While Not as Prevalent as Arthroplasty of the Shoulder,knee,or Hip,total

While not as prevalent as arthroplasty of the shoulder,knee,or hip,total elbow replacement is indicated for patients with traumatic lesions or excessive bone loss from rheumatic or degenerative arthritis,resulting in elbow instability and pain or bilateral elbow ankylosis.The prosthesis may be used with or without PMMA,depending on the quality of the diseased bone and the design of the implant.If PMMA is not used,what replacement product,element,or substance is used?

A) Synthetic bone putty
B) Autologous local bone graft
C) Hemostatic gel sponge with thrombin
D) Side plates, screws, and circumferential wires