27-157

Aloinjerto de matriz ósea descalcificada versus injerto autólogo en la reparación de defectos óseos segmentarios masivos. Estudio experimental

DECALCIFIED BONE MATRIX ALLOGRAFT VERSUS AUTOLOGOUS BONE GRAFT FOR REPAIR OF LARGE SEGMENTAL BONE DEFECTS. EXPERIMENTAL STUDY.

J. DE PABLOS1, G. MARTÍNEZ-LOTTI1, C. ALFARO2, J. GIL-ALBAROVA1, 0. NILSSON3 y C. BARRIOS3. Departamento de Cirugía Ortopédica y Traumatología. Clínica Universitaria de Navarra. Pamplona (1). Departamento de Radiodiagnóstico. Hospital Provincial de Navarra. Pamplona (2). Departamento de Ortopedia. Hospital Karolinska. Estocolmo. Suecia (3).
Recepción:
04/02/2009
Aceptación:
04/02/2009
Publicación:
04/02/2009


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Resumen (ES)

The regenerative capacity of decalcified allogenic matrix was compared with that of autologous bone graft for treatment of osteoperiosteal defects, 4-5 cm in length, experimentally induced in the sheep femoral diaphysis. Eighteen skeletally mature sheep were used in this investigation. In 8 animals, the reconstruction of thediaphyseal defect was performed using small fragments of decalcified allogenic bone matrix. In other 6 animals, the defect was refilled with corticoespongious autologousbone graft in chips. Bone stabilization was achieved by means of an external fixator. After radiologic and histologic assessments, the results were compared with a control group including 4 animals with the same diaphyseal defect but without any attempt of reconstruction. Autologous bone graft was found to be more efficient than decalcified allogenic bone matrix for treatment of large segmental bone defects. An osteogenic activity leading to the complete repair and consolidation of the defect was only detected in 1 of the animals treated with allogenic bone matrix. On the contrary, no failures in the incorporation and consolidation of grafts were observed in those animals treated with autologous bone chips.

Palabras clave (ES):

óseos
segmentarios
masivos
Estudio
Matriz
autólogo
Injerto
Aloinjerto
Experimental
ósea
descalcificada
Defectos

Resumen (EN)

The regenerative capacity of decalcified allogenic matrix was compared with that of autologous bone graft for treatment of osteoperiosteal defects, 4-5 cm in length, experimentally induced in the sheep femoral diaphysis. Eighteen skeletally mature sheep were used in this investigation. In 8 animals, the reconstruction of thediaphyseal defect was performed using small fragments of decalcified allogenic bone matrix. In other 6 animals, the defect was refilled with corticoespongious autologousbone graft in chips. Bone stabilization was achieved by means of an external fixator. After radiologic and histologic assessments, the results were compared with a control group including 4 animals with the same diaphyseal defect but without any attempt of reconstruction. Autologous bone graft was found to be more efficient than decalcified allogenic bone matrix for treatment of large segmental bone defects. An osteogenic activity leading to the complete repair and consolidation of the defect was only detected in 1 of the animals treated with allogenic bone matrix. On the contrary, no failures in the incorporation and consolidation of grafts were observed in those animals treated with autologous bone chips.

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