad Islam | Dr. Zia Ullah.
Contributor(s): Dr. Asim Khalid Mahmood | Prof. Dr. Aneela Zameer Durrani.
Material type: materialTypeLabelBookPublisher: 2015Description: 75p.Subject(s): Department of veterinary surgeryDDC classification: 2407-T Dissertation note: Bone graft was considered as the most commonly transplanted tissue to enhance ability to heal fractures, fracture complications and bone defects. Autologous (or autogenous) bone grafting involves utilizing bone obtained from the same individual receiving the graft. Autogenous bone graft was considered to be the gold standard for replacement of lost tissue. New bone graft substitutes have been devised in recent decades such as synthetic bone graft i.e. poly methyl methacrylate (PMMA), demineralized bone matrix (DBM), bone morphogenetic proteins (BMPs), calcium phosphate (CP), calcium sulfate (CS), hydroxyapatite (HA), highly purified bovine and xenograft , but clinical evidence of their efficacy varies among clinical and experimental studies. Autograft (along with full cerclage wiring) was a better technique than poly methyla methacrylate (PMMA) for repair of bone defects in animals. A total of 16 rabbits were divided into two groups i.e. group I and group II, 12-14 weeks of average age having average body weight of 1.5 kg were selected randomly and maintained at Pet Centre, Department of Clinical Medicine and Surgery, UVAS, Lahore. Then, a defect were experimentally created having dimension 4.5 mm wide and 8 mm deep using a lateral surgical approach in left femur in all the animals of each experimental group. Post-operative evaluation was done on the basis of radiological findings, degree of lameness and histopathology findings for the comparison of autograft and synthetic bone graft. Summary 68 Conclusion It was concluded from the present study that autograft was superior to poly methyl methacrylate by radiological findings, degree of lameness and histopathological findings. Autografting was the gold standard for fracture healing to be biocompatible, osteogensis, osteinductive and osteoconductive.
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Bone graft was considered as the most commonly transplanted tissue to enhance ability to heal fractures, fracture complications and bone defects. Autologous (or autogenous) bone grafting involves utilizing bone obtained from the same individual receiving the graft. Autogenous bone graft was considered to be the gold standard for replacement of lost tissue. New bone graft substitutes have been devised in recent decades such as synthetic bone graft i.e. poly methyl methacrylate (PMMA), demineralized bone matrix (DBM), bone morphogenetic proteins (BMPs), calcium phosphate (CP), calcium sulfate (CS), hydroxyapatite (HA), highly purified bovine and xenograft , but clinical evidence of their efficacy varies among clinical and experimental studies.
Autograft (along with full cerclage wiring) was a better technique than poly methyla methacrylate (PMMA) for repair of bone defects in animals.
A total of 16 rabbits were divided into two groups i.e. group I and group II, 12-14 weeks of average age having average body weight of 1.5 kg were selected randomly and maintained at Pet Centre, Department of Clinical Medicine and Surgery, UVAS, Lahore. Then, a defect were experimentally created having dimension 4.5 mm wide and 8 mm deep using a lateral surgical approach in left femur in all the animals of each experimental group. Post-operative evaluation was done on the basis of radiological findings, degree of lameness and histopathology findings for the comparison of autograft and synthetic bone graft.
Summary
68
Conclusion
It was concluded from the present study that autograft was superior to poly methyl methacrylate by radiological findings, degree of lameness and histopathological findings. Autografting was the gold standard for fracture healing to be biocompatible, osteogensis, osteinductive and osteoconductive.

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