Table 1:
Advantages and disadvantages of common materials for bone grafts.
Graft Type | Advantages | Disadvantages | References |
---|---|---|---|
Autografts | High osteoconductive and osteogenic properties (gold standard) | Donor site complication, pain, blood loss during the harvesting process, long surgery time, infection possibility, and limited material availability |
[14][30]
[31][22] |
Allografts | Good for patients with poor healing potential, established nonunion, and extensive comminution after fractures, modifiable | Immunogenic and more prone to failure and rejection compared to autografts, The risk of disease transmission, and limited material availability |
[27][22][32]
[33][34][35] |
(Bio)ceramics | High biocompatibility, bone-like mechanical properties, easy preparation, and relatively low cost | High brittleness |
[21][40]
[41][42] |
Polymers | Reasonable price, low toxicity, biocompatibility, reproducible/controllable mechanical/chemical properties, adjustable biodegradation rates | Hydrophobicity and poor wettability for most of the synthetic polymers |
[44][47]
[24][52] |
Hydrogels | flexible, biocompatible, biodegradable, and porous | Inconsistent hydration, Inconsistent elasticity, weak mechanical properties, and burst release | [54][23] |