In this experimental study, blocks of natural coral (calcium carbonate
) and its structurally similar derivate in the form of hydroxyapatite
(calcium phosphate) were implanted in rat latissimus dorsi muscle with
autogenous bone marrow to compare their bone-forming capability. A bl
ock without marrow placed in the opposite latissimus muscle served as
a control. The animals were killed at 3, 6 and 12 weeks and, in the hy
droxyapatite group, also at 24 weeks. The sections were analysed histo
logically and histomorphometrically. Bone was found only in implants c
ontaining bone marrow. Bone formation was significantly (p < 0.05) hig
her in coral than in hydroxyapatite implants at 3 weeks (10.8% versus
4.8%) and at 12 weeks (13.7% versus 6.3%, bone/total original block ar
ea). At 12 weeks all the coral implants had lost their original struct
ure, and the cross-sectional area of the block had diminished to 40% o
f the original area. (C) 1996 Elsevier Science Limited.