Vet Med - Czech, 2009, 54(4):183-190 | DOI: 10.17221/3029-VETMED

Biomechanical assessment of freeze-dried allograft cortical bone plate graft in canine bone defect model

S.Y. Heo1, H.B. Lee1, K.C. Lee1,2, M.S. Kim1,2, C.S. Na3, N.S. Kim1,2
1 College of Veterinary Medicine, Chonbuk National University, Jeonju, Republic of Korea
2 BioSafety Research Institute, Chonbuk National University, Jeonju Republic of Korea
3 College of Agriculture, Chonbuk National University, Jeonju, Republic of Korea

Freeze-dried cortical bone can be used as a biological plate, either alone or in combination with other internal fixation devices, to stabilize fractures. In addition to it conferring mechanical stability, freeze-dried cortical bone may enhance fracture-healing and increase the bone stock. This study examined the effect of a freeze-dried allograft cortical bone plate (FACBP) on the biomechanical properties of an implant site in a canine bone defect model. Twelve adult mongrel dogs (around 4.8 kg) were used. A segmental critical-size defect (5 mm in length) at ulna diaphysis was created using an oscillating saw. The experimental animals were divided into two groups: eight dogs treated with an absorbable bone plate (FACBP) fixed by metal bone screws (Group A) and four dogs treated with a commercial stainless steel bone plate and metal bone screws (Group B). Bone healing was assessed by radiography, Dual-energy x-ray absorptiometry and a three-point bending test. The FACBP incorporated in the host bone produced complete remodeling of the cortical bone. There was no significant difference in the bone mineral density and biomechanical tests between the FACBP application site and normal ulna or a stainless steel bone plate of the ulna. These results suggest that FACBP facilitates recovery from a bone fracture by assisting in the induction of new bone formation in a defected fracture.

Keywords: bone defect model; dual-energy x-ray absorptiometry; absorbable bone plate

Published: April 30, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Heo SY, Lee HB, Lee KC, Kim MS, Na CS, Kim NS. Biomechanical assessment of freeze-dried allograft cortical bone plate graft in canine bone defect model. Vet Med - Czech. 2009;54(4):183-190. doi: 10.17221/3029-VETMED.
Download citation

References

  1. Akeson W.H., Woo S.L., Rutherford L., Coutts R.D., Gonsalves M., Amiel D. (1976): The effects of rigidity of internal fixation plates on long bone remodeling. A biomechanical and quantitative histological study. Acta Orthopaedica Scandinavica, 47, 241-249. Go to original source... Go to PubMed...
  2. Anderson L.D. (1965): Treatment of ununited fractures of the long bones; compression plate fixation and the effect of different types of internal fixation on fracture Healing. The Journal of Bone and Joint Surgery. American Volume, 47, 191-208. Go to original source...
  3. Andersson S.M., Nilsson B.E. (1979): Changes in bone mineral content following tibia shaft fractures. Clinical Orthopaedics and Related Research, 226-229. Go to original source...
  4. Brady O.H., Garbuz, D.S., Masri B.A., Duncan C.P. (1999): The treatment of periprosthetic fractures of the femur using cortical onlay allograft struts. The Orthopedic Clinics of North America, 30, 249-257. Go to original source... Go to PubMed...
  5. Burchardt H. (1987): Biology of bone transplantation. The Orthopedic Clinics of North America, 18, 187- 196. Go to original source... Go to PubMed...
  6. Chandler H.P., Tigges R.G. (1998): The role of allografts in the treatment of periprosthetic femoral fractures. Instructional Course Lectures, 47, 257-264. Go to PubMed...
  7. Ebbesen E.N., Thomsen J.S., Beck-Nielsen H., NepperRasmussen H.J., Mosekilde L. (1999): Lumbar vertebral body compressive strength evaluated by dual-energy X-ray absorptiometry, quantitative computed tomography, and ashing. Bone, 25, 713-724. Go to original source... Go to PubMed...
  8. Emerson R.H., Malinin T.I., Cuellar A.D., Head W.C., Peters P.C. (1992): Cortical strut allografts in the reconstruction of the femur in revision total hip arthroplasty. A basic science and clinical study. Clinical Orthopaedics and Related Research, 35-44. Go to original source...
  9. Enneking W.F., Eady J.L., Burchardt H. (1980): Autogenous cortical bone grafts in the reconstruction of segmental skeletal defects. The Journal of Bone and Joint Surgery. American Volume, 62, 1039-1058. Go to original source...
  10. Faulkner K.G., Gluer C.C., Majumdar S., Lang P., Engelke K., Genant H.K. (1991): Noninvasive measurements of bone mass, structure, and strength: current methods and experimental techniques. AJR. American Journal of Roentgenology, 157, 1229-1237. Go to original source... Go to PubMed...
  11. Finkemeier C.G. (2002): Bone-grafting and bone-graft substitutes. The Journal of Bone and Joint Surgery. American Volume, 84-A, 454-464. Go to original source... Go to PubMed...
  12. Finsen V., Haave O. (1987): Changes in bone-mass after tibial shaft fracture. Acta Orthopaedica Scandinavica, 58, 369-371. Go to original source... Go to PubMed...
  13. Freeman L.M., Kehayias J.J., Roubenoff R. (1996): Use of dual-energy x-ray absorptiometry (DEXA) to measure lean body mass, body fat, and bone mineral content (BMC) in dogs and cats. Journal of Veterinary Internal Medicine, 10, 99-100. Go to original source... Go to PubMed...
  14. Grampp S., Jergas M., Gluer C.C., Lang P., Brastow P., Genant, H.K. (1993): Radiologic diagnosis of osteoporosis. Current methods and perspectives. Radiologic Clinics of North America, 31, 1133-1145. Go to original source... Go to PubMed...
  15. Grier S.J., Turner A.S., Alvis M.R. (1996): The use of dual-energy x-ray absorptiometry in animals. Investigative Radiology, 31, 50-62. Go to original source... Go to PubMed...
  16. Haddad F.S., Duncan C.P. (2003): Cortical onlay allograft struts in the treatment of periprosthetic femoral fractures. Instructional Course Lectures, 52, 291-300. Go to PubMed...
  17. Horowitz M.C., Friedlaender G.E. (1987): Immunologic aspects of bone transplantation. A rationale for future studies. The Orthopedic Clinics of North America, 18, 227-233. Go to original source... Go to PubMed...
  18. Jain R., Podworny N., Hearn T., Anderson G.I., Schemitsch E.H. (1997): Effect of stainless steel and titanium low-contact dynamic compression plate application on the vascularity and mechanical properties of cortical bone after fracture. Journal of Orthopaedic Trauma, 11, 490-495. Go to original source... Go to PubMed...
  19. Kreuz F.P., Hyatt G.W., Turner T.C., Bassett A.L. (1951): The preservation and clinical use of freeze-dried bone. The Journal of Bone and Joint Surgery. American Volume, 33-A, 863-872. Go to original source...
  20. Lauten S.D., Cox N.R., Brawner W.R., Baker H.J. (2001): Use of dual energy x-ray absorptiometry for noninvasive body composition measurements in clinically normal dogs. American Journal of Veterinary Research, 62, 1295-1301. Go to original source... Go to PubMed...
  21. Malinin T., Latta L.L., Wagner J.L., Brown M.D. (1984): Healing of fractures with freeze-dried cortical bone plates. Comparison with compression plating. Clinical Orthopaedics and Related Research, 281-286. Go to original source...
  22. Millis D.L., Wilkens B.E., Daniel G.B., Hubner K., Mathews A., Buonomo F.C., Patell K.R., Weigel J.P. (1998): Radiographic, densitometric, and biomechanical effects of recombinant canine somatotropin in an unstable ostectomy gap model of bone healing in dogs. Veterinary Surgery, 27, 85-93. Go to original source... Go to PubMed...
  23. Moyen B.J., Lahey P.J., Weinberg E.H., Harris W.H. (1978): Effects on intact femora of dogs of the application and removal of metal plates. A metabolic and structural study comparing stiffer and more flexible plates. The Journal of Bone and Joint Surgery. American Volume, 60, 940-947. Go to original source...
  24. Perren S.M., Cordey J., Rahn B.A., Gautier E., Schneider E. (1988): Early temporary porosis of bone induced by internal fixation implants. A reaction to necrosis, not to stress protection? Clinical Orthopaedics and Related Research, 139-151. Go to original source...
  25. Schneider S., Breit S.M., Grampp S., Kunzel W., Liesegang A., Mayrhofer E., Zentek J. (2004): Comparative assessment of bone mineral measurements obtained by use of dual-energy x-ray absorptiometry, peripheral quantitative computed tomography, and chemicalphysical analyses in femurs of juvenile and adult dogs. American Journal of Veterinary Research, 65, 891- 900. Go to original source... Go to PubMed...
  26. Sinibaldi K.R. (1989): Evaluation of full cortical allografts in 25 dogs. Journal of the American Veterinary Medical Association, 194, 1570-1577. Go to PubMed...
  27. Slatis P., Karaharju E., Holmstrom T., Ahonen J., Paavolainen P. (1978): Structural changes in intact tubular bone after application of rigid plates with and without compression. The Journal of Bone and Joint Surgery. American Volume, 60, 516-522. Go to original source...
  28. Theodorou D.J., Theodorou S.J. (2002): Dual-energy Xray absorptiometry in clinical practice: Application and interpretation of scans beyond the numbers. Clinical Imaging, 26, 43-49. Go to original source... Go to PubMed...
  29. Uhthoff H.K., Finnegan M. (1983): The effects of metal plates on post-traumatic remodelling and bone mass. The Journal of Bone and Joint Surgery. British Volume, 65, 66-71. Go to original source... Go to PubMed...
  30. Vajaradul Y. (2000): Bangkok biomaterial center: 15 years experience in tissue banking. Cell Tissue Bank, 1, 229-239. Go to original source... Go to PubMed...
  31. Wilson D., Frei H., Masri B.A., Oxland T.R., Duncan C.P. (2005): A biomechanical study comparing cortical onlay allograft struts and plates in the treatment of periprosthetic femoral fractures. Clinical Biomechanics (Bristol, Avon), 20, 70-76. Go to original source... Go to PubMed...
  32. Woo S.L., Akeson W.H., Coutts R.D., Rutherford L., Doty D., Jemmott G.F., Amiel D. (1976): A comparison of cortical bone atrophy secondary to fixation with plates with large differences in bending stiffness. The Journal of Bone and Joint Surgery. American Volume, 58, 190-195. Go to original source...
  33. Zhou Z., Pei F., Cheng J., Tu C., Liu L. (2005a): An experimental study of the effect of biomechanical environment on the incorporation of cortical bone plates allografts. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi, 22, 476-480. Go to PubMed...
  34. Zhou Z. K., Pei F. X., Cheng J. Q., Tu C. Q., Lian Y. Y., Li X. Q. (2005b): Use of cortical bone plates allografts for reconstruction of femoral fracture: an experimental study in goats. Sichuan Da Xue Xue Bao Yi Xue Ban, 36, 880-884. Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.