195:
or bone marrow cells. This significantly reduces the immunogenicity (risk of graft rejection) such that no antirejection drugs are needed, and combined with appropriate donor screening practices, these processing and preservation practices can significantly reduce the risk of disease transmission. In spite of all of this processing, cancellous allograft bone retains its osteoconductive properties. Furthermore, certain processing practices have been shown to also retain the acid-stable osteoinductive proteins in cortical bone grafts, so that many bone allografts can be considered both osteoconductive and osteoinductive.
31:
194:
Bone allograft has the advantage of being available in far larger quantities than autograft; however, during the treatment process the bone goes through following harvest, which usually involves deep-freezing and may also involve demineralization, irradiation and/or freeze-drying, kills living bone
248:
Arthrodesis is used in horses as a salvage procedure to treat severe breakdown injuries, such as failure of the suspensory apparatus, subluxation, fracture, or collateral ligament rupture. It is also performed in horses with osteoarthritis, primarily of the distal hock joints, to fuse these
229:
At the completion of surgery and healing, which takes place over a period of several weeks to over a year, the two adjoining bones are fused and no motion takes place between them. This can have the effect of strengthening the bones, as in anterior
191:), as well as acting as a matrix or scaffold to new bone growing from the bones being bridged (osteoconductive). The main drawback of bone autograft is the limited supply available for harvest.
337:
183:
Bone autograft is generally preferred by surgeons because, as well as eliminating the risks associated with allografts, bone autograft contains native bone-forming cells (
160:, arthrodesis of these large joints has fallen out of favour as a primary procedure, and now is only used as a procedure of last resort in some failed arthroplasties.
215:. They act solely as an osteoconductive matrix. Some manufacturers have recently begun supplying these products with soluble bone-forming factors such as
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Titanium alloy implants (plates and screws) can be attached to the two bones to hold them together in a position which favors bone growth.
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can be created between the two bones using a bone from elsewhere in the person's body (autograft) or using donor bone (
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arthrodeses were also performed as pain-relieving procedures, but with the great successes achieved in hip and knee
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208:-based granules formed into a coralline or trabecular structure to mimic the structure of
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A combination of the above methods is also commonly employed to facilitate bony fusion.
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A variety of synthetic bone substitutes are commercially available. These are usually
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124:, or other normally indicated treatments. The typical causes of such pain are
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to attempt to create a synthetic product with osteoinductive properties.
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low-motion joints so they no longer produce pain for the animal.
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280:"Arthrodesis of the Proximal Interphalangeal Joint"
132:. It is most commonly performed on joints in the
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128:which disrupt the joint, severe sprains, and
16:Surgical immobilization of a diseased joint
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324:
29:
731:Anterior cruciate ligament reconstruction
168:Arthrodesis can be done in several ways:
683:Ulnar collateral ligament reconstruction
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187:), so the graft itself forms new bone (
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311:Neuromechanics of idiopathic scoliosis
286:. John Wiley & Sons. p. 277.
278:Watkins, Jeffrey P. (9 January 2020).
116:in a joint which cannot be managed by
112:. This is done to relieve intractable
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589:Autologous chondrocyte implantation
13:
740:Unicompartmental knee arthroplasty
584:Knee cartilage replacement therapy
14:
854:
97:, is the artificial induction of
237:
843:Orthopedic surgical procedures
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1:
304:
264:
244:Treatment of equine lameness
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282:. In Nixon, Alan J. (ed.).
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10:
859:
572:Articular cartilage repair
241:
217:bone morphogenetic protein
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70:
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40:
28:
23:
698:Finger joint replacement
489:Distraction osteogenesis
35:Arthrodesis of the thumb
479:Femoral head ostectomy
447:Vertebral augmentation
284:Equine Fracture Repair
676:Weaver–Dunn procedure
577:Microfracture surgery
346:Procedures involving
666:Shoulder replacement
628:Intervertebral discs
386:Orthognathic surgery
206:tricalcium phosphate
180:) from a bone bank.
818:Arthroscopic lavage
550:Tension band wiring
760:Triple arthrodesis
755:Broström procedure
693:Brunelli procedure
494:Ilizarov apparatus
442:Vertebral fixation
358:Orthopedic surgery
830:
829:
826:
825:
796:Joint replacement
750:Ankle replacement
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557:
545:External fixation
540:Internal fixation
391:Chin augmentation
293:978-0-8138-1586-2
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736:Knee replacement
661:Shoulder surgery
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148:. Historically,
86:, also known as
74:edit on Wikidata
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721:Hip replacement
716:Hip resurfacing
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499:Phemister graft
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118:pain medication
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811:Arthrocentesis
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671:Bankart repair
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530:Epiphysiodesis
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484:Astragalectomy
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242:Main article:
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202:hydroxyapatite
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189:osteoinductive
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621:Spinal fusion
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520:Bone grafting
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463:Acromioplasty
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381:Jaw reduction
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238:Use in horses
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800:
781:Arthroplasty
745:Ankle fusion
688:Hand surgery
643:Arthroplasty
638:Annuloplasty
615:
437:Foraminotomy
422:Laminoplasty
407:Coccygectomy
283:
273:
259:Ankle fusion
247:
228:
167:
158:arthroplasty
104:between two
102:ossification
94:
87:
83:
82:
18:
791:Arthroscopy
786:Synovectomy
616:Arthrodesis
432:Facetectomy
417:Laminectomy
185:osteoblasts
88:artificial
84:Arthrodesis
24:Arthrodesis
806:Arthrogram
776:Arthrotomy
633:Discectomy
427:Corpectomy
412:Laminotomy
350:and joints
265:References
210:cancellous
174:bone graft
564:Cartilage
535:Reduction
525:Osteotomy
515:Ostectomy
178:allograft
130:arthritis
126:fractures
90:ankylosis
837:Category
801:imaging:
305:See also
253:See also
234:fusion.
232:cervical
95:syndesis
42:ICD-9-CM
769:General
508:General
122:splints
110:surgery
64:D001174
599:Joints
290:
164:Method
144:, and
608:Spine
400:Spine
366:Bones
348:bones
204:- or
142:ankle
134:spine
106:bones
99:joint
72:[
374:Face
288:ISBN
213:bone
152:and
150:knee
146:foot
138:hand
114:pain
58:MeSH
51:81.3
47:81.0
709:Leg
654:Arm
472:Leg
456:Arm
154:hip
108:by
93:or
839::
172:A
140:,
136:,
120:,
738:/
339:e
332:t
325:v
296:.
76:]
49:-
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