Abstract
The osteogenic capacity of vascularized periosteal and osteoperiosteal grafts was investigated in 82 Wistar rats about 8 weeks old. The periosteal flaps, pedicled on the descending genicular artery, were taken by stripping the lower third of the femur. In the right hindleg, the grafts were made with periosteum only, while in the left hindleg, the periosteal flaps were associated with cancellous bone. The animals were divided into two groups of 41. In group I, both the periosteal and osteoperiosteal grafts were placed in contact with cortical bone, and in group II, the grafts were buried in muscle. Subgroups of 8 animals were killed after 1, 2, 4, 8, and 16 weeks postoperatively. The grafted region was evaluated radiographically, macroscopically, and histologically. Membranous ossification was the main source of bone formation. Osteoperiosteal grafts produced a greater amount of new bone than periosteal ones. There was evidence that the contact of the graft with living cortical bone favored bone formation.
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References
Canalis RF, Burstein FD (1985) Osteogenesis in vascularized periosteum. Arch Otolaryngol 111:511–516
Finley JM, Acland RD, Wood MB (1978) Revascularised periosteal grafts. A new method to produce functional new bone without bone grafting. Plast Reconstr Surg 61:1–6
Jaroma HJ, Ritsila VA (1987) Reconstruction of patellar cartilage defects with free periosteal grafts. Scand J Plast Reconstr Surg 21:175–181
King KF (1976) Periosteal pedicle grafting in dogs. J Bone Joint Surg [Br] 58-B:117–121
Lupo G, Ronchi P (1987) Long term results in cleft and palate repair with modified periosteal flap technique. Scand J Plast Reconstr Surg 21:115–117
Masquelet AC, Romana MC, Penteado CV, Carlioz H (1989) Les greffes périostées vascularisées. Rev Chir Orthop (Suppl 11) 74:240–243
O'Driscoll SW, Keeley FW, Salter RB (1986) The chondrogenic potential of free autogenous periosteal grafts for biological resurfacing of major full-thickness defects in joint surfaces under the influence of continuous passive motion. An experimental study in the rabbit. J Bone Joint Surg [Am] 68:1017–1035
O'Driscoll SW, Keeley RW, Salter RB (1988) Durability of regenerated articular cartilage produced by free autogenous periosteal grafts in major full-thickness defects in joint surfaces under the influence of continuous passive motion. A follow-up report at one year. J Bone Joint Surg [Am] 70:595–606
Penteado CV, Masquelet AC, Romana MC, Chevrel JP (1990) Periosteal flaps: anatomical bases of sites of elevation. Surg Radiol Anat 12:3–7
Poussa M, Ritsila V (1979) The osteogenic capacity of free periosteal and osteoperiosteal grafts. A comparative study in growing rabbits. Acta Orthop Scand 50:491–499
Puckett CL, Hurvitz JS, Metzler MH, Silver D (1979) Bone formation by revascularized periosteal and bone grafts, compared with traditional bone grafts. Plast Reconstr Surg 64:361–365
Ritsila V, Alhopuro S, Rintala A (1972) Bone formation with free periosteum. An experimental study. Scand J Plast Reconstr Surg 6:51–56
Ritsila V, Poussa M, Rubak J, Snellman P, Osterman K (1981) Periosteal and perichondrial grafts in reconstruction of joint surfaces. Acta Orthop Scand 52:447
Romana MC, Masquelet AC (1990) Vascularized periosteum associated with cancellous bone graft: an experimental study. Plast Reconstr Surg 85:587–592
Rubak JM (1982) Reconstruction of articular cartilage defects with free periosteal grafts. An experimental study. Acta Orthop Scand 53:175–180
Rubak JM, Poussa M, Ritsila V (1982) Chondrogenesis in repair of articular cartilage defects by free periosteal grafts in the rabbits. Acta Orthop Scand 54:826–831
Sakai K, Doi K, Kawai S (1991) Free vascularized thin corticoperiosteal grafts. Plast Reconstr Surg 87:290–298
Satoh T, Tsuchiya M, Harii K (1983) A vascularised iliac musculo-periosteal free flap transfer: a case report. Br J Plast Surg 36:109–112
Sheng Z, Yi S, Shi L, Bo Z, Ji W (1989) Transposition of iliac periosteum with vascular pedicle and compression screw fixation for transcervical fracture of femur. Experimental research and clinical application. Chin Med J 102:34–40
Takato T, Harii K, Nakatsuka T (1988) Osteogenic capacity of vascularised periosteum: experimental study using rib periosteum in rabbits. Br J Plast Surg 41:528–532
Uddströmer L, Ritsila V (1978) Osteogenic capacity of periosteal grafts. Scand J Plast Reconstr Surg 12:207–214
Van den Wildenberg FAJM, Goris RLA, Tutein Nolthenius-Puylaert MBJE (1984) Free revascularised periosteum transplantation: an experimental study. Br J Plast Surg 37:226–235
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Camilli, J.A., Penteado, C.V. Bone formation by vascularized periosteal and osteoperiosteal grafts. Arch Orthop Trauma Surg 114, 18–24 (1994). https://doi.org/10.1007/BF00454730
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DOI: https://doi.org/10.1007/BF00454730