Skip to main content
Top
Published in: Child's Nervous System 4/2015

01-04-2015 | Original Paper

Healing of rabbit calvarial critical-sized defects using autogenous bone grafts and fibrin glue

Authors: Olli-Pekka Lappalainen, Riikka Korpi, Marianne Haapea, Jarkko Korpi, Leena P. Ylikontiola, Soili Kallio-Pulkkinen, Willy S. Serlo, Petri Lehenkari, George K. Sándor

Published in: Child's Nervous System | Issue 4/2015

Login to get access

Abstract

Purpose

This study aimed to evaluate ossification of cranial bone defects comparing the healing of a single piece of autogenous calvarial bone representing a bone flap as in cranioplasty compared to particulated bone slurry with and without fibrin glue to represent bone collected during cranioplasty. These defect-filling materials were then compared to empty control cranial defects.

Methods

Ten White New Zealand adult male rabbits had bilateral critical-sized calvarial defects which were left either unfilled as control defects or filled with a single full-thickness piece of autogenous bone, particulated bone, or particulated bone combined with fibrin glue. The defects were left to heal for 6 weeks postoperatively before termination. CT scans of the calvarial specimens were performed. Histomorphometric assessment of hematoxylin-eosin- and Masson trichrome-stained specimens was used to analyze the proportion of new bone and fibrous tissue in the calvarial defects.

Results

There was a statistically significant difference in both bone and soft tissue present in all the autogenous bone-grafted defect sites compared to the empty negative control defects. These findings were supported by CT scan findings. While fibrin glue combined with the particulated bone seemed to delay ossification, the healing was more complete compared to empty control non-grafted defects.

Conclusions

Autogenous bone grafts in various forms such as solid bone flaps or particulated bone treated with fibrin glue were associated with bone healing which was superior to the empty control defects.
Literature
1.
go back to reference Axhousten W (1956) The osteogenetic phases of regeneration of bone; a historial and experimental study. J Bone Joint Surg Am 38:593–600 Axhousten W (1956) The osteogenetic phases of regeneration of bone; a historial and experimental study. J Bone Joint Surg Am 38:593–600
4.
go back to reference Schmitz JP, Hollinger JO (1986) The critical size defect as an experimental model for craniomandibulofacial nonunions. Clin Orthop Relat Res 205:299–308PubMed Schmitz JP, Hollinger JO (1986) The critical size defect as an experimental model for craniomandibulofacial nonunions. Clin Orthop Relat Res 205:299–308PubMed
5.
6.
go back to reference Jan A, Sándor GK, Iera D (2006) Hyperbaric oxygen results in an increase in rabbit calvarial critical sized defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 101:144–149CrossRef Jan A, Sándor GK, Iera D (2006) Hyperbaric oxygen results in an increase in rabbit calvarial critical sized defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 101:144–149CrossRef
7.
go back to reference Jan A, Sándor GK, Brkovic BMB (2009) Effects of hyperbaric oxygen on grafted and non-grafted on calvarial critical-sized defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 107:157–163CrossRef Jan A, Sándor GK, Brkovic BMB (2009) Effects of hyperbaric oxygen on grafted and non-grafted on calvarial critical-sized defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 107:157–163CrossRef
8.
go back to reference Humber C, Sándor GK, Davis JM et al (2010) Bone healing with an in situ formed bioresorbable PEG membrane in rabbit calvarial defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 109(3):372–384CrossRef Humber C, Sándor GK, Davis JM et al (2010) Bone healing with an in situ formed bioresorbable PEG membrane in rabbit calvarial defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 109(3):372–384CrossRef
9.
go back to reference Clokie CML, Moghadam H, Jackson MT et al (2002) Closure of critical sized defects with allogenic and alloplastic bone substitutes. J Craniofac Surg 13(1):111–121CrossRefPubMed Clokie CML, Moghadam H, Jackson MT et al (2002) Closure of critical sized defects with allogenic and alloplastic bone substitutes. J Craniofac Surg 13(1):111–121CrossRefPubMed
10.
go back to reference Haddad AJ, Peel SA, Clokie CML et al (2006) Closure of rabbit calvarial critical-sized defects using protective composite allogeneic and alloplastic bone substitutes. J Craniofac Surg 17(5):926–934CrossRefPubMed Haddad AJ, Peel SA, Clokie CML et al (2006) Closure of rabbit calvarial critical-sized defects using protective composite allogeneic and alloplastic bone substitutes. J Craniofac Surg 17(5):926–934CrossRefPubMed
11.
go back to reference Jan A, Sándor GK, Brkovic BM et al (2010) Effects of hyperbaric oxygen on demineralized bone matrix and biphasic calcium phosphate bone substitutes. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 109(1):60–67CrossRef Jan A, Sándor GK, Brkovic BM et al (2010) Effects of hyperbaric oxygen on demineralized bone matrix and biphasic calcium phosphate bone substitutes. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 109(1):60–67CrossRef
12.
go back to reference Fok TCO, Jan A, Peel SA et al (2008) Hyperbaric oxygen results in an increase in vascular endothelial growth factor (VEGF) protein expression in rabbit calvarial critical sized defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 105:417–422CrossRef Fok TCO, Jan A, Peel SA et al (2008) Hyperbaric oxygen results in an increase in vascular endothelial growth factor (VEGF) protein expression in rabbit calvarial critical sized defects. Oral Surg Oral Med Oral Pathol Oral Radiol Endodont 105:417–422CrossRef
13.
go back to reference Beaumont M, Du Val MG, Loai Y et al (2010) Monitoring angiogenesis in soft-tissue engineered constructs for calvarium bone regeneration: an in-vivo longitudinal DCE-MRI study. Nucl Med Reson Biomed 23(1):48–55 Beaumont M, Du Val MG, Loai Y et al (2010) Monitoring angiogenesis in soft-tissue engineered constructs for calvarium bone regeneration: an in-vivo longitudinal DCE-MRI study. Nucl Med Reson Biomed 23(1):48–55
14.
go back to reference Sándor GK, Numminen J, Wolff J et al (2014) Adipose stem cells used to reconstruct 13 cases with cranio-maxillofacial hard-tissue defects. Stem Cells Transl Med 3:530–540CrossRefPubMed Sándor GK, Numminen J, Wolff J et al (2014) Adipose stem cells used to reconstruct 13 cases with cranio-maxillofacial hard-tissue defects. Stem Cells Transl Med 3:530–540CrossRefPubMed
15.
go back to reference Uygur S, Eryilmaz T, Cukurluoglu O et al (2013) Management of cranial bone defects: a reconstructive algorithm according to defect size. J Craniofac Surg 24:1606–1609CrossRefPubMed Uygur S, Eryilmaz T, Cukurluoglu O et al (2013) Management of cranial bone defects: a reconstructive algorithm according to defect size. J Craniofac Surg 24:1606–1609CrossRefPubMed
16.
go back to reference Serlo WS, Ylikontiola LP, Vesala AL et al (2007) Effective correction of frontal cranial deformities using biodegradable fixation on the inner surface of the cranial bones during infancy. Childs Nerv Syst 23:1439–1445CrossRefPubMed Serlo WS, Ylikontiola LP, Vesala AL et al (2007) Effective correction of frontal cranial deformities using biodegradable fixation on the inner surface of the cranial bones during infancy. Childs Nerv Syst 23:1439–1445CrossRefPubMed
17.
go back to reference Serlo WS, Ylikontiola LP, Lähdesluoma N et al (2011) Intracranial volume increase in craniosynostosis with posterior vault cranial distraction osteogenesis. Childs Nerv Syst 27:627–634CrossRefPubMed Serlo WS, Ylikontiola LP, Lähdesluoma N et al (2011) Intracranial volume increase in craniosynostosis with posterior vault cranial distraction osteogenesis. Childs Nerv Syst 27:627–634CrossRefPubMed
18.
go back to reference Lindholm TC, Clokie CML, Sàndor GK (2003) Suction trap collected cortical bone grafts used to culture bone cells to be used for increasing efficacy of bone morphogenetic proteins in tissue engineered bone substitutes. J Oral Maxillofac Surg 61(Suppl 1):74CrossRef Lindholm TC, Clokie CML, Sàndor GK (2003) Suction trap collected cortical bone grafts used to culture bone cells to be used for increasing efficacy of bone morphogenetic proteins in tissue engineered bone substitutes. J Oral Maxillofac Surg 61(Suppl 1):74CrossRef
19.
go back to reference Langer R, Vaganti JP (1993) Tissue engineering. Science 920:260 Langer R, Vaganti JP (1993) Tissue engineering. Science 920:260
20.
go back to reference Clokie CML, Sándor GK (2008) Reconstruction of 10 major mandibular defects using BMP-7 containing bioimplants. J Can Dent Assoc 74:67–72PubMed Clokie CML, Sándor GK (2008) Reconstruction of 10 major mandibular defects using BMP-7 containing bioimplants. J Can Dent Assoc 74:67–72PubMed
21.
go back to reference Sándor GK, Tuovinen VJ, Wolff J et al (2013) Adipose stem cell (ASC) tissue engineered construct used to treat large anterior mandibular defect: a case report and review of the clinical application of GMP-level ASCs for bone regeneration. J Oral Maxillofac Surg 71:938–950CrossRefPubMed Sándor GK, Tuovinen VJ, Wolff J et al (2013) Adipose stem cell (ASC) tissue engineered construct used to treat large anterior mandibular defect: a case report and review of the clinical application of GMP-level ASCs for bone regeneration. J Oral Maxillofac Surg 71:938–950CrossRefPubMed
22.
go back to reference Wolff J, Sándor GK, Miettinen A et al (2013) GMP-level adipose stem cells combined with computer-aided manufacturing to reconstruct mandibular ameloblastoma resection defects: experience with 3 cases. Ann Maxillofac Surg 3:114–125CrossRefPubMedCentralPubMed Wolff J, Sándor GK, Miettinen A et al (2013) GMP-level adipose stem cells combined with computer-aided manufacturing to reconstruct mandibular ameloblastoma resection defects: experience with 3 cases. Ann Maxillofac Surg 3:114–125CrossRefPubMedCentralPubMed
Metadata
Title
Healing of rabbit calvarial critical-sized defects using autogenous bone grafts and fibrin glue
Authors
Olli-Pekka Lappalainen
Riikka Korpi
Marianne Haapea
Jarkko Korpi
Leena P. Ylikontiola
Soili Kallio-Pulkkinen
Willy S. Serlo
Petri Lehenkari
George K. Sándor
Publication date
01-04-2015
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 4/2015
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-014-2588-z

Other articles of this Issue 4/2015

Child's Nervous System 4/2015 Go to the issue