Le prélèvement crânien monocortical pourrait affaiblir la zone prélevée et exposer à des complications. Nous avons conçu un mouton pendule de Charpy validé sur 12 têtes de cadavres humains. L’énergie du choc était augmentée jusqu’à fracture de la zone pariétale. Pour mesurer l’épaisseur avec un système de navigation optoélectronique, nous avons comparé cinq méthodes non destructives.Dans la deuxième partie, la quantification de la perte de résistance était réalisée sur 30 têtes humaines en comparant le choc maximal supportable avant fracture du côté prélevé avec le côté non prélevé.La troisième partie de l’étude a été menée sur 34 têtes de cadavres de brebis. La perte de résistance de la zone prélevée était de 36% (p=1.10-10) avec une diminution d’épaisseur de 40%. La corrélation entre les deux paramètres était modérée (R=0.46) mais significative (p<0,0001). Chez la brebis, la diminution de résistance du côté prélevé était de 49% (p=6.10-10).Ces données nous permettrons de réaliser une étude animale, pour évaluer la résistance de la zone prélevée reconstruite par un ciment d’hydroxyapatite. / The monocortical parietal bone graft could decrease the strength of the donor site. Complication could occur. We performed a Charpy impact machine and validated it on 12 human cadaver heads. The chock energy was increased until the fracture of the target zone. The thickness measurement was performed with an optoelectronic navigation device. We compared 5 non destructive methods. In the second part, the quantification of the resistance loss was performed on 30 human cadaver heads. The maximum impact resistance of bone on the donor side was compared with the intact side. The third part of the study was performed on 34 sheep cadaver heads. Loss of strength at the donor site was 36% (p=1.10-10) for 40% loss of thickness. Although correlation between these two parameters was rather moderate (R=0.46), it was highly significant (p<0.0001). On sheep, the loss of strength at the donor site was 49% (p=6.10-10).Bone removal results in a highly loss of strength on human and sheep. These data will permit to perform an animal study to evaluate the resistance of the harvest cranial zone rebuilt with hydroxyapatite cement.

Made available in DSpace on 2014-06-11T19:32:40Z (GMT). No. of bitstreams: 0 Previous issue date: 2008-04-28Bitstream added on 2014-06-13T21:04:27Z : No. of bitstreams: 1 coradazzi_lf_dr_araca.pdf: 554297 bytes, checksum: c5cfb463f29a39c5571e8140faed3c14 (MD5) / Devido a sua micro-arquitetura de composição cortical, baixo padrão de reabsorção e a possibilidade de obtenção de grande quantidade de tecido ósseo, o osso da calota craniana se destaca como uma das principais áreas doadoras para grandes reconstruções de maxilas atróficas para posterior reabilitação com próteses implanto-suportadas. O objetivo desse estudo foi de observar e mensurar, através de avaliação histológica e histométrica, os eventos celulares que ocorrem na interface de união do enxerto onlay de osso parietal na maxila de 10 pacientes, após um período de 6 meses de incorporação. As biópsias foram realizadas no momento da instalação dos implantes osseointegráveis. A área de contato ósseo representou 78,75% e a de contato conjuntivo em fase de remodelação 21,25%. A região de união conjuntiva entre o enxerto ósseo com o leito receptor apresentou osso neoformado (41,26%), medula (36,06%), tecido osteóide (15,86%) e tecido conjuntivo (6,80%). Em todas as amostras houve uma boa incorporação do enxerto ao leito receptor, com atividade osteogênica ativa e ausência de células inflamatórias. / Because of its micro-architecture of cortical composition, low standard of absorption and the possibility to obtain large amount of bone tissue, the calvarial bone is highlighted as a good donor area for large reconstructions of atrophic jaw for subsequent rehabilitation with implant-supported prosthesis. The aim of this study was to observe and measure through histological and histometric evaluation, the cellular events that occur at the interface of union from onlay parietal bone graft on the maxilla of 10 patients, after a period of 6 months of incorporation. The biopsies were performed at the time of installation of osseointegrated implants. The bone contact area represented 78.75% and connective contact 21.25%. The region of connective union between the bone graft to the maxillae presented new bone formation (41.26%), marrow bone (36.06%), osteoid tissue (15.86%) and connective tissue (6.80%). All samples had good graft incorporation to the receptor bed with osteogenic activity and absence of inflammatory cells.

Orientador: Idelmo Rangel Garcia Júnior / Banca: Osvaldo Magro Filho / Banca: Paulo Sérgio Perri de Carvalho / Banca: Daniela Ponzoni / Banca: Luís Antônio Violin Pereira / Resumo: Devido a sua micro-arquitetura de composição cortical, baixo padrão de reabsorção e a possibilidade de obtenção de grande quantidade de tecido ósseo, o osso da calota craniana se destaca como uma das principais áreas doadoras para grandes reconstruções de maxilas atróficas para posterior reabilitação com próteses implanto-suportadas. O objetivo desse estudo foi de observar e mensurar, através de avaliação histológica e histométrica, os eventos celulares que ocorrem na interface de união do enxerto onlay de osso parietal na maxila de 10 pacientes, após um período de 6 meses de incorporação. As biópsias foram realizadas no momento da instalação dos implantes osseointegráveis. A área de contato ósseo representou 78,75% e a de contato conjuntivo em fase de remodelação 21,25%. A região de união conjuntiva entre o enxerto ósseo com o leito receptor apresentou osso neoformado (41,26%), medula (36,06%), tecido osteóide (15,86%) e tecido conjuntivo (6,80%). Em todas as amostras houve uma boa incorporação do enxerto ao leito receptor, com atividade osteogênica ativa e ausência de células inflamatórias. / Abstract: Because of its micro-architecture of cortical composition, low standard of absorption and the possibility to obtain large amount of bone tissue, the calvarial bone is highlighted as a good donor area for large reconstructions of atrophic jaw for subsequent rehabilitation with implant-supported prosthesis. The aim of this study was to observe and measure through histological and histometric evaluation, the cellular events that occur at the interface of union from onlay parietal bone graft on the maxilla of 10 patients, after a period of 6 months of incorporation. The biopsies were performed at the time of installation of osseointegrated implants. The bone contact area represented 78.75% and connective contact 21.25%. The region of connective union between the bone graft to the maxillae presented new bone formation (41.26%), marrow bone (36.06%), osteoid tissue (15.86%) and connective tissue (6.80%). All samples had good graft incorporation to the receptor bed with osteogenic activity and absence of inflammatory cells. / Doutor