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      골신장술시 반복적인 압축과 신장 방법이 골형성에 미치는 영향 = THE EFFECT OF REPETITIVE DISTRACTION AND COMPRESSION ON NEW BONE FORMATION DURING DISTRACTION

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      https://www.riss.kr/link?id=A105696689

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      다국어 초록 (Multilingual Abstract)

      Purpose: The aim of the present study is to evaluate the effect of repetitive distraction and compression on new bone formation during distraction period. Materials and methods: Sixteen healthy rabbits, weighing about 2.5kg, were used in this experiment. A unilateral mandibular osteotomy was performed in the left mandible and the distractor(Track 1 $plus^{(R)}$, Gebruder Martin $GmbH^{(R)}$, Germany) was fixed with four screws (Cross driver screw $TI^{(R)}$, Gebruder Martin $GmbH^{(R)}$, Germany). After 4 days, the mandibles were distracted at a rate of 0.6mm/day for 10 days to obtain the amount of 6mm distraction in the control group(n=4). In the experimental group A(n=6), they were distracted at a rate of 1.2mm/day for 5 days and then compression of 0.6mm length and distraction of 0.6mm per 12 hours were carried out as counter direction for 5 days, relatively. In the experimental group B(n=6), distraction of 1.2mm length and compression of 0.6mm length per 12 hours were repeated for 10 days to obtain the amount of 6mm distraction finally. The experimental animals were sacrificed at 2 and 4 weeks after surgery and block specimens were obtained. With histologic and histomorphometric analysis, we observed the histologic changes of the cells and bone formation after H-E and Masson- Trichrome staining and then, measured Bone Deposition Rate with TOMORO $ScopeEye^{TM}$ ver. 3.5(Olympus, Japan), Results: Histologically, new bone formation was examined in all experimental groups and the control. But, the ability of bone formation of the experimental group A was somewhat better than any other groups. On the histomorphometric analysis, Bone Deposition Rate was higher in the experimental group A$(50.67{\pm}4.36%)$ than in the control group$(45.94{\pm}3.97%)$ and in the experimental group B$(42.68{\pm}5.70%)$. These data showed significant differences statistically(p<0.05). Conclusion: These results show that the distraction osteogenesis using repetitive compression and distraction force in the early consolidation period may be effective for new bone formation.
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      Purpose: The aim of the present study is to evaluate the effect of repetitive distraction and compression on new bone formation during distraction period. Materials and methods: Sixteen healthy rabbits, weighing about 2.5kg, were used in this experime...

      Purpose: The aim of the present study is to evaluate the effect of repetitive distraction and compression on new bone formation during distraction period. Materials and methods: Sixteen healthy rabbits, weighing about 2.5kg, were used in this experiment. A unilateral mandibular osteotomy was performed in the left mandible and the distractor(Track 1 $plus^{(R)}$, Gebruder Martin $GmbH^{(R)}$, Germany) was fixed with four screws (Cross driver screw $TI^{(R)}$, Gebruder Martin $GmbH^{(R)}$, Germany). After 4 days, the mandibles were distracted at a rate of 0.6mm/day for 10 days to obtain the amount of 6mm distraction in the control group(n=4). In the experimental group A(n=6), they were distracted at a rate of 1.2mm/day for 5 days and then compression of 0.6mm length and distraction of 0.6mm per 12 hours were carried out as counter direction for 5 days, relatively. In the experimental group B(n=6), distraction of 1.2mm length and compression of 0.6mm length per 12 hours were repeated for 10 days to obtain the amount of 6mm distraction finally. The experimental animals were sacrificed at 2 and 4 weeks after surgery and block specimens were obtained. With histologic and histomorphometric analysis, we observed the histologic changes of the cells and bone formation after H-E and Masson- Trichrome staining and then, measured Bone Deposition Rate with TOMORO $ScopeEye^{TM}$ ver. 3.5(Olympus, Japan), Results: Histologically, new bone formation was examined in all experimental groups and the control. But, the ability of bone formation of the experimental group A was somewhat better than any other groups. On the histomorphometric analysis, Bone Deposition Rate was higher in the experimental group A$(50.67{\pm}4.36%)$ than in the control group$(45.94{\pm}3.97%)$ and in the experimental group B$(42.68{\pm}5.70%)$. These data showed significant differences statistically(p<0.05). Conclusion: These results show that the distraction osteogenesis using repetitive compression and distraction force in the early consolidation period may be effective for new bone formation.

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      참고문헌 (Reference)

      1 이백수, "중안면형성부전 환자에서 Le Fort III 골신장술을 이용한 치료 1례" 대한악안면성형재건외과학회 26 (26): 598-601, 2004

      2 황영섭, "압축력을 병용한 하악골 신장술" 대한악안면성형재건외과학회 28 (28): 531-548, 2006

      3 장건택, "골신장술시 휴지기간과 골편의 신장방향이 신생골 형성에 미치는 영향" 대한악안면성형재건외과학회 26 (26): 511-520, 2004

      4 권준경, "가토의 하악골에서 골신장기 동안 반복 골신장술이 골형성에 미치는 효과" 대한구강악안면외과학회 32 (32): 241-249, 2006

      5 Greenwald JA, "“Pumping the regenerate”: an evaluation of oscillating distraction osteogenesis in the rodent mandible" 44 : 516-, 2000

      6 Oh JH, "Vertical distraction of alveolar bone for placement of dental implant" 28 : 326-, 2002

      7 Tsubota S, "Transplantation of osteoblast-like cells to the distracted callus in rabbits" 81 : 125-, 1999

      8 Kitoh H, "Transplantation of culture expanded bone marrow cells and platelet rich plasma in distraction osteogenesis of the long bones" 40 : 522-, 2007

      9 Kim UK, "Tissue reaction following by combination of distraction and compression force on distraction osteogenesis of the mandible in the rat" 28 : 103-, 2002

      10 Kershaw CJ, "Tibial external fixation, weight bearing, and fracture movement" 293 : 28-, 1993

      1 이백수, "중안면형성부전 환자에서 Le Fort III 골신장술을 이용한 치료 1례" 대한악안면성형재건외과학회 26 (26): 598-601, 2004

      2 황영섭, "압축력을 병용한 하악골 신장술" 대한악안면성형재건외과학회 28 (28): 531-548, 2006

      3 장건택, "골신장술시 휴지기간과 골편의 신장방향이 신생골 형성에 미치는 영향" 대한악안면성형재건외과학회 26 (26): 511-520, 2004

      4 권준경, "가토의 하악골에서 골신장기 동안 반복 골신장술이 골형성에 미치는 효과" 대한구강악안면외과학회 32 (32): 241-249, 2006

      5 Greenwald JA, "“Pumping the regenerate”: an evaluation of oscillating distraction osteogenesis in the rodent mandible" 44 : 516-, 2000

      6 Oh JH, "Vertical distraction of alveolar bone for placement of dental implant" 28 : 326-, 2002

      7 Tsubota S, "Transplantation of osteoblast-like cells to the distracted callus in rabbits" 81 : 125-, 1999

      8 Kitoh H, "Transplantation of culture expanded bone marrow cells and platelet rich plasma in distraction osteogenesis of the long bones" 40 : 522-, 2007

      9 Kim UK, "Tissue reaction following by combination of distraction and compression force on distraction osteogenesis of the mandible in the rat" 28 : 103-, 2002

      10 Kershaw CJ, "Tibial external fixation, weight bearing, and fracture movement" 293 : 28-, 1993

      11 Hosny G, "The treatment of infected nonunion of the tibia by compression-distraction techniques using the Ilizarov external fixator" 22 : 298-, 1998

      12 De Bastiani G, "The treatment of fractures with a dynamic axial fixator" 66 : 538-, 1984

      13 White SH, "The timing of distraction of an osteotomy" 72 : 356-, 1990

      14 Ilizarov GA, "The tension-stress effect on the genesis and growth of tissues: Part II. The influence of the rate and frequency of distraction" 239 : 263-, 1989

      15 Farhadieh RD, "The role of transforming growth factor-beta, insulin-like growth factor I, and basic fibroblast growth factor in distraction osteogenesis of the mandible" 10 : 80-, 1999

      16 Tavakoli K, "The role of latency in mandibular osteodistraction" 26 : 209-, 1998

      17 Yamaji T, "The effect of micromovement on callus formation" 6 : 571-, 2001

      18 Aronson J, "Temporal and spatial increases in blood flow during distraction osteogenesis" 301 : 124-, 1994

      19 Okazaki H, "Stimulation of bone formation by recombinant fibroblast growth factor- 2 in callotasis bone lengthening of rabbits" 64 : 542-, 1999

      20 Nakamura K, "Stimulation of bone formation by intraosseous application of recombinant basic fibroblast growth factor in normal and ovariectomized rabbits" 15 : 307-, 1997

      21 Ayoub AF, "Segmental mandibular reconstruction by microincremental automatic distraction osteogenesis: an animal study" 39 : 356-, 2001

      22 Burger EH, "Mechanical stress and osteogenesis in vitro" 7 : 397-, 1992

      23 Takenobu T, "Mandibular reconstruction using intraoral trifocal bone transport: report of a case" 103 : 630-, 2007

      24 Uglow MG, "Low-intensity ultrasound stimulation in distraction osteogenesis in rabbits" 417 : 303-, 2003

      25 McCarthy JG, "Lengthening the human mandible by gradual distraction" 89 : 1-, 1992

      26 Amaral CM, "Gradual bone distraction in craniosynostosis. Preliminary results in seven cases" 31 : 25-, 1997

      27 Pampu AA, "Experimental evaluation of the effects of zoledronic acid on regenerate bone formation and osteoporosis in mandibular distraction osteogenesis" 64 : 1232-, 2006

      28 Fredericks DC, "Effects of pulsed electromagnetic field stimulation on distraction osteogenesis in the rabbit tibial leg lengthening model" 23 : 478-, 2003

      29 Aida T, "Effects of latency period in a rabbit mandibular distraction osteogenesis" 32 : 54-, 2003

      30 Troulis MJ, "Effects of latency and rate on bone formation in a porcine mandibular distraction model" 58 : 507-, 2000

      31 Yonezawa H, "Effect of recombinant human bone morphogenetic protein-2 (rhBMP-2) on bone consolidation on distraction osteogenesis: a preliminary study in rabbit mandibles" 34 : 270-, 2006

      32 Nash TJ, "Effect of plateletderived growth factor on tibial osteotomies in rabbits" 15 : 203-, 1994

      33 Narasaki K, "Effect of extracorporeal shock waves on callus formation during bone lengthening" 8 : 474-, 2003

      34 Hollier LH Jr, "Distraction rate and latency: factors in the outcome of pediatric mandibular distraction" 117 : 2333-, 2006

      35 Davies J, "Distraction osteogenesis - a review" 185 : 462-, 1998

      36 Ilizarov GA, "Clinical application of the tension-stress effect for limb lengthening" 250 : 8-, 1990

      37 Mofid MM, "Callus stimulation in distraction osteogenesis" 109 : 1621-, 2002

      38 Kassis B, "Callus response to micromovement during elongation in the rabbit" 18 : 586-, 1998

      39 Kokoroghiannis C, "Calcitonin administration in a rabbit distraction osteogenesis model" 415 : 286-, 2003

      40 Kim UK, "Bone regeneration in mandibular distraction osteogenesis combined with compression stimulation" 64 : 1498-, 2006

      41 Kojimoto H, "Bone lengthening in rabbits by callus distraction. The role of periosteum and endosteum" 70 : 543-, 1988

      42 Stokes IA, "Alterations in the growth plate associated with growth modulation by sustained compression or distraction" 41 : 197-, 2007

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