Evaluations of guided bone regeneration in canine radius segmental defects using autologous periosteum combined with fascia lata under stable external fixation |
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Authors: | Zhe Yu Jie Geng Haoran Gao Xinwen Zhao Jingyuan Chen |
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Affiliation: | 1. Department of Orthopedic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi’an, 710038, Shaanxi, People’s Republic of China 2. Medical Department of Tangdu Hospital, Fourth Military Medical University, Xi’an, 710038, Shaanxi, People’s Republic of China 3. Faculty of Military Preventive Medicine, Fourth Military Medical University, 169 Changle West Road, Xi’an, 710032, Shaanxi, People’s Republic of China
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Abstract: | BackgroundAlthough bone defect is one of the most common orthopaedic diseases, treatment remains a challenge and an issue of debate. Guided bone regeneration (GBR) is primarily accompanied by barrier membranes; however, optional membranes show some inherent flaws in clinical application. The purpose of this study was to observe the healing velocity and quality of repairing canine radius segmental defect using transferred autologous periosteum combined with fascia lata, which can provide better biological safety than other materials.ResultsBone union was seen in most individuals from the autologous periosteum combined with fascia lata group, within an average of 14.2 weeks. Histopathologic and SEM examinations both showed the different osteogenesis state between groups. Necropsy confirmed US findings with regard to distance of bone defects and location.ConclusionThese findings suggest that autologous periosteum combined with fascia lata is as effective as a GBR membrane, even in long tubular bone defects. With reliable biological safety, the autologous periosteum combined with fascia lata is expected to achieve increasing application in orthopaedic trauma patients.Level of evidenceNot applicable, animal study. |
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Keywords: | Guided bone regeneration Periosteum Bone defect Bone formation |
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