Fixation effects on membranous and endochondral onlay bone graft revascularization and bone deposition.
Plast Reconstr Surg
; 85(6): 891-7, 1990 Jun.
Article
em En
| MEDLINE
| ID: mdl-1693441
ABSTRACT
This paper investigates the relationship between bone resorption, the process of bone revascularization, and graft fixation. Vital staining techniques and microangiography were used to study the extent of graft revascularization of fixed and nonfixed endochondral (rib) and membranous (skull) onlay bone grafts in 20 adult sheep mandibles bilaterally. This assessment was carried out at 2 and 20 weeks postoperatively. Sequential fluorochrome staining was performed to examine the pattern of new bone deposition. Fixation was achieved using the lagscrew technique. At 2 weeks, membranous bone demonstrated a greater area of graft revascularization if fixed than if the graft was not fixed. The opposite result was seen for endochondral grafts, where nonfixed grafts showed a greater area of revascularization than fixed grafts. At 20 weeks, all bone that was present was fully vascularized. The inconsistencies in the results on the relationship between fixation and revascularization for membranous and endochondral grafts in the early stages of healing (2 weeks) suggest that although revascularization is a necessary precondition for bone resorption and deposition, biomechanical and structural factors may be a more satisfactory explanation for the differences observed in the maintenance of bony volume.
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Base de dados:
MEDLINE
Assunto principal:
Reabsorção Óssea
/
Parafusos Ósseos
/
Transplante Ósseo
/
Sobrevivência de Enxerto
Limite:
Animals
Idioma:
En
Ano de publicação:
1990
Tipo de documento:
Article