DBM

Demineralised bone matrix (DBM) is cortical bone which has been cut, milled into fine particles and washed to remove soft tissues, cells and marrow elements. The bone has then been further processed by removing minerals to leave collagen matrix and endogenous bone growth factors such as bone morphogenic proteins (BMPs).

We recommend DBM when the surgeon requires osteoinduction but does not need structural properties from the graft. For example, DBM is excellent in situations such as small joint arthrodesis where a small joint space is grafted, or as a graft around a stable fracture.

Major advantages of DBM:

• DBM can save you time
• Using DBM reduces the preparation and anaesthetic time, and morbidity for the patient.
• Shelf-life is 5 years at ambient temperature - an "off the shelf" solution to keep in stock
   

Examples of use of DBM

(a)	(b)	(c)

(a) Malunion of a central tarsal bone fracture in a Labrador; (b) Use of DBM for partial tarsal arthrodesis with a medial plate; (c) 6 week post-operative radiograph demonstrating union. 

DBM rehydrated with saline and packed around a comminuted tibial fracture in a 2yo German Shepherd dog

Post-operative radiograph of the repaired fracture

 For more information on the uses of DBM, please visit our Educational Resources and download technique guides

In some circumstances, the surgeon may wish to mix DBM with cancellous chips to provide osteoinduction and osteoconduction where a void exists (e.g. large joint arthrodesis, comminuted unreconstructed fracture, non-union fracture).

Please telephone us on +44 (0) 1691 778769 begin_of_the_skype_highlighting              +44 (0) 1691 778769      end_of_the_skype_highlighting begin_of_the_skype_highlighting              +44 (0) 1691 778769      end_of_the_skype_highlighting or contact us to order, or for more information on, DBM