STUDY DESIGN A literature review was conducted. OBJECTIVES To review the discovery of the bone morphogenetic proteins and describe the bone morphogenetic protein products that will or may be available for clinical use. SUMMARY OF BACKGROUND DATA Bone morphogenetic proteins comprise the osteoinductive component of several tissue engineering products in late-stage development as replacements ...

A three-year-old intact female Great Pyrenees underwent total knee replacement for the treatment of osteoarthritis. The dog contracted septic arthritis 10 weeks following the procedure. Treatments including implant subtraction, debridement of tissue, and insertion of bone cement with antibiotics into the joint space were completed in the joint cavity. A temporary external skeletal fixator was u...

Functional salvage of a severely injured extremity is a challenge for the patient and the treating surgeon. We report a case of a woman presenting with severely injured lower limb and bone loss, which was managed using a custom-made endoprosthetic replacement for successful functional outcome. Despite being complicated by bone loss, nerve injury and infection; a planned staged surgical treatmen...

Acetabular destruction can significantly increase the difficulty of performing hip replacement and is, therefore, a much more important consideration than femoral head necrosis. In this study acetabular migration was used as a measure of acetabular destruction. Fifty-eight patients undergoing total hip replacement at the Princess Elizabeth Orthopaedic Hospital for primary osteoarthritis were st...

Continuously increasing life expectancy results in a rising number of bone diseases and fractures. Replacements from natural sources are not only limited in their availability, they also have some serious disadvantages such as possible immunological reactions or transmission of diseases. New synthetic biodegradable materials based on photopolymers could be an alternative solution. In these inve...

Background and purpose - To further improve the success of joint replacement surgery, attention needs to be paid to variations associated with improved or worsened outcomes. We investigated the association between the type of bone cement used and the risk of revision surgery after primary total hip replacement. Methods - We conducted a prospective study of data from the National Joint Registry ...

BACKGROUND Radiolucent lines and sclerotic margins are often seen on knee radiographs taken a year or longer after knee replacement surgery. Histology has shown that the radiolucent zone is predominantly fibrocartilage and the sclerotic margin is lamellar bone. The reasons for their existence are not clearly understood. METHODS A three-dimensional finite element model of the medial half of th...

Bone loss with aging and menopause may be linked to vascular endothelial dysfunction. The purpose of the study was to determine whether putative modifications in endothelium-dependent vasodilation of the principal nutrient artery (PNA) of the femur are associated with changes in trabecular bone volume (BV/TV) with altered estrogen status in young (6 mon) and old (24 mon) female Fischer-344 rats...