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The Journal of Bone & Joint Surgery British Volume
Vol. 45-B, Issue 1 | Pages 162 - 175
1 Feb 1963
Melcher AH Irving JT

1. The effect of implanting heterogenous anorganic bone, homogenous organic bone, autogenous compact bone from the iliac crest, and autogenous bony callus into circumscribed defects in the femur of albino rats of the Wistar strain is described.

2. Neither heterogenous anorganic bone nor homogenous organic bone appeared to induce new bone formation in a healing defect.

3. Some of the osteogenic cells of autogenous callus implants survived transplantation to a bone defect and gave rise to new bone formation. This did not occur when compact bone from autogenous iliac crest was implanted.

4. Implants of autogenous callus, autogenous compact bone, homogenous organic bone and heterogenous anorganic bone all impeded the normal development of host bone trabeculae in a healing bone defect, seemingly because they acted as physical barriers to the proliferating host callus. None of the implant materials appeared to suppress the healing reaction ofthe host.

5. Implanted homogenous organic bone was removed and replaced by host bone more quickly than was implanted heterogenous anorganic bone, and it appears to be the better material for grafting into bone defects.

6. Autogenous callus or autogenous cancellous bone is a superior implant material to autogenous compact bone and is the bone graft material of choice.

7. The absorption of all the implant materials used in this investigation was associated with the presence of multinucleated giant cells.

8. The activity of multinucleated giant cells may be influenced by the organic matrix of the material which is to be absorbed.

9. Except when fresh autogenous callus was implanted into the defects, the rate of healing in the grafted defects was slower than that in the control defects. In the defects grafted with fresh autogenous callus the healing rates of the control and grafted defects were the same.


The Journal of Bone & Joint Surgery British Volume
Vol. 44-B, Issue 4 | Pages 928 - 936
1 Nov 1962
Melcher AH Irving JT

1. An experimental study of the healing mechanism in circumscribed defects in femora of albino rats of the Wistar strain is described.

2. Only the outer one-fifth of the defect is repaired by subperiosteal bony callus, the rest of the defect being repaired by endosteal callus.

3. Subperiosteal callus does not bridge the defect until endosteal callus is developed fully.

4. As peripheral callus matures the greater part of the endosteal callus is resorbed, with the exception of trabeculae attached to the margin of the defect.

5. The resorbed area in the medullary part of the defect is gradually obliterated by deposition of inner circumferential lamellae.

6. There appear to be differences between the mechanism responsible for repair of fractures of a long bone and that which heals circumscribed bone defects.