Avaliação microtomográfica de enxertos ósseos fixados pelo etil - cianoacrilato: um estudo experimental em ratos

Abstract

This preclinical trial was developed with the aim of evaluating and comparing the bone volume in the interface bone / graft, using ethyl-cyanoacrylate (Super Bonder Flex Gel ®) and titanium screws as fixing agents in bone graft incorporation, evaluated by computed microtomography. To verify the efficiency of the tested product, 12 adult male rats of the species Rattus novergicos albinus (Wistar) of approximately three months of age were randomly divided into two groups of six rats each. In the control group (PT), a screw internal fixation was used to stabilize the graft. In the experimental group (SB) an adhesive of ethyl- cyanoacrylate was used. Under general anesthesial a block graft was removed from the left parietal bone and fixed on the right parietal bone, in the calvaria of the animal. Thirty days after the surgery, all animals were euthanized and the grafted material analyzed by computed microtomography. The Mann Whitney U test did not show any statistically significant difference between the proposed parameters (Total volume – TV, Bone volume – BV, Bone volume fraction – BV/TV, Trabecular thickness – Tb.Th, Trabecular separation – Tb.Sp and Trabecular number – Tb.N) in both groups, except for the Trabecular separation (Tb.Sp). The SB group presented a Tb.Sb higher than the PT group (p = 0.015) with statistical significance. Therefore, was possible to conclude that the computed microtomography test was able to detect mineralized bone tissue formations in the interface bone / graft after 30 days. Also the volumetric parameters and the parameters of bone density for ethyl-cyanoacrylate was as efficient as the titanium screw in bone graft incorporation in rat calvaria.