EFFECTS OF POLYGLYCOLIC ACID BIOABSORBABLE
MEMBRANE AND OXIDISED CELLULOSE
ON THE OSTEOGENESIS IN BONE DEFECTS:
AN EXPERIMENTAL STUDY
Askar I.1, Gultan S. M.2, Erden E.3, Yormuk E.2
1Plastic and Reconstructive Surgery, Medical School, Dicle University, Diyarbakir, 2Plastic and Reconstructive Surgery, Medical School, Ankara University, Ankara, 3Pathology, Medical School, Ankara University, Ankara, Turkey |
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Summary:
Background: The purpose of the present study was to determine the effects of polyglycolic acid bioabsorbable
membrane and oxidised cellulose on the osteogenesis in bone defects.
Materials and Methods: Fifty-four male adult New Zealand White rabbits weighing 3.0 to 3.5 kg were used. The
rabbits were randomly divided into three groups of eighteen rabbits: the control group (n=18), the polyglycolic
acid bioabsorbable membrane group (biofix group, n=18), and the oxidised cellulose group (Surgicel group,
n=18). Each experimental group was also randomly subdivided into two subgroups of nine rabbits, one with periosteum
and the other without periosteum. A rectangular transosseous calvarial bone defect, 16x20 mm in size,
was created. In the control group, the calvarial bone defect was not filled. Polyglycolic acid bioabsorbable membrane
(Biofix®, Bioscience, Tampere Finland) was implanted over the bone defect area in the biofix group, and
oxidised cellulose (Surgicel®, Ethicone, London, United Kingdom) in the Surgicel group. The calvarial bone defects
were evaluated-histopathologically in the second, sixth, and tenth weeks.
Results: As for the results of sequential bone regeneration, macroscopical and histological aspects were observed.
Bone formation was significantly enhanced by oxidised cellulose in the calvarial bone defects covered
with periosteum, whereas cartilage formation was observed in bare calvarial bone defects.
Conclusion: We believe that oxidised cellulose has osteogenic potential, and that polyglycolic acid bioabsorbable
membrane inhibits osteoinductive effect and retards osteogenesis.
Key words:
periosteum, calvarial bone defect, osteogenesis, oxidised cellulose, polyglycolic acid bioabsorbable
membrane
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