The effect of a composite of demineralized bone mixed with
polyorthoester on the healing of large segmental defects in the rat radius
was studied. Sixty male Wistar rats were divided into four groups, A
through D, and an osteoperiosteal diaphyseal defect of 50 per cent of the
length of the bone was made in the right radius of each rat. In Group A,
the defect was filled with polyorthoester and demineralized bone; in Group
B, demineralized bone; and in Group C, polyorthoester. No material was
implanted in the defects in the Group-D rats. The rats were killed fifty
days postoperatively. The formation of bone in the defects was quantified
with computer-assisted measurements of the area on radiographs. The
host-tissue response was evaluated with light microscopy. Defects that had
been filled with the composite of polyorthoester and demineralized bone or
with demineralized bone alone showed regeneration of bone corresponding to
93.6 and 77.6 per cent of the area of the defect, respectively. Defects
that had no implant or that had been filled with polyorthoester alone
showed significantly less formation of bone. No inflammation was seen with
light microscopy, and only traces of the polyorthoester could be detected
in the defects that had been filled with the composite or with
polyorthoester alone.