Review Article

Clinical Application of Antimicrobial Bone Graft Substitute in Osteomyelitis Treatment: A Systematic Review of Different Bone Graft Substitutes Available in Clinical Treatment of Osteomyelitis

Table 1

Characteristics of included products.

Product nameCompositionAntimicrobial mechanismAntibiotic type

Osteoset-TAlpha-hemihydrate calcium sulphateAntibiotic impregnated bone graft substituteTobramycin
PerossalNanocrystalline hydroxyapatite (51.5%) and calcium sulphate (48.5%)Antibiotic impregnated bone graft substituteDifferent types of antibiotics (surgeon’s choice)
BonAliveBioactive glass S53P4 (53% SiO2, 4% P2O5, 23% Na2O, and 20% CaO)Release of surface ions causing increase of pH and osmotic pressureNone
Herafill-GCalcium sulphate and calcium carbonate Antibiotic impregnated bone graft substituteGentamicin