The choice between allograft or demineralized bone matrix is not unambiguous in trauma surgery

In fracture surgery, large bone defects and non-unions often require transplantation, alternatives to autograft substitutes in the form of allografts from banks derivate demineralised matrix (DBM) are widely used. With a focus on efficacy, clinical evidence, safety, cost, patient acceptance, this review evaluated difference between allogeneic allograft or DBM as substitute trauma surgery. The efficacy supporting healing is highly influenced by donor characteristics graft processing. Mechanical stability achieved structural graft. Based existing literature it difficult identify where useful level evidence for relevant use low. risk transmitting diseases negligible, lowest due extensive processing procedures. A cost comparison showed that significantly more expensive. experiences dental patients have shown many do not want receive substitute. It possible definitively conclude whether makes if used ultimately surgeon's individual choice, but article may be providing considerations before decision made.