Solheim E, Pinholt E M, Andersen R, Bang G, Sudmann E
Institute for Surgical Research, Rikshospitalet, University of Oslo, Norway.
J Bone Joint Surg Am. 1992 Dec;74(10):1456-63.
The effect of a composite of demineralized bone mixed with polyorthoester on the healing of large segmental defects in the rat radius was studied. Sixty male Wistar rats were divided into four groups, A through D, and an osteoperiosteal diaphyseal defect of 50 per cent of the length of the bone was made in the right radius of each rat. In Group A, the defect was filled with polyorthoester and demineralized bone; in Group B, demineralized bone; and in Group C, polyorthoester. No material was implanted in the defects in the Group-D rats. The rats were killed fifty days postoperatively. The formation of bone in the defects was quantified with computer-assisted measurements of the area on radiographs. The host-tissue response was evaluated with light microscopy. Defects that had been filled with the composite of polyorthoester and demineralized bone or with demineralized bone alone showed regeneration of bone corresponding to 93.6 and 77.6 per cent of the area of the defect, respectively. Defects that had no implant or that had been filled with polyorthoester alone showed significantly less formation of bone. No inflammation was seen with light microscopy, and only traces of the polyorthoester could be detected in the defects that had been filled with the composite or with polyorthoester alone.
研究了脱矿骨与聚原酸酯复合物对大鼠桡骨大段骨缺损愈合的影响。将60只雄性Wistar大鼠分为A至D四组,在每只大鼠的右侧桡骨制造骨皮质骨缺损,缺损长度为骨长的50%。A组缺损填充聚原酸酯和脱矿骨;B组填充脱矿骨;C组填充聚原酸酯。D组大鼠的缺损未植入任何材料。术后50天处死大鼠。通过计算机辅助测量X线片上的面积对缺损处的骨形成进行定量分析。用光学显微镜评估宿主组织反应。填充聚原酸酯和脱矿骨复合物或仅填充脱矿骨的缺损处,骨再生分别相当于缺损面积的93.6%和77.6%。未植入材料或仅填充聚原酸酯的缺损处骨形成明显较少。光学显微镜下未见炎症,在填充复合物或仅填充聚原酸酯的缺损处仅能检测到微量的聚原酸酯。