THE ROLES OF REVASCULARIZATION AND RESORPTION ON ENDURANCE OF CRANIOFACIAL ONLAY BONE-GRAFTS IN THE RABBIT

被引:103
作者
CHEN, NT
GLOWACKI, J
BUCKY, LP
HONG, HZ
KIM, WK
YAREMCHUK, MJ
机构
[1] MASSACHUSETTS GEN HOSP,DEPT SURG,DIV PLAST & RECONSTRUCT SURG,BOSTON,MA 02114
[2] BRIGHAM & WOMENS HOSP,DEPT ORTHOPAED SURG,BOSTON,MA 02115
[3] HARVARD UNIV,SCH MED,BOSTON,MA 02115
关键词
D O I
10.1097/00006534-199404000-00009
中图分类号
R61 [外科手术学];
学科分类号
摘要
A total of 32 New Zealand white rabbits underwent subperiosteal implantation of fresh autogenous unicortical calvarial and iliac crest grafts on their snouts with microscrew rigid fixation. After 3 and 10 days, vascularity was assessed by latex casting, and osteoclastic activity was determined by histochemical staining for tartrate-resistant acid phosphatase. After 10 days, volumetric analysis and tartrate-resistant acid phosphatase staining were performed on six animals. The calvarial grafts demonstrated greater volume maintenance than the iliac bone (72 percent versus 32 percent, p < 0.025). There were significantly greater osteoclastic activity and revascularization in the cancellous portion of calvarial and iliac crest bone grafts by the 1Oth day of onlay grafting. Minimal activities were present at the cortical bone. Because calvarial grafts contain more cortical bone, its superior volume maintenance can be understood by the architectural influence on revascularization and resorption.
引用
收藏
页码:714 / 722
页数:9
相关论文
共 11 条
[1]  
ALBREKTSSON T, 1980, Scandinavian Journal of Plastic and Reconstructive Surgery, V14, P1
[2]  
DELEU J, 1965, J Bone Joint Surg Br, V47, P319
[3]  
GLOWACKI J, 1933, LIFE SCI, V33, P1019
[4]   CRANIOFACIAL ONLAY BONE-GRAFTING - A PROSPECTIVE EVALUATION OF GRAFT MORPHOLOGY, ORIENTATION, AND EMBRYONIC ORIGIN [J].
HARDESTY, RA ;
MARSH, JL .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1990, 85 (01) :5-14
[5]   THE EARLY REVASCULARIZATION OF MEMBRANOUS BONE [J].
KUSIAK, JF ;
ZINS, JE ;
WHITAKER, LA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1985, 76 (04) :510-514
[6]   THE ROLE OF RIGID SKELETAL FIXATION IN BONE-GRAFT AUGMENTATION OF THE CRANIOFACIAL SKELETON [J].
LATRENTA, GS ;
MCCARTHY, JG ;
BREITBART, AS ;
MAY, M ;
SISSONS, HA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1989, 84 (04) :578-588
[7]   THE EFFECT OF RIGID FIXATION ON THE SURVIVAL OF ONLAY BONE-GRAFTS - AN EXPERIMENTAL-STUDY [J].
LIN, KY ;
BARTLETT, SP ;
YAREMCHUK, MJ ;
FALLON, M ;
GROSSMAN, RF ;
WHITAKER, LA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1990, 86 (03) :449-456
[8]   FIXATION EFFECTS ON MEMBRANOUS AND ENDOCHONDRAL ONLAY BONE-GRAFT RESORPTION [J].
PHILLIPS, JH ;
RAHN, BA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1988, 82 (05) :872-877
[9]   FIXATION EFFECTS ON MEMBRANOUS AND ENDOCHONDRAL ONLAY BONE-GRAFT REVASCULARIZATION AND BONE DEPOSITION [J].
PHILLIPS, JH ;
RAHN, BA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1990, 85 (06) :891-897
[10]   REVASCULARIZATION OF CRANIAL VERSUS ILIAC CREST BONE-GRAFTS IN THE RAT [J].
SULLIVAN, WG ;
SZWAJKUN, PR .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1991, 87 (06) :1105-1109