Solheim E, Pinholt E M, Talsnes O, Larsen T B, Kirkeby O J
Institute for Surgical Research, University of Oslo, Norway.
J Craniofac Surg. 1995 Mar;6(2):139-42. doi: 10.1097/00001665-199503000-00011.
Several studies have suggested that grafts from membranous derived bone (e.g., calvarial grafts) retain their volume better than those from endochondral derived bone (e.g., iliac bone grafts). Increased osteogenesis in grafts of the former type has been offered as the explanation. However, simple volume measurements of the recovered grafts do not differentiate between viable and dead bone. We studied fresh syngeneic full-thickness bone grafts from calvaria, mandibula, tibia diaphysis, and iliac bone implanted in the back muscles of young Lewis rats. Bone formation in grafts recovered 3 weeks postoperatively was quantitatively evaluated by strontium 85 uptake analyses. We found that the strontium 85 uptake was greater in calvarial and mandibular grafts than in tibial grafts. No difference was found among calvarial, mandibular, and iliac grafts or between tibial and iliac grafts. We conclude that the anatomical area of harvest is important regarding new bone formation in syngeneic bone grafts. However, the results do not support the contention that better maintenance of volume of calvarial grafts compared with iliac bone grafts is due to enhanced osteogenesis in the former.
多项研究表明,膜源性骨移植物(如颅骨移植物)比软骨内源性骨移植物(如髂骨移植物)能更好地保持其体积。前者类型移植物中骨生成增加被作为解释。然而,对回收移植物进行简单的体积测量并不能区分活骨和死骨。我们研究了取自年轻Lewis大鼠颅骨、下颌骨、胫骨干和髂骨的新鲜同基因全层骨移植物,将其植入大鼠背部肌肉中。通过锶85摄取分析对术后3周回收的移植物中的骨形成进行了定量评估。我们发现,颅骨和下颌骨移植物中的锶85摄取量高于胫骨移植物。在颅骨、下颌骨和髂骨移植物之间或胫骨和髂骨移植物之间未发现差异。我们得出结论,就同基因骨移植物中的新骨形成而言,取材的解剖部位很重要。然而,结果并不支持以下观点,即与髂骨移植物相比,颅骨移植物能更好地保持体积是由于前者骨生成增强。