Standardized tibial osteotomies were created and stabilized with
external fixation in twenty-seven skeletally mature rabbits. Fourteen
animals were treated with a daily injection of human growth hormone (150
micrograms per kilogram of body weight), and thirteen received a daily
injection of saline solution. Serial non-destructive biomechanical tests,
radiography, and determinations of the levels of serum insulin-like
growth-factor I were performed for all of the animals. Destructive
strength-testing of the sites of osteotomy was performed at four, six, or
eight weeks. Twenty-five of the twenty-seven osteotomies healed
uneventfully. There were no significant differences in the serial
biomechanical measurements at the sites of the healing osteotomies, in the
radiographic measurements, or in the ultimate strength of the sites of the
osteotomy between the two groups. The mean level of serum insulin-like
growth-factor I increased 33 per cent relative to the preoperative baseline
level in the group that received growth hormone and increased 10 per cent
in the control group. This difference was not statistically significant.
There was no significant correlation between the biomechanical properties
at the sites of the osteotomies and the levels of serum insulin-like
growth-factor I. Administration of growth hormone had no measurable effect
on fracture-healing in this model of normal animals. It remains to be
determined whether injection of growth hormone might affect healing when
there is a state of deficiency of endogenous growth hormone or when there
is a non-union of a fracture.