Amillo S, González F, Illescas J A
Departamento de Cirugía Ortopédica y Traumatología, Clínica Universitaria de Navarra, Pamplona, 31008, Spain.
An Sist Sanit Navar. 2003 Sep-Dec;26(3):357-63.
An experimental study was carried out on 40 rabbits in order to evaluate the incorporation of large intercalary bone allografts and the influence of freezing on the bone graft. In 36 rabbits resection of 3 centimetres of diaphysis of the tibia was carried out and the defect was rebuilt with different types of bone graft: fresh autograft and frozen autograft, fresh allograft and frozen allograft; osteosynthesis was carried out with two intramedullary Kirschner needles. Monthly radiological studies were made until the sacrifice of the animals, at 2, 4 and 8 months. A densitometric, histological and diaphanisation study of the tibias was made with Spalteholz's technique. In 24 animals 25 mg/kg of oxytetracicline was administered 3 and 6 days before sacrifice, to study the velocity of bone apposition in the graft. We observed a good and excellent radiological consolidation in 80% of the grafts (99% in the autografts and 66% in the allografts). The bone density showed a fall until the 4th month due to bone reabsorption except in the group of fresh allografts. The revascularization of the allografts was slower and poorer than the autografts, but with the same vascular pattern. Bone incorporation and neoformation were greater in the autografts without significant differences with the frozen allografts. The speed of bone apposition did not change with the different types of bone graft used. Freezing facilitated and accelerated incorporation and the quantity of bone neoformation of the allografts.
为了评估大段间置骨同种异体移植骨的植入情况以及冷冻对移植骨的影响,对40只兔子进行了一项实验研究。在36只兔子中,切除胫骨骨干3厘米,并用不同类型的移植骨重建缺损:新鲜自体骨和冷冻自体骨、新鲜同种异体骨和冷冻同种异体骨;用两根髓内克氏针进行骨固定。在动物处死前的2个月、4个月和8个月每月进行放射学研究。采用斯帕尔特霍兹技术对胫骨进行密度测定、组织学和透明化研究。在24只动物处死前3天和6天给予25mg/kg土霉素,以研究移植骨中骨沉积的速度。我们观察到80%的移植骨有良好和优秀的放射学愈合(自体骨为99%,同种异体骨为66%)。除新鲜同种异体骨组外,由于骨吸收,骨密度在第4个月前呈下降趋势。同种异体骨的血管化比自体骨慢且差,但血管模式相同。自体骨中的骨植入和新骨形成更多,与冷冻同种异体骨无显著差异。使用不同类型的移植骨时,骨沉积速度没有变化。冷冻促进并加速了同种异体骨的植入和骨新形成的数量。