Abstract

Purpose: The aim of the present study is to evaluate the influence and efficacy of autologous platelets on bone regeneration in a rabbit defects model. Materials and Methods: A total of 12 critical size tibial defects were produced in six New Zealand rabbits: A total of six defects were filled with autologous platelet gel (APG) and six defects were maintained as untreated controls. No membranes were used to cover the bone osteotomies. The histology and histomorphometry were performed at four weeks on retrieved samples of both groups. Results: No complications were reported in any of the animals nor for the defects produced. A significantly higher lamellar and woven bone percentage was reported for the APG group with a lower level of marrow spaces (p < 0.05). Evidence of newly formed bone was found in the superficial portion of the bone defect of APG samples where no aspects of bone resorption were observed. Conclusions: The evidence of the present research revealed that APG increases new bone formation restricted to the cortical portion and induces more rapid healing in rabbit bone defects than in untreated defects.

Highlights

  • There is a need to find more efficient surgical procedures and biomaterials for bone regeneration

  • Bone grafts represent a useful alternative option requiring a lower quantity of new bone formation when compared to autogenous bone [3]

  • The aim of this study is to evaluate the influence of autologous platelet gel APG on bone healing in a rabbit model

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Summary

Introduction

There is a need to find more efficient surgical procedures and biomaterials for bone regeneration. Bone grafts represent a useful alternative option requiring a lower quantity of new bone formation when compared to autogenous bone [3]. Different typologies of materials and methods have been proposed for improving bone healing: Autologous grafts; demineralized and mineralized freeze-dried allografts; anorganic bovine and porcine bone; collagenated substitutes, coralline calcium carbonate; bioglasses; hydroxyapatite; polylactidepolyglycolide-derivate grafts; synthetic polymers; and calcium sulphate [3]. They are commercially available in the form of particles, cement pastes, gels, and blocks of osteoconductive and osteoinductive biomaterials for bone augmentation and hard tissue reconstruction.

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