Osteogenic potential of primed periosteum graft in the rat calvarial model

Miwa Kanou, Takaaki Ueno, Toshimasa Kagawa, Takashi Fujii, Yoshiro Sakata, Nobuhisa Ishida, Joji Fukunaga, Toshio Sugahara

Research output: Contribution to journalArticlepeer-review

36 Citations (Scopus)


Repair of bone defects remains a major concern in plastic and maxillofacial surgery. Based on modern concepts of tissue engineering, periosteum has gained attention as a suitable osteogenic material. We tested the hypothesis that surgically released and immediately repositioned periosteum would exhibit high osteogenic capacity upon grafting in a rat calvarial defect. Seven days after periosteum was released from the tibia and immediately repositioned, the "primed periosteum graft" (PPG; n = 15) was placed into a critical-sized defect of rat calvaria and the process of bone formation was evaluated histologically, immunohistologically, and radiographically at 7, 14, and 21 days after grafting. Findings were compared with a nonprimed periosteal graft (NPG; n = 15). Endochondral ossification was observed in both the PPG and NPG. The PPG showed higher expression of proliferative cell nuclear antigen, bone morphogenetic protein, and vascular endothelial growth factor than the NPG. Three-dimensional radiographic examination revealed significantly increased bone formation in the PPG than in the NPG (P < 0.01). These findings suggested that surgical stimulation of the periosteum enhanced the osteogenic potential of periosteal cells. This method may be suitable for the clinical repair of bone defects.

Original languageEnglish
Pages (from-to)71-78
Number of pages8
JournalAnnals of Plastic Surgery
Issue number1
Publication statusPublished - Jan 2005


  • Bone formation in calvaria defect
  • Critical-sized defect
  • Primed periosteum graft

ASJC Scopus subject areas

  • Surgery


Dive into the research topics of 'Osteogenic potential of primed periosteum graft in the rat calvarial model'. Together they form a unique fingerprint.

Cite this