The healing of grafts combining freeze-dried and demineralized allogeneic bone in rabbits

Clin Orthop Relat Res. 1994 Jan:(298):286-95.

Abstract

The adjunctive role of demineralized bone matrix (DBM) in enhancing the incorporation of segmental freeze dried (FD)-allogeneic bone grafts has been studied in the rabbit ulna and fibula. The studies compared the healing patterns of fresh segmental autografts, FD-allografts, DBM-allografts, and FD-allografts supplemented at the graft-host junctions with FD- or DBM-allografts as particulates (ulna) or as segmental struts (fibula). The outcome was evaluated at five and ten weeks by a radiologic score, by biomechanical properties (breaking strength, energy to failure, stiffness), and histology. The ulnar autografts healed most rapidly (ten weeks = 100%), followed by DBM allografts (60%). By all criteria, FD-allografts were poorly incorporated (20-40%), and the process was not improved by supplements of FD- or DBM-particulate/strut bone. Histologically, the DBM component of composite fibular strut grafts was osteoinductive and united with host tissues within 35 days. The contiguous FD-allograft struts were not incorporated, showing fibrocartilaginous nonunions and resorptive foci. While the addition of DBM does not protect FD-allograft integrity in the rabbit, segmental mineralized FD-allografts could provide mechanical support for some intervals until, in such composite grafts, osteoinductive processes produced biomechanically competent new bone.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomechanical Phenomena
  • Bone Matrix
  • Bone Transplantation / methods*
  • Fibula / anatomy & histology
  • Fibula / physiology
  • Freeze Drying
  • Male
  • Minerals
  • Osseointegration*
  • Rabbits
  • Tissue Preservation / methods*
  • Transplantation, Homologous
  • Ulna / anatomy & histology
  • Ulna / physiology
  • Wound Healing*

Substances

  • Minerals