Wang Xiaohua,Wei Fuda,Yu Shengpeng,Li Wei,Huang Ke,Dong Shiwu,Xie Zhao.Inactivated bone graft activated by bone induced membrane repairs bone defect in rabbits[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(20):2061-2064.
Wang Xiaohua,Wei Fuda,Yu Shengpeng,Li Wei,Huang Ke,Dong Shiwu,Xie Zhao.Inactivated bone graft activated by bone induced membrane repairs bone defect in rabbits[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(20):2061-2064.DOI:
Inactivated bone graft activated by bone induced membrane repairs bone defect in rabbits
Objective To construct a bone defect-induced membrane model and to discuss the osteogenic activity of the bone induced membrane on inactivated bone graft. Methods A radial defect model was built with 32 New Zealand rabbits. Polymethyl methacrylate (PMMA) bone cement spacer was inserted into the defect to induce membrane. After 6 and 8 weeks
8 rabbits (4 for each time) were sacrificed and bone induced membranes were taken out to test bone morphogenetic protein-2 (BMP-2) and vascular endothelial growth factor (VEGF) levels and to perform HE staining of sections
with rabbit subcutaneous tissue as control. Bone cement was taken out from the other 24 rabbits in 6 weeks after implantation for secondary operation
including 3 groups
an experimental group [keeping the induced membrane in situ and implanting autologous iliac inactivated with high temperature water (100 ℃ 30 min)]
a model group (keeping the induced membrane in situ)
and a control group (removing the induced membrane and implanting autologous iliac inactivated with high temperature water). Radiological and histological evaluation of the new bone formation was done at 8 and 12 weeks. Results (1) BMP-2 and VEGF levels in the induced membrane were 437.40±20.75 pg/mL and 362.33±38.85 pg/mL
respectively
at 6 weeks and 346.67±30.05 pg/mL and 233.84±18.20 pg/mL
respectively
at 8 weeks
higher than those of the subcutaneous tissue (P0.05)
while endochondral ossification was observed in induced membrane slice. (2) Radiological detection at 8 and 12 weeks after the secondary operation indicated that bone formation was more in the experimental group than in the model group and the control group (P0.01). There was a little callus formation in the model group
while the control group had no bone formation. (3) Histological detection at 8 and 12 weeks after the secondary operation indicated that bone formation was more in the experimental group than in the model group and the control group (P0.01). Only fiber connection in the control group was observed
without bone cells and cartilage cells. Conclusion Bone induced membrane
providing mesenchymal stem cells and growth factors
can promote the reconstruction of bone defects by inactivated bone grafts.