Replantation of an avulsed zygomatic bone as a freeze-preserved autologous graft: a case report.

We describe a very rare case of midface fracture where the zygomatic bone had been completely avulsed. The fragment was preserved in a frozen state for 40 days, then replanted and the graft was taken. The conditions favourable for the taking of the freeze-preserved zygomatic graft were: (1) an appropriate preservation method, (2) conservation of the periosteum on the zygomatic bone, (3) diversity of the haemodynamics of the zygomatic membranous bone, (4) immobilization of the zygoma by rigid fixation, and (5) a rich blood supply at the recipient site.

[1]  D. Prolo,et al.  Quantitative comparisons of healing in cranial fresh autografts, frozen autografts and processed autografts, and allografts in canine skull defects. , 1986, Clinical orthopaedics and related research.

[2]  D. Prolo,et al.  Autogenous skull cranioplasty: fresh and preserved (frozen), with consideration of the cellular response. , 1979, Neurosurgery.

[3]  Springfield Ds Massive autogenous bone grafts. , 1987 .

[4]  A. Minami,et al.  Experimental study of vascularized bone grafts: hypertrophy of the grafted bone. , 2000, Journal of reconstructive microsurgery.

[5]  T. Nakatsuka,et al.  Osteogenic capacity of vascularised periosteum: experimental study using rib periosteum in rabbits. , 1988, British journal of plastic surgery.

[6]  J. McCarthy,et al.  The role of rigid skeletal fixation in bone-graft augmentation of the craniofacial skeleton. , 1989, Plastic and reconstructive surgery.

[7]  T. Nakatsuka,et al.  Vascularized Periosteal Grafts: An Experimental Study Using Two Different Forms of Tibial Periosteum in Rabbits , 1986, Plastic and reconstructive surgery.

[8]  L. Abbott,et al.  The evaluation of cortical and cancellous bone as grafting material; a clinical and experimental study. , 1947, The Journal of bone and joint surgery. American volume.

[9]  D. M. Knize,et al.  THE INFLUENCE OF PERIOSTEUM AND CALCTTONIN ON ONLAY BONE GRAFT SURVIVAL A Roentgenographic Study , 1974, Plastic and reconstructive surgery.

[10]  M. Itoman,et al.  Effects of preservation procedures on the biomechanical and osteoinductive properties of rabbit bone , 1992 .

[11]  F. Di Rosa,et al.  Free microvascular fibular versus conventional bone grafts. , 1991, International surgery.

[12]  M. Itoman,et al.  Experimental study on allogenic bone grafts , 1991, International Orthopaedics.

[13]  L A Whitaker,et al.  Membranous versus Endochondral Bone: Implications for Craniofacial Reconstruction , 1983, Plastic and reconstructive surgery.

[14]  D. Hancock THE FATE OF REPLACED BONE FLAPS. , 1963, Journal of neurosurgery.

[15]  D. Prolo,et al.  Ethylene oxide sterilization of bone, dura mater, and fascia lata for human transplantation. , 1980, Neurosurgery.

[16]  P. Boyne,et al.  Application of Bone Morphogenetic Proteins in the Treatment of Clinical Oral and Maxillofacial Osseous Defects , 2001, The Journal of bone and joint surgery. American volume.

[17]  S. Shabahang,et al.  An evaluation of bone induction delivery materials in conjunction with root-form implant placement. , 2001, The International journal of periodontics & restorative dentistry.

[18]  J. Bahm,et al.  The free vascularised fibular transfer as a definitive treatment in femoral septic non‐unions , 1995, Microsurgery.

[19]  S. Shabahang,et al.  Evaluation of the long-term effect of function on rhBMP-2 regenerated hemimandibulectomy defects. , 1999, The British journal of oral & maxillofacial surgery.

[20]  P. Boyne Animal studies of application of rhBMP-2 in maxillofacial reconstruction. , 1996, Bone.

[21]  C. Barbieri,et al.  The effect of venous occlusion on the integration of vascularized cortical bone graft. , 1993, Journal of reconstructive microsurgery.

[22]  L A Whitaker,et al.  The effect of rigid fixation on the survival of onlay bone grafts: an experimental study. , 1990, Plastic and reconstructive surgery.

[23]  J. Hurley,et al.  The prefabrication of a bone graft in a rat model. , 1998, The Journal of hand surgery.

[24]  M. Pirela-Cruz,et al.  Vascularized bone grafts. , 1994, Orthopedics.