The use of recombinant human bone morphogenetic protein-2 (rhBMP-2) in orthopaedic applications.

作者: Safdar N Khan , Joseph M Lane

DOI: 10.1517/14712598.4.5.741

关键词:

摘要: Preclinical proof-of-concept, feasibility and efficacy studies in lower animals resulted the accumulation of data that served as a backbone for clinical trials with recombinant, osteogenic bone morphogenetic protein-2 (BMP-2). Among important observations was dependence dose carrier on outcome osseous union relation to animal model used. Clinical spinal applications indicate better overall results compared traditional controls utilised autogenous iliac crest graft fusion. Parameters include less blood loss, operating room time costs, fusion outcomes increased patient satisfaction. At this juncture, long journey from identification BMP-2 demineralised fraction FDA approval use singular orthopaedic application has been completed. It demonstrated be safe, efficacious cost-effective, leading satisfaction improved outcome.

参考文章(25)
M. R. Urist, Bone: Formation by Autoinduction Science. ,vol. 150, pp. 893- 899 ,(1965) , 10.1126/SCIENCE.150.3698.893
MARSHALL R. URIST, BARRY F. SILVERMAN, KLAS D??RING, FRANCOIS L. DUBUC, JOEL M. ROSENBERG, The bone induction principle. Clinical Orthopaedics and Related Research. ,vol. 53, pp. 243- ,(1967) , 10.1097/00003086-196707000-00026
ERIC E. JOHNSON, MARSHALL R. URIST, GERALD A. M. FINERMAN, Repair of segmental defects of the tibia with cancellous bone grafts augmented with human bone morphogenetic protein. A preliminary report. Clinical Orthopaedics and Related Research. pp. 249- 257 ,(1988) , 10.1097/00003086-198811000-00034
Jeffrey S. Fischgrund, Stephen B. James, Michael C. Chabot, Rebecca Hankin, Harry N. Herkowitz, John M. Wozney, Ali Shirkhoda, Augmentation of autograft using rhBMP-2 and different carrier media in the canine spinal fusion model. Journal of Spinal Disorders. ,vol. 10, pp. 467- 472 ,(1997) , 10.1097/00002517-199712000-00002
Satoshi Kokubo, Ryuhei Fujimoto, Shoji Yokota, Shinji Fukushima, Kazutoshi Nozaki, Koichiro Takahashi, Keiji Miyata, Bone regeneration by recombinant human bone morphogenetic protein-2 and a novel biodegradable carrier in a rabbit ulnar defect model. Biomaterials. ,vol. 24, pp. 1643- 1651 ,(2003) , 10.1016/S0142-9612(02)00551-3
Marcus F. Sciadini, Kenneth D. Johnson, Evaluation of recombinant human bone morphogenetic protein-2 as a bone-graft substitute in a canine segmental defect model. Journal of Orthopaedic Research. ,vol. 18, pp. 289- 302 ,(2000) , 10.1002/JOR.1100180218
M. R. Urist, A. Mikulski, A. Lietze, Solubilized and insolubilized bone morphogenetic protein. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 76, pp. 1828- 1832 ,(1979) , 10.1073/PNAS.76.4.1828
Scott D. Boden, George J. Martin, William C. Horton, Thaddeus L. Truss, Harvinder S. Sandhu, Laparoscopic anterior spinal arthrodesis with rhBMP-2 in a titanium interbody threaded cage Journal of Spinal Disorders. ,vol. 11, pp. 95- 101 ,(1998) , 10.1097/00002517-199804000-00001