异羟基磷灰石骨移植对狗下颌骨不利骨折愈合的影响

Israa Saad, Elsayed Metwally, Ibrahim Ahmed, Sabry Elkorash, Walid Ghanem, Mohamed Hamed
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摘要

导言下颌骨骨折被认为是最常见的面部骨骼骨折。由于可能出现并发症,治疗下颌骨骨折十分困难,目前对最佳治疗方法尚未达成共识。目的:本研究旨在评估在刚性固定下,异羟基磷灰石骨移植在不利的下颌骨斜形骨折愈合中的作用。材料与方法本实验研究包括 18 只健康雄性犬。所有动物均诱发单侧下颌骨骨折。动物被平均分为对照组(I),仅使用重建骨板固定骨折。研究组(II):使用重建骨板固定骨折,并用异羟基磷灰石骨移植填充骨缺损。在 2、4 和 8 周时对骨缺损部位进行放射学、组织病理学和组织形态计量学检查。结果显示随着时间的延长,两组患者的骨密度都有明显增加。组织切片分析表明,两组新形成的骨刺都随机地分布在移植材料中的离散点上。组织形态学分析表明,牛骨移植物显示出与原生骨组织相似的良好组织和重建骨。结论异羟基磷灰石骨移植是颌骨重建的良好选择,可缩短骨折线区域的愈合时间。异羟基磷灰石骨移植物可作为移植物用于治疗下颌骨不利骨折,效果令人满意。
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Effect of Xeno-Hydroxyapetite Bone Graft on the Healing Of Unfavorable Mandibular Fractures on Dogs
Introduction: Mandibular fractures are considered the most common facial bones fractures. Treating mandibular fractures is difficult due to probability of complications, and there is presently no consensus on the best therapy. Aim: This study aimed to evaluate the role of xeno-hydroxyapetite bone graft in the healing of unfavorable oblique mandibular fractures under rigid fixation. Material and methods: This experimental study included 18 healthy male dogs. Unilateral mandibular fractures were induced for all animals. Animals were divided equally into: Control group (I) where the fracture was fixed with reconstruction bone plate only. Study group (II) where the fracture was fixed with reconstruction bone plate and bone defect was filled with the xeno-hydroxyapetite bone graft. The bone defect site was examined radiographically, Histopathologically and histomorphometrically at 2, 4 and 8 weeks. Results: There was significant increase in bone density with increasing time in both groups. The analysis of histological sections revealed that the newly formed bony spicules in both groups were localized randomly and in discrete puncta within the graft material. Histomorphometry analysis suggests that the bovine bone graft showed well-organized and reconstructed bone similar to native bone tissues. Conclusion: Xeno-hydroxyapetite bone graft is a good choice for the jaw bone reconstruction and can reduce the healing time in the area of the fracture line. Xeno-hydroxyapetite bone graft can be satisfactorily used as grafts in the treatment of unfavorable mandibular fractures.
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