title: Bone morphogenetic proteins in orthopaedic trauma surgery.
abstract: Fracture healing describes the normal post-traumatic physiologic process of bone regeneration. Commonly, this complicated process occurs without interruption, however, certain clinical situations exist that may benefit from the usage of bone healing enhancement agents. Bone morphogenetic proteins (BMPs) assist in the process of bone healing by recruiting bone-forming cells to the area of trauma. The usage of BMP currently has two FDA-approved indications: (1) treatment of acute tibial fractures treated with intramedullary fixation and (2) treatment of long bone non-union. Despite this limited scope, off-label BMP usage continues to push the envelope for new applications. Although proven to be clinically successful, BMP use must be balanced with the large costs associated with their application. Regardless, more prospective randomised clinical trials must be conducted to validate and expand the role of BMP in the setting of trauma.
authors.affiliation: Georgetown University, Dept. Orthopedics, 3800 Reservoir Rd., Washington, DC 20007, United States. evanargintar@hotmail.com
authors.forename: Evan
authors.initials: E
authors.lastname: Argintar
authors.forename: Scott
authors.initials: S
authors.lastname: Edwards
authors.forename: John
authors.initials: J
authors.lastname: Delahay
mesh_terms: D019485:Bone Morphogenetic Proteins / Q000009:adverse effects / Q000191:economics / Q000627:therapeutic use*; D001861:Bone Regeneration; D003362:Cost-Benefit Analysis; D005260:Female; D017102:Fracture Healing / Q000187:drug effects*; D050723:Fractures, Bone / Q000188:drug therapy* / Q000191:economics / Q000601:surgery; D005599:Fractures, Ununited / Q000188:drug therapy; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014481:United States
chemical_list: D019485:Bone Morphogenetic Proteins