scholarly journals A Histologic and Histomorphometric Analysis of Bone Tissue Regeneration with Perforated Bone Allograft in Rabbit Femur Defect

2021 ◽  
Vol 9 (A) ◽  
pp. 12-18
Author(s):  
B. E. Tuleubaev ◽  
E. K. Kamyshansky ◽  
Saginova Dina Saginova ◽  
E. R. Tashmetov ◽  
A. A. Koshanova

AIM: The aim of this study is to provide a comparative histopathological evaluation of the regeneration of bone defect filling with perforated antibiotic-impregnated bone allograft. MATERIALS AND METHODS: Seventy-two healthy rabbits (24 rabbits in each group) were used for this study. Bone defects (3-mm diameter, 10-mm depth) were created in the femur. Human femoral head prepared according to the Marburg bone bank system was used as a bone allograft. The control group did not receive any filling. The experimental groups were as follows: Group 1 – the defects were filled with bone allografts and Group 2 – Perforated gentamycin-impregnated bone allografts. The animals were euthanized after 14, 30, and 60 days. Evaluations consisted of histology at 14-, 30-, and 60-days post-surgery. RESULTS: A mature bone formation in the group without a bone allograft occurred after 30 days and the group with an allograft after 14 days. In the groups with an allograft, a bone marrow defect was noted as complete closure after 30 days. Histomorphometric analysis showed that in the group with an antibiotic-impregnated bone, allograft leads to increased resorption of the allograft in the intramedullary space compared to group without antibiotic. CONCLUSION: We believe that a perforated allograft as a result of clinical trials may be obvious and economically affordable in the treatment of bone defects. The use of gentamycin-impregnated bone allografts may be of value in the prevention and treatment of bone infections.

2021 ◽  
Vol 9 (A) ◽  
pp. 1-6
Author(s):  
Utami Mulyaningrum ◽  
Anif Firrizki Muttaqina ◽  
Adhitama Noor Idninda ◽  
Ndilalah Pulungan ◽  
Irena Agustiningtyas ◽  
...  

AIM: The aim of this study is to provide a comparative histopathological evaluation of the regeneration of bone defect filling with perforated antibiotic-impregnated bone allograft. MATERIALS AND METHODS: Seventy-two healthy rabbits (24 rabbits in each group) were used for this study. Bone defects (3-mm diameter, 10-mm depth) were created in the femur. Human femoral head prepared according to the Marburg bone bank system was used as a bone allograft. The control group did not receive any filling. The experimental groups were as follows: Group 1 – the defects were filled with bone allografts and Group 2 – Perforated gentamycin-impregnated bone allografts. The animals were euthanized after 14, 30, and 60 days. Evaluations consisted of histology at 14-, 30-, and 60-days post-surgery. RESULTS: A mature bone formation in the group without a bone allograft occurred after 30 days and the group with an allograft after 14 days. In the groups with an allograft, a bone marrow defect was noted as complete closure after 30 days. Histomorphometric analysis showed that in the group with an antibiotic-impregnated bone, allograft leads to increased resorption of the allograft in the intramedullary space compared to group without antibiotic. CONCLUSION: We believe that a perforated allograft as a result of clinical trials may be obvious and economically affordable in the treatment of bone defects. The use of gentamycin-impregnated bone allografts may be of value in the prevention and treatment of bone infections.


Author(s):  
Sachiko Tobiume ◽  
Yoshio Kaji ◽  
Osamu Nakamura ◽  
Konosuke Yamaguchi ◽  
Kunihiko Oka ◽  
...  

Abstract Background Massive bone defects after wide resection of malignant bone tumors or a serious injury require treatment using vascularized bone grafts. Although cadaveric bone allografts combined with vascularized bone autografts are currently thought to be ideal in terms of size and durability, this treatment requires the scarification of healthy bone tissue. In a previous study, we attempted to improve this situation by prefabricating a vascularized bone allograft in recipient rats. In this study, we added vascular endothelial growth factor (VEGF)-containing hydroxyapatite/collagen composite (HAp/Col) to a prefabricated vascularized bone allograft to stimulate angiogenesis, which is known to be important for bone formation. Materials and Methods Sprague Dawley rats (n = 50) were used as donors and Wistar rats (n = 50) as recipients. All rats were 9 weeks old. The recipient rats were divided into five groups according to the use of vascular bundles, HAp/Col, and an additive substance (VEGF). The bone allografts collected from the donors were transplanted into the thigh region of the recipients, and a saphenous vein and 10 μg HAp/Col with VEGF were inserted into the bone allografts through the slit. After 4 weeks, the transplanted bone allografts were harvested, and histologic and genetic evaluations were performed in relation to bone formation and resorption. Results The results showed that, compared with the control group, the implantation of the vascular bundles and VEGF-containing HAp/Col significantly stimulated angiogenesis and bone formation in the rats with the bone allografts. However, histological and genetic evaluations of bone resorption revealed that resorption was not observed in any group. Conclusion These results suggest that VEGF-containing HAp/Col effectively stimulates angiogenesis and bone formation, but not bone resorption, in prefabricated vascularized bone allografts. This method could therefore become a useful tool for treating large bone defects.


2021 ◽  
Vol 11 (22) ◽  
pp. 10900
Author(s):  
Abdulsamet Emet ◽  
Erdi Ozdemir ◽  
Duygu Uckan Cetinkaya ◽  
Emine Kilic ◽  
Ramin Hashemihesar ◽  
...  

The high costs and extensive time needed for the treatment of critical-sized bone defects are still major clinical concerns in orthopedic surgery; therefore, researchers continue to look for more cost and time-effective methods. This study aims to investigate the effects of a decellularized omentum scaffold with a combination of platelet-rich plasma (PRP) and mesenchymal stem cells on the healing of critical-sized bone defects. Wistar albino rats (n = 30) were investigated in five groups. Critical-sized bone defects were formed on bilateral radius shafts. No scaffold, decellularized omentum, omentum with PRP and omentum + mesenchymal stem cells was used in group 1 (control group), 2, 3 and 4, respectively. In addition, omentum with a combination of mesenchymal stem cells +PRP was used in group 5. After 6 weeks, both radiological and histological healing were evaluated comparatively among the groups. After the use of a decellularized omentum scaffold, vitality of new cells was maintained, and new bone formation occurred. When compared to the control group, radiological healing was significantly better (p = 0.047) in the omentum and omentum + PRP-treated groups. Furthermore, histological healing was better in the omentum and omentum + PRP-treated groups than the control group (p = 0.001). The use of a decellularized omentum scaffold is suitable in the healing of critical bone defects.


2021 ◽  
Vol 10 (7) ◽  
pp. e55110716800
Author(s):  
Mauricio Mitsuo Monção ◽  
Raísa Cavalcante Dourado ◽  
Luísa Queiroz Vasconcelos ◽  
Isabela Cerqueira Barreto ◽  
Roberto Paulo Correia de Araújo

This study analyzes the clinical, macroscopic and radiographic characteristics of a biomaterial with different proportions of wolastonite (W) and tricalcium phosphate (TCP) on bone tissue regeneration during the implantation process of an experimental model of critical bone defects. Fifteen Wistar rats were used, randomly distributed in 5 groups (n = 3), with a bone defect created on an 8.0 mm diameter calvaria. 4 groups received implants with different proportions of W%/TCP%, referred to as W20/TCP80, W40/TCP60, W60/TCP40 and W80/TCP20. The fifth control group (GC) was filled with blood clot only. Clinical evaluation was performed every 24 hours, and after 7 days, the animals were euthanized. The calvaria were dissected and analyzed macroscopically and by radiography. All study groups showed a satisfactory clinical evolution. The macroscopic analysis showed filling of the bone defect with granules surrounded by newly formed tissue, and the radiographic analysis showed different patterns of displacement of the biomaterial. The study concluded that the different proportions of W%/TCP% were well tolerated by the study groups and demonstrated biocompatibility. The enhanced hydrophilic behavior of the W40/TCP60, W60/TCP40 and W80/TCP20 groups favored the application in the experimental model in vivo.


2021 ◽  
Author(s):  
Abdulsamet Emet ◽  
Erdi Ozdemir ◽  
Duygu Uckan Cetinkaya ◽  
Emine Kilic ◽  
Ali Celalettin Sinan Yuruker ◽  
...  

Abstract Background: High-cost and the long time needed for the treatment of critical-sized bone defects is still major clinical concern in orthopedic surgery, therefore new research continues to identify more cost and time-effective methods. In this study, we aimed to investigate the effect of a decellularized omentum scaffold with a combination of platelet-rich plasma (PRP) and mesenchymal stem cells on the healing of critical- sized bone defects. Materlials and methods: Wistar albino rats (n­=30) were investigated in five groups. Critical-sized bone defects were formed on bilateral radius shafts. To increase healing, no scaffold, decellularized omentum, omentum with with PRP and omentum mesenchymal stem cells was used in group 1 (control group) , 2, 3 and 4 respectively. In addition omentum with a combination of mesenchymal stem cells and PRP was used in group 5. After 6 weeks, both radiological and histological healing were evaluated comparatively among groups. Results: After use of decellularized omentum scaffold, vitality of new cells maintained, new bone formation occurred. When compared to control group, radiological healing was statistically significantly better in omentum and omentum with PRP-treated groups (p=0.047). Furthermore histological healing was better in the omentum and omentum with PRP-treated groups than both control and omentum with mesenchymal stem cell-treated groups according to Salkeld Scoring System (p=0.001).Conclusion: The use of decellularized omentum scaffold is suitable in the healing of critical bone defects.


2019 ◽  
pp. 57-62
Author(s):  
E. A. Nadyrov ◽  
V. I. Nikolaev ◽  
S. I. Kirilenko ◽  
V. V. Rozhin ◽  
N. G. Maltseva ◽  
...  

Objective: to study the morphological and morphometric features of bone tissue regeneration in the application of the native transplantation automixture during bone defects replacement in an experiment.Material and methods. Male Wistar rats weighing 180-200 g. and aged 6-7 months were used. The bone defect was modeled using a 1.2 mm diameter cutter (experimental group). A similar defect of the middle third of the right tibia without filling the defect with bone tissue was formed in the animals of the control group. The animals were taken out of the experiment on the 3rd, 7th, 14th, and 30th days of the experiment (6 animals per each observation period). Histological sections 4-5 µm thick were stained with hematoxylin and eosin. The areas of necrosis, granulation tissue, bone trabecules (mm2) were determined.Results. The laboratory animals in which the bone mixture had been transplanted revealed the growth of the area occupied by granulation tissue from the 3rd to 7th day of the experiment, and later its area had decreased by the 30th day compared to the control group, which was associated with faster transformation of granulation tissue into bone trabecules and formation of the foci of cerebrospinal hematopoiesis. On the 7th day of the experiment, the area of necrosis in the control group significantly exceeded the indicators of the experimental group (р ˂ 0.001). On the 14th day of the experiment necrosis in the animals of the experimental group was absent, while in the control one there were still some necrosis foci (0.541 ± 0.014 mm2). Starting from the 7th of the experiment, immature bone tissue began to form within the area of the bone tissue defect. At the same time, its area in the animals of the experimental group was statistically significantly larger on the 7th, 14th and 30th days in comparison with the control group during all observation terms (р ˂ 0.001).Conclusion. The study has showed a higher rate of bone tissue formation in the bone defects in the experimental animals after autotransplantation of the bone mixture. The obtained results of bone autoplasty can be a theoretical basis for the development of the methods of the treatment of bone defects of any origin.


Author(s):  
Adrian Florin GAL ◽  
Sidonia BOGDAN ◽  
Flavia RUXANDA ◽  
Vasile RUS

Animal models have been developed in an attempt to test potential therapeutic agents. The study aims to determine the hepatic and renal histological features induced by sepsis following cecal ligation and puncture (CLP) in a rat model. Regarding the material, we used 20 adult-male Wistar rats (control group 1, n=10, and group 2, n=10, that underwent CLP protocol). The experimental protocol was approved by the National Sanitary Veterinary and Food Authority, Cluj (Romania), project number 116/11.05.2018. The endpoint of the experiment was pre-set to 10 hours post-surgery. A complete necropsy survey was performed. The main renal lesions detected histologically were: glomerular congestion and edema, hyalinization of glomerular mesangium, presence of hyaline in the urinary space with associated compression atrophy of vascular glomerular tuft, granules of hyaline in the lumen of cortical tubules, and reduction of the urinary space. The hepatic lesion identified histologically was represented by isolated miliary necrotic foci.


2017 ◽  
Vol 34 (05) ◽  
pp. 307-314
Author(s):  
Ali Aliyev ◽  
Ömer Ekin ◽  
Ozan Bitik ◽  
Petek Korkusuz ◽  
Nilgün Yersal ◽  
...  

Background Reconstruction of craniofacial bone defects is a primary focus of craniofacial surgery. Although autogenous bone grafts remain as the gold standard, alloplastic materials have also gained widespread popularity due to their off-the-shelf availability, ease of use, and durability. In addition to replacing the missing bone, some of these alloplastic materials have also been found to induce new bone formation. Objectives In this study, the phenomenon of neo-osseous induction with bioactive glass was investigated for different implant-soft tissue configurations. Materials and Methods Thirty-two male, Wistar albino rats were divided into four equally numbered study groups. In group 1 (FP), adipofascial groin flaps were prefabricated with free periosteal grafts. In group 2 (FPB), adipofascial groin flaps were prefabricated with free periosteal grafts and bioactive glass. In group 3 (FB), adipofascial groin flaps were prefabricated with bioactive glass. In group 4 (control), adipofascial groin flaps were not prefabricated. Morphometric analyses of the prefabricated structures were performed using micro-CT. The histologic properties of the ectopic ossification were assessed by using a modified scoring system. Results Group 1 (FP) showed the greatest rate of mature lamellar bone formation. Group 2 (FBP) showed the greatest amount of bone density and volume. However, the addition of bioactive glass in group 2 (FBP) decreased the rate of mature lamellar bone formation when compared with group 1 (FP). Ectopic ossification was not observed in the control group. Conclusion Bioactive glass can be successfully used in the prefabrication of vascularized compound structures for the reconstruction of complex bone defects. However, interference with the periosteal induction of mature lamellar bone formation should be taken into consideration, especially in pediatric bone defects, which primarily rely on spontaneous osteogenesis through periosteal induction.


2021 ◽  
Vol 6 (1) ◽  
pp. 9-13
Author(s):  
Cynthia Chemaly ◽  
◽  
Mireille Kallassi ◽  
Rawad Samaran ◽  
Roy Abou Fadel ◽  
...  

Background: Chitosan is a natural biopolymer that has gained a special interest in bone regeneration in recent years. Objective: The objective of this study is to show the bone formation obtained following a transplantation of sponges of chitosan alone, chitosan combined with chondroitin sulfate or chitosan combined with chondroitin sulfate and collagen, in rat critical calvarial bone defects. Material and Methods: 12 Wistar rats were divided into 4 groups of 3 rats each. Critically sized bone defects were made in calvaria, and grafted by sponges of:collagen / chitosan / chondroitin (group 1), chitosan (group 2), chitosan / chondroitin sulfate (group3). Bone defects of group 4 remained empty for control. The animals were sacrificed 12 weeks after the surgery. Results: Histological analysis showed the formation of lamellar bone in the chitosan group. In the chitosan / chondroitin sulfate group, formation of a less mature bone than that of the chitosan group was also observed. However, the least bone formation was observed in the collagen / chitosan / chondroitin sulfate group. Histological sections showed the presence of fibrous tissue. The results for this group are similar to the control group. In groups 2 and 3, the materials appear completely resorbed while in group 1 the resorption of the matrix was incomplete. Conclusion: Despite the size of the sample, this study has shown that chitosan alone or in combination with chondroitin sulfate promotes bone formation. On the other hand, the combination chitosan / chondroitin sulfate / collagen showed a negative result.


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