Matsuda M, Satoh Y, Ono K
Department of Anatomy, Asahikawa Medical College, Japan.
Histol Histopathol. 1992 Jul;7(3):393-403.
Bone remodelling after the implantation of freeze-dried autogenous bone in rat parietal bone was compared with fresh autogenous bone transplantation, using a scanning electron and light microscope revealed the time intervals after transplantation/implantation. The light microscope revealed the time delay of the bone remodelling in the implantation, compared with the transplantations. The scanning electron microscope showed that the differences between the two groups were in the states of bone union and bone resorption. In the fresh bone group, the newly-formed bone filled the spaces between host and the transplanted bones at 2 to 3 weeks after the transplantation: the newly-formed bone fused and melted into the transplanted bone. New bone formation was more dominant on the bone surface in the dura mater side than in the skin side. The union was almost completed at 5 weeks. In freeze-dried bone implantation, the bone union in the contact space was very poor and the implanted bone was mainly covered by the new bone, which developed from the host bone surface in the dura mater side at 2 to 3 weeks after the implantation. What is noteworthy is that bone resorbed areas showing numerous Howship's lacunae were mainly observed on the host bone surface in the vicinity of newly-formed bone. However in freeze-dried bone implantation, the bone resorption was greater on the host and implanted bone surface than that of fresh bone transplantation: the resorption of host bone was considerably larger at certain periods after freeze-dried bone implantation. The present results show that the healing process of freeze-dried bone implantation, even though autogenous bone was used, differed from that of fresh autogenous bone transplantation, and the differences are concerned not only with time sequences but also with qualitative changes. This suggests that the host would have some different responses to the freeze-dried autogenous bone from fresh materials.
将冻干自体骨植入大鼠顶骨后的骨重塑与新鲜自体骨移植进行了比较,使用扫描电子显微镜和光学显微镜观察移植/植入后的时间间隔。光学显微镜显示,与移植相比,植入时骨重塑存在时间延迟。扫描电子显微镜显示,两组之间的差异在于骨愈合和骨吸收状态。在新鲜骨组中,移植后2至3周,新形成的骨填充了宿主骨与移植骨之间的间隙:新形成的骨融合并融入移植骨中。硬脑膜侧骨表面的新骨形成比皮肤侧更占优势。5周时愈合基本完成。在冻干骨植入中,接触空间的骨愈合很差,植入骨主要被新骨覆盖,植入后2至3周,新骨从硬脑膜侧的宿主骨表面生长而来。值得注意的是,在新形成骨附近的宿主骨表面主要观察到有大量哈弗斯陷窝的骨吸收区域。然而,在冻干骨植入中,宿主骨和植入骨表面的骨吸收比新鲜骨移植更大:冻干骨植入后某些时期宿主骨的吸收相当大。目前的结果表明,即使使用自体骨,冻干骨植入的愈合过程也与新鲜自体骨移植不同,差异不仅涉及时间顺序,还涉及质的变化。这表明宿主对冻干自体骨的反应与新鲜材料有所不同。