A study was done to compare the effects of coverage with skin and those
of coverage with a muscle flap on the early return of strength at the site
of an osteotomy after interposition of a devascularized segmental
autogenous graft, two centimeters long, from a canine tibia. The bone was
fixed with a plate. Thirty-two animals were randomized into two groups, one
of which was treated with skin coverage and the other of which was treated
with muscle flap coverage. Half of the animals from each group were killed
at eight weeks and half, at twelve weeks postoperatively. The tibiae were
tested to failure in four-point bending. Failure occurred primarily through
the site of the distal osteotomy. Maximum bending load (p = 0.0002) and
energy absorbed to failure (p less than 0.02) increased significantly
between eight and twelve weeks postoperatively in the group in which a
muscle flap had been used for coverage. Bending stiffness was significantly
greater at eight weeks in the group in which a muscle flap had been used
for coverage than in the group in which skin had been used (p less than
0.03). Maximum bending load was also significantly increased at twelve
weeks in the group in which a muscle flap had been used compared with the
group in which skin had been used (p less than 0.05).