Bone Grafts in Veterinary Orthopedical Surgery

Öz

Bone grafts are widely used in veterinary practices in the World. The opportunity of bone graft usage are underestimated in our country by both researchers and clinicians. In this manuscript review, types and the variety of applications of bone grafts were collected within historical knowledge up to today’s practices. In general, grafts have benefits in communited fractures with large bone gaps. Healing problems due to complications and stimulation of the bone production in non-healing fractures are other aspects of grafts. Moreover, bone grafts are widely used in malunions, arthrodesis, reconstructive bone and joint procedures, dissection of bone cysts and tumors, metal implant complications or either coating the implant with offers salvational solutions for problems. The integrity of implants can be augmented as like in dental applications which can be found in various practices in literature.

Anahtar Kelimeler

• Autograft,Graft Types,Bone,Xenograft,Synthetic Graft

Veteriner Ortopedik Cerrahide Kemik Grefleri

Öz

Kemik grefleri günümüzde veteriner cerrahi alanında sıklıkla kullanılmaktadır. Ülkemizde kemik greflerinin sağladığı bir çok imkan araştırmacılar ve klinisyenler tarafından yeterince değerlendirilememektedir. Bu derleme hazırlanırken kemik greflerinin çeşitleri ve kullanım alanları hakkındaki tarihsel ve güncel bilgilerin hekimlerin bilgisine sunulması amaçlanmıştır. Kemik grefleri çözümü zor görülen kırık kaynama problemlerinde, kemik tümörü operasyonlarında ve diğer birçok durumda avaskülerize veya vaskülerize şekilde kullanılarak bugüne kadar gelmiştir ve günümüzde kemik ve eklemlerin bütün olarak yenilenmesi konuları ilgi görmeye başlamıştır. Genel anlamda çok parçalı veya maddi kayıplı kırıkların tedavisinde kemik grefleri büyük avantajlar sağlamaktadır. Ayrıca bir komplikasyona bağlı iyileşmenin gecikmesi ve kemik iyileşmesinin uyarılması konusunda, deformasyonların düzeltilmesi, artrodez operasyonları, rekonstrüktif eklem ve kemik cerrahisi, kemik tümörleri, kist ve osteomyelit durumlarında, metal implant komplikasyonu veya implantın kaplanarak dokuya integrasyonunun artırılması gibi uygulamaların yanı sıra diş hekimliği cerrahisi kemik greflerinin sık kullanıldığı alanlar arasındadır.

Anahtar Kelimeler

• Allogref,Greft Türleri,Kemik,Ksenogref,Otogref,Sentetik gref

Kaynakça

1. Schweiberer L, Stützle H, Mandelkow H. Bone transplantation. Archives of Orthopaedic and Trauma Surgery. 1989;109(1):1-8.
2. Sinibaldi KR. Bone Grafting Principles and Techniques. In: Bojrab M, Ellison G, Slocum B, editors. Current Techniques in Small Animal Surgery 4th edition Baltimore. 2. 4th ed. Baltimore, Maryland: Williams & Wilkins; 1998. p. 901-10.
3. Taylor GI, Mıller GD, Ham FJ. The free vascularized bone graft: A clinical extension of microvascular techniques. Plastic and reconstructive Surgery. 1975;55(5):533-44.
4. Slatter DH. Textbook of small animal surgery: Elsevier Health Sciences; 2003.
5. Gould SE, Rhee JM, Tay B-B, Otsuka NY, Bradford DS. Cellular contribution of bone graft to fusion. J Orthop Res. 2000;18(6):920-7.
6. Bishop AT, Pelzer M. Vascularized bone allotransplantation: current state and implications for future reconstructive surgery. The Orthopedic clinics of North America. 2007;38(1):109.
7. Muramatsu K, Bishop AT. Cell repopulation in vascularized bone grafts. Journal of orthopaedic research. 2002;20(4):772-8.
8. Muramatsu K, Bishop AT, Sunagawa T, Valenzuela RG. Fate of donor cells in vascularized bone grafts: identification of systemic chimerism by the polymerase chain reaction. Plastic and reconstructive surgery. 2003;111(2):763.

9. Pederson WC, Person DW. Long bone reconstruction with vascularized bone grafts. The Orthopedic clinics of North America. 2007;38(1):23.
10. Shin A. Preface. Orthopedic Clinics of North America. 2007;38(1):ix-x.
11. Wood M. Free Vascularized Fibular Grafting-25 Years' Experience: Tips, Techniques, and Pearls. Orthopedic Clinics of North America. 2007;38(1):1-12.
12. Aldridge JM, Urbaniak JR. Avascular necrosis of the femoral head: role of vascularized bone grafts. Orthopedic Clinics of North America. 2007;38(1):13-22.
13. Stein H, Volpin G, Hörer D. Vascularized muscle pedicle flap for osteonecrosis of the femoral head. Orthopedics. 2002;25(5):485.
14. Gage HN. Banked Allogeneic Bone Grafts: An Overview of Current Theory and Uses. In: M. Bojrab GEaBS, editor. Current Techniques in Small Animal Surgery. Bone Grafting Principles and Techniques. 2. 4th ed. Baltimore. Baltimore, Maryland,: Williams & Wilkins; 1998. p. 910-3.
15. Arthrex I. Tendon Allografts Florida , USA: Arthrex, Inc.; [cited 2013 08.05.2013]. Available from: http://www.arthrex.com/tendon-allografts.
16. Mathews K, Danova A, Newman H, Barnes H, Phillips L. Ratite cancellous xenograft: effects on avian fracture healing. VETERINARY AND COMPARATIVE ORTHOPAEDICS AND TRAUMATOLOGY. 2003;16(1):50-7.
17. Thiede R, Lu Y, Markel M. A review of the treatment methods for cartilage defects. Veterinary and Comparative Orthopaedics and Traumatology. 2012;25(4):263.