To gain a better understanding of the strength and long term viability
of split calvarial bone graft, nine mongrel dogs each received four t
rephine craniotomies (1.5 mm diameter). The harvested bone plugs were
split through the diploe and a partial-thickness plug was returned to
each craniotomy site. The unused partial-thickness plugs underwent str
ength testing. After 90-150 days the dogs were sacrificed, bone scans
and X-rays of the graft recipient sites performed, and the grafted plu
gs harvested for strength testing and histologic examination. Bone sca
nning showed increased osteoblastic activity within the grafts, streng
th testing showed a progressive loss in strength over the 150 days, an
d histologic examination demonstrated a creeping substitution. These r
esults imply a similar evolution in strength and remodeling to that se
en in long-bone grafts, whose remodeling typically spans 1 year.