Bösch P, Lintner F, Braun F
Wien Klin Wochenschr. 1979 Sep 28;91(18):628-33.
The changes in remodelling of autologous cancellous bone after reimplantation using a fibrinogen adhesive system (FAS) consisting of highly concentrated fibrinogen, thrombin and factor XIII were investigated in 23 rabbits. A 5 x 6 mm sized piece of bone was removed from the iliac crest and reimplanted in the same place with and without FAS. Histological, tetracycline fluorescence and radiological evaluation were carried out after 3, 6 and 9 weeks. The control group (without FAS) showed considerable breakdown of the bony trabeculae due to regression of the osteocytes in the centre of the reimplanted bone after 3 weeks, whereas in the FAS group bone was being built on to the vital trabeculae. After 6 weeks the reimplant in the FAS group was still clearly advanced in relation to the non-FAS group. The difference had almost disappeared after 9 weeks. Acceleration of remodelling and lack of regression of the osteocytes in the centre of autologous reimplants after the use of FAS indicates an earlier recommencement of nutrition as compared with the control group. New bone formation in autologous reimplants was clearly accelerated by the use of FAS.
在23只兔子身上研究了使用由高浓度纤维蛋白原、凝血酶和因子XIII组成的纤维蛋白原黏附系统(FAS)重新植入后自体松质骨重塑的变化。从髂嵴取下一块5×6毫米大小的骨块,在有或没有FAS的情况下将其重新植入同一位置。在3周、6周和9周后进行组织学、四环素荧光和放射学评估。对照组(无FAS)在3周后,由于重新植入骨中心的骨细胞退化,骨小梁出现相当程度的破坏,而在FAS组,骨正在生长到存活的骨小梁上。6周后,FAS组的重新植入物相对于非FAS组仍明显更超前。9周后差异几乎消失。使用FAS后自体重新植入物中心的重塑加速且骨细胞无退化,这表明与对照组相比营养恢复更早开始。使用FAS明显加速了自体重新植入物中的新骨形成。