Skip to main content

Advertisement

Log in

Radiological and histological analysis of cortical allografts: an experimental study in sheep femora

  • Original Article
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

We developed an experimental model in sheep femora to evaluate the process of cortical allograft incorporation.

Materials and methods

Twenty-four sheep were divided into four groups according to the various treatments of cortical allografts as follows: fresh, frozen, autoclaved, and frozen with perforation. Periodical radiographic and histological evaluations were performed for each group.

Results

Perforated frozen allograft proved to be superior radiographically in the first stage to fresh, frozen, and autoclaved forms. Revascularization was demonstrated by both Spalteholz’s technique and histological examination. Histological analysis also showed creeping substitution, from the host bone to the allograft, which increased the reabsorption to facilitate new bone penetration, including endochondral ossification at the host-graft interface.

Conclusion

We believe that endochondral ossification is probably a biological event occurring routinely during the bone healing process and that the processes of incorporation of variously treated cortical allografts differ only at the early phase of implantation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1a–c
Fig. 2
Fig. 3
Fig. 4a–e
Fig. 5a, b

Similar content being viewed by others

References

  1. Anderson MLC, Dhert WJA, Bruijn JD de, Dalmeijer RAJ, Leenders H, Blitterswijk CA van, Verbout AJ (1999) Critical size defect in the goat’s os ilium. Clin Orthop 364:231–239

    Article  PubMed  Google Scholar 

  2. DeLacure MD (1994) Physiology of bone healing and bone grafts. Otolaryngol Clin North Am 27:859–873

    CAS  PubMed  Google Scholar 

  3. Delloye C, Simon P, Nyssen-Behets C, Banse X, Bresler F, Schmitt D (2002) Perforations of cortical bone allografts improve their incorporation. Clin Orthop 396:240–247

    PubMed  Google Scholar 

  4. Enneking WF, Mindell ER (1991) Observations on massive retrieved human allografts. J Bone Joint Surg Am 73:1123–1142

    Google Scholar 

  5. Enneking WF, Campanacci DA (2001) Retrieved human allografts. J Bone Joint Surg Am 83:971–986

    Google Scholar 

  6. Friedlaender GE (1983) Immune responses to osteochondral allografts: current knowledge and future directions. Clin Orthop 174:58–68

    PubMed  Google Scholar 

  7. Goldberg VM, Stevenson S (1987) Natural history of autografts and allografts. Clin Orthop 225:7–16

    PubMed  Google Scholar 

  8. Mankin HJ, Doppelt S, Tomford W (1983) Clinical experience with allograft transplantation. Clin Orthop 174:69–86

    PubMed  Google Scholar 

  9. Moreno J, Forriol F (2002) Effects of preservation on the mechanical strength and chemical composition of cortical bone: an experimental study in sheep femora. Biomaterials 23:2615–2619

    Article  CAS  PubMed  Google Scholar 

  10. San-Julian M, Canadell J (1998) Fractures of allografts used in limb preserving operations. Int Orthop 22:32–36

    Article  CAS  PubMed  Google Scholar 

  11. Shimizu K, Masumi S, Yano H, Fukunaga T, Ikebe S, Shin S (1999) Revascularization and new bone formation in heat-treated bone grafts. Arch Orthop Trauma Surg 119:57–61

    Article  CAS  PubMed  Google Scholar 

  12. Stevenson S, Emery SE, Goldberg VM (1996) Factors affecting bone graft incorporation. Clin Orthop 323:66–74

    Article  Google Scholar 

  13. Stevenson S, Li XQ, Davy DT, Klein L, Goldberg VM (1997) Critical biological determinants of incorporation of non-vascularized cortical bone grafts. J Bone Joint Surg Am 79:1–16

    Article  CAS  PubMed  Google Scholar 

  14. Urist MR (1980) Fundamental and clinical bone physiology. Lippincott Williams&Wilkins, Philadelphia

  15. Virolainen P, Vuorio E, Aro HT (1993) Gene expression at graft-host interfaces of cortical bone allografts and autografts. Clin Orthop 297:144–149

    PubMed  Google Scholar 

  16. Virolainen P, Perala M, Vuorio E, Aro HT (1995) Expression of matrix genes during incorporation of cancellous bone allografts and autografts. Clin Orthop 317:263–272

    PubMed  Google Scholar 

  17. Virolainen P, Elima K, Metsaranta M, Aro HT, Vuorio E (1998) Incorporation of cortical bone allografts and autografts in rats. Expression pattern of mRNAs for the TGF-bs. Acta Orthop Scand 69:537–544

    CAS  PubMed  Google Scholar 

  18. Yano H, Masumi S, Fukunaga T, Ikebe S (1993) Quantitative analysis of revascularization and new bone formation in experimental bone grafts. Int Orthop 17:109–112

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Francisco Forriol.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Taira, H., Moreno, J., Ripalda, P. et al. Radiological and histological analysis of cortical allografts: an experimental study in sheep femora. Arch Orthop Trauma Surg 124, 320–325 (2004). https://doi.org/10.1007/s00402-004-0653-x

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-004-0653-x

Keywords

Navigation