Biologics in Orthopedic Surgery

Regenerative Engineering in the Field of Orthopedic Surgery

Disclosure Statement Dr. Laurencin is an owner of hot-bone, healing orthopedic technologies, natural polymer devices, and soft tissue regeneration. He receives royalties from Globus Inc. Dr Badon has no Disclosures. The field of regenerative engineering seeks to address the most…

Biologics in Musculoskeletal Oncology

Targeted Therapies in Orthopedic Oncology As we continue to learn more about the pathophysiology of bone and soft tissue neoplasms, we are presented with new molecular targets for treatment. No chapter on the use of biologics in musculoskeletal oncology would…

Biologics in Fracture Care

Introduction Fractures are a common cause of morbidity, lost productivity in the work force, and a significant driver of costs in the medical economy. Although exact numbers are difficult to identify, one Finnish registry study reported 53.4 fractures per 1000…

Biologics in Foot and Ankle Surgery

Role of Biologics in Achilles Tendinopathy Despite the Achilles tendon being one of the strongest tendons in the human body, it is one of the most frequently ruptured lower limb tendons and comprises roughly 20% of all large tendon injuries.…

Biologics in Spinal Fusion

Introduction As the medical community has developed a greater understanding of the critical steps necessary for tissue healing, biologics, both natural and synthesized, have become an important adjunct to many orthopedic procedures. Much research is underway to devise biologic strategies…

Biologic Augmentation in Peripheral Nerve Repair

Introduction Peripheral nerve injuries remain a main source of morbidity and disability. Peripheral nerve injuries have life-altering impacts on the patients who suffer years of uncertainty while waiting for some level of recovery. Patients may be left with devastating sensory…

Biologics in Hand Surgery

Bone Grafts and Substitutes Complex fractures, nonunions, or tumor resections can leave bone defects. Autologous bone grafts are effective fillers, carrying both osteoinductive and osteoconductive properties. However, autografts require harvesting, which lead to increased operative time as well as donor…

Treating the Subchondral Environment and Avascular Necrosis

Introduction Although cartilage research has grown exponentially, basic science and clinical studies focusing on its foundation, namely the subchondral bone, have not received the same attention. The subchondral bone provides mechanical and biological support for the overlying articular cartilage, and…

Orthobiologics in Osteoarthritis

Introduction The development of osteoarthritis (OA) precipitates an irreversible cascade of degenerative changes affecting the hyaline articular cartilage. It is projected to affect more than 20% of adults in North America and Europe by 2020. The burden of disease of…