SHARIFI D, ABEDI G, SASSANI F, SAVADKOUHI D, BAKHTIARI J, NOWROUZIAN I. CLINICAL EVALUATION OF BONE CEMENT AND AUTOGENOUS BONE GRAFT IN DOGS. Med J Islam Repub Iran 2002; 16 (2) :107-110
URL:
http://mjiri.iums.ac.ir/article-1-761-en.html
From the Faculty of Veterinary Medicine, Tehran University, Tehran, I.R.Iran
Abstract: (4633 Views)
Various biological bone g rafts have been used for osteogenes i s ,
osteoconduction and even osteoinduction, but due to systemic influences and local
factors, the outcome of successful incorporation of a bone graft has not been
satisfactory. This study was therefore conducted on 15 clinically healthy adult
dogs between 1 to 3 years of age weighing 20 to 30 kg to evaluate the effect of
bone cement and autogenous bone grafts. A piece of 3 cm complete mid-shaft
right tibial cortical bone was removed in all animals. Then they were subsequently
divided into three groups of 5 animals each. In group I the bone was fixed with a
suitable intramedullary pin, whereas the gap was filled with harvested autogenous
rib bone graft in group II animals. Bone cement was used to fill the gap in animals
of group III for the first 30 days, then it was replaced with iliac bone chips and
observation was made accordingly for 60 days in all animals of the three groups.
After 60 days, before collection of callus samples, there was granulation and fibrocartilage
tissue in groups I and II respectively, whereas a thick fibrous capsule
or pseudomembrane layer was seen around bone cement on day 30 before removal
of cement and on day 60 after replacement by iliac bone graft in group III
animals. There were combinations of heavily impacted fibrous a n d
fibrocartilagineous tissues with thick bundles of collagen fibers among hypertrophic
chondroblasts in histomorphological cross section in group I animals,
whereas active sequestra were present in group II animals. Fibrotic capsule, periosteal
layer, lacunae, osteoblasts, osteocytes and well formed bone marrow with
RBC and adipose tissue were noted in group III animals. It appears that the local
reaction induced by bone cement leading to fibrotic capsule formation was quite
helpful in delaying iliac bone graft resorption and enhancing osteogenic stimulation
as to fill the gap with impacted callus with normal cortical structure.
The application of bone cement in gap non:::union:::, crushed bone and fragmental
fractures is therefore highly recommended.