2010, Number 5
<< Back Next >>
Acta Pediatr Mex 2010; 31 (5)
Comparative study of cranial bone developed by ostegenesis in experimental model rabbits
Sesman-Bernal AL, Barceló-de la Isla R, Herrera-Rosas A, Espejo-PlascenciaJI, Avila-Figueroa L, Velasquillo-Martínez MC, León-Pérez JA
Language: Spanish
References: 41
Page: 206-216
PDF size: 3742.32 Kb.
ABSTRACT
Background: There is a continuing interest in developing materials as substitutes for bone grafts to repair full-thickness cranial defects, especially for correction of birth and post-trauma defects, where the main limitation lies in autologous graft coverage of the bone defects. There were intend to develop a unit where simultaneously verify the osteoconduction, the osteoinduction and osteogenesis for the repair of such defects.
Methods: We performed a craniotomy to 100 mm
2 (10 x 10 mm) by means of an oscillating drill, taking care not to damage the dura or the brain. The osteogenic unit was then applied on the experimental lesion, following the application of a scaffold of acellular human dermis on the defect in contact with the dura, finally demineralized bone and autologous bone marrow are placed.
Results: Light microscopy analysis of histological parameters were compared between groups and there was a significant difference in the proportion of osteoid tissue (p ′0.05), immature trabecular (p ′0.05) and number of osteoblasts (p ′0.05). These variables showed an increase in animals killed at the second month of the study, while they decreased in animals slaughtered on the sixth postsurgical month.
Conclusions: The implanted experimental model fullfilled established the three osteogenic reconstruction biological factors: Osteinduction, osteoconduction and osteogenesis.
REFERENCES
Parikh, SN. Bone graft substitutes: past, present, future. J Postgrad Med 2002;48:142-8.
White E, Shors EC. Biomaterial aspects of interpore-200 porous hydroxyapatite. Dent Clin North Am 1986;30:49-67.
Dressmann H. Uebeer knochenplombierung bei hohlenformigen defekten des knochens. Beitr Klin Chir 1892;9:804-10.
Chiroff, RT, White, EW, Weber, KN, Roy, DM. Tissue ingrowth of replamineform implants. J Bio Med Mater Res 1975;6:29-45.
Tisdel CL, Goldberg VM, Parr JA, Bensusan JS, Staikoff LS, Stevenson S. The influence of a hydroxyapatite and tricalcium phosphatae coating on bone growth into titanium fiber-metal implants. J. Bone Joint Surg Am 1994;76:159-71.
Ferraro JW. Experimental evaluation of ceramic calcium phosphate as a substitute for bone grafts. Plast Reconstr Surg 1979;63:634-40.
Robinson D, Alk D, Sandbank J, Farber R, Halperin N. Inflammatory reactions associated with a calcium sulphate bone substitute. Ann Transplant 1999;4:91-7.
Cornell CN, Lane JM, Chapman M, Merkow R, Seligson D, Henry S et al. Multicenter trial of collagraft as bone graft substitute. J Orthop Trauma 1991;5:1-8.
Cohen SR, Holmes RE, Meltzer HS. Craniofacial reconstructions with a fast resorbing polymer: a 6 to 12 – month clinical follow-up review. Neurosurg Focus 2004;16:1-6.
Joyce ME, Jingushi S, Bolander ME. Transforming growth factor? In the regulation of fracture repair. Othop Clin North Am 2003;3:199-209.
Urist MR. Bone: formation by autoinduction. Science 1965;150:893-8.
Onishi T, Ishidou Y, Nagamine T, Yone K, Imamaru T, Kato M and et al. Distinct and overlapping patterns of localization of bone morpho-genetic protein (BMP) family members and a BMP type II receptor during fracture healing in rats. Bone 1998;22:605-12.
Sakou T. Bone morphogenetic proteins from basic studies to clinical approaches. Bone 1998;22:591-603.
Connolly JF. Injectable bone marrow preparations to stimulate osteogenic repair. Cli Orthop 1995;313:8-18.
Lee C, Antonyshyn OM, Forrrest CR. Cranioplasty indications, technique and early results of autogenous split skull cranial vault reconstruction. J. Craniomaxillofac Surg 1995;23:133-41.
Manson PN. Facial bone healing and bone grafts: A review of clinical physiology. Clin Plast Surg 1994;21:331-8.
Ozaki W, Buchman SR, Goldstein SA. Future of cortical membranous and cortical endochondral onlay bone grafts in the craniofacial skeleton. Plast Reconstr Surg 1999;104:139-45.
Kusiak JF, Zins JE, Whitaker LA. Revascularization of membranous bone. Plast Surg 1985;76:510-7.
Chen NT, Glowacki JE, Whitaker LA. Revascularization of membranous bone. Plast Surg 1986;80:213-8.
Chen NT, Glowcki J, Bucky LP, Hong WK, Yaremchuk MJ. The role of craniofacial onlay bone grafts in the infant rabbit. Plast Constr Surg 1994;93:714-20.
Zellin G, Alberius P, Linde A. Related bone repositioning in the growing rabbit calvarium hampers bone segment incorporation. Plast Resconstr Surg 1997;100:619-23.
Greenwald JA, Mehrara BJ, Spector JA et al. Biomolecular mechanisms of calvarial bone induction: Immature versus mature dura mater. Plast Reconstr Surg 2000;103:105-11.
Gosain AK, Song L, Yu P et al. Osteogenesis in cranial defects: Reassessment of the concept of critical size and the expression of TGF-beta isoforms. Plast Reconstr Surg 2000;106:360-6.
Wilkes GH, Kernahan DA, Christenson MD. Comparative study in mature and immature animals. Ann Plast Surg 1985;15:374-8.
Greenwald JA, Mehrara BJ, Spector JA et al. Immature versus mature dura mater: II Differential expression of genes important to calvarial reossification. Plast Reconstr Surg 2000;106:630-9.
Roy DM, Linnehan SK. Hydroxyapatite formed from coral skeletal carbonate by hydrothermal exchange. Nature 1974;247:22-4.
Holmes RE, Hagler HK. Porous hydroxyapatite as bone graft substitute in cranial reconstruction: A histometric study. Plast Reconstr Surg 1988;81:662-9.
Trippel SB. Potential role of insulinelike growth factors in fracture healing. Clin Orthop 1998;335:301-13.
Manson PN, Crawley WA, Hoopes JE. Frontal cranioplasty: risk factors and choice of cranial vault reconstructive material. Plast Reconstr Surg 1986;77:888-900.
Hobar PC, Schreiber IS, McCarthy JC, Thomas PA. The role of the dura in cranial regeneration in the immature animal. Plast Surg 1993;92:405-10.
Coulwell WT, Chen TC, Weiss MH. Cranioplasty with the medpor polyethylene flexblock implant. Technical note. J Neurosurg 1994;81:483-6.
Gasain AK. The current status of tissue glues: I. for bone fixation. Plast Reconstr Surg 2002;109:258-83.
Blake GB, MacFarlene MR, Hamton JW. Titanium in reconstructive surgery of the skull and face. Br J Plast Surg 1990;43:528-35.
Tuli SM, Slingh AD. The osteoinductive property of decalcified bone matrix: An experimental study. J Bone Joint Surg Br 1978;60:116-23.
Nakamichi Y, Shukumani CH, Yanada T. Chondromodulin I is a bone remodeling factor. Mol Cell Biol 2003;23:636-44.
Gendler E. Perforated demineralized bone matrix: a new form of osteoinductive material. J Biomed Mater Res 1986;20:687-697.
Livesey SA, Herndon DN, Hollyoak MA, Atkinson YH, Nag A. Transplanted acellular allograft dermal matrix: Potential as a template for the reconstruction of viable dermis. Transplantation 1995;60:1-15.
Eppley B. Experimental assessment of the revascularization of acellular human dermis for soft-tissue augmentation. Plast Reconstr Surg 2001;107:757-62.
Scaduto AA, Lieberman JR. Gene therapy for osteoinduction. Orthop Clin North Am 1999;30:625-33.
Ito A, Mase A, Takizawa Y. Transglutaminase-mediated gelatin matrices incorporating cell adhesion factors as a biomaterial for tissue engineering. J Biosc Bioeng 2003;95:196-9.
Álvarez-Cáseres R. Estadística multivariante y no paramértrica con SPSS. Díaz de Santos. Madrid: Editorial Norma; 1995. p. 306-40.