Effect of Electrohydraulic Extracorporeal Shockwave Therapy on the Repair of Bone Defects Grafted With Particulate Allografts.

This study determined the effect of electrohydraulic extracorporeal shockwave therapy (ESWT) on the healing of mandible defects repaired using particulate allogenic bone grafts. This study included 20 male Wistar rats aged 12 weeks. In all the animals, a critical-sized defect of 4-mm diameter was created in the mandible and the defect area was filled with particulate allograft. Next, the rats were divided into 2 groups, allograft (G) (n = 10) and allograft + ESWT (GE) (n = 10). On days 3, 5, and 7 after the grafting, rats in the GE group received ESWT involving 200 pulses with an energy flux density of 0.19 mJ/mm. Five rats in each group were sacrificed at the end of week 4 and at the end of week 8. Defect areas were examined radiologically by performing high-resolution computed tomography and stereologically by using the Cavalieri method. Obtained data were compared by performing statistical analysis. Radiological evaluation showed that bone density was higher in rats in the G group than in those in the GE group at week 4. In contrast, bone density was higher in rats in the GE group than in those in the G group at week 8. Stereological examination showed that new bone, connective tissue, and capillary volumes were higher in rats in the GE group than in those in the G group at both weeks 4 and 8. The authors' results indicate that repeated doses of ESWT accelerate the healing of bone defects repaired using allogenic bone grafts

The assessment of new bone formation induced by unfocused extracorporeal shock wave therapy applied on pre-surgical phase of distraction osteogenesis.

PURPOSE: This study aims to evaluate the effects of extracorporeal shock wave therapy applied before and/or immediately after the osteotomy on the maturation during the consolidation phase. MATERIALS AND METHODS: 21 female New Zealand rabbits were used in the study. Subjects were divided randomly into three groups: Control (Distraction without ESWT), A (Distraction +ESWT After Osteotomy), AB (Distraction+ESWT After and Before Osteotomy). ESWT (500 pulses, 5 Hz, 0.19 mJ/mm2 energy flux density) was applied to group A and group AB after 5, 12 and 19 days after osteotomy and group AB only on days 7,14 and 21 before osteotomy. On the 28th day of the consolidation period, all subjects were sacrificed. Dual-energy x-ray absorptiometry (DEXA) was used to determine bone mineral density (BMD) and bone mineral content (BMC), and stereological methods were used to determine the new bone, connective tissue and neovascularization volumes. RESULTS: As a result of DEXA examinations made on the 1st and 4th week of consolidation, there was no significant difference between groups regarding BMD and BMC values. According to the results of stereological examination, when the connective tissue and new bone tissue were evaluated, higher values were observed in AB when compared to A, and in AB and A compared to the control group, but the differences are not statistically significant. There was no difference between the groups in terms of neovascularization. CONCLUSION: ESWT in these parameters was not positively effective in bone maturation during consolidation when applied before osteotomy or both before and after osteotomy

Neotethyan closure history of western Anatolia: a geodynamic discussion

International audienceThis paper addresses the lithosphere-scale subduction–collision history of the eastern termination of the Aegean retreating subduction system, i.e. western Anatolia. Although there is some general consensus on the protracted subduction evolution of the Aegean since the early Cenozoic at least, correlation with western Anatolia has been widely debated for more than several decades. In western Anatolia, three main tectonic configurations have been envisaged in the past years to reconstruct slab dynamics during the closure of the Neotethyan oceanic realm since the Late Cretaceous. Some authors have suggested an Aegean-type scenario, with the continuous subduction of a single lithospheric slab, punctuated by episodic slab roll-back and trench retreat, whereas others assumed a discontinuous subduction history marked by intermittent slab break-off during either the Campanian (ca. 75 Ma) or the Early Eocene (ca. 55–50 Ma). The third view implies three partly contemporaneous subduction zones. Our review of these models points to key debated aspects that can be re-evaluated in the light of multidisciplinary constraints from the literature. Our discussion leads us to address the timing of subduction initiation, the existence of hypothetical ocean basins, the number of intervening subduction zones between the Taurides and the Pontides, the palaeogeographic origin of tectonic units and the possibility for slab break-off during either the Campanian or the Early Eocene. Thence, we put forward a favoured tectonic scenario featuring two successive phases of subduction of a single lithospheric slab and episodic accretion of two continental domains separated by a continental trough, representing the eastern end of the Cycladic Ocean of the Aegean. The lack of univocal evidence for slab break-off in western Anatolia and southward-younging HP/LT metamorphism in continental tectonic units (from ~85, 70 to 50 Ma) in the Late Cretaceous–Palaeogene period suggests continuous subduction since ~110 Ma, marked by roll-back episodes in the Palaeocene and the Oligo-Miocene, and slab tearing below western Anatolia during the Miocene