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Bone repair in osteoporotic bone: postmenopausal and cortisone-induced osteoporosis

  • Bone Quality Seminars: Bone Fracture Healing and Strengthening
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Abstract

Although osteoporosis has been the subject of a considerable number of publications in recent years, very few studies have investigated the effects of osteopososis on the process of tissue repair. Most of the studies are based on animal data, using the ovariectomized rat model, and in most cases, fractures were obtained by femoral osteotomy. This model is imperfect in several aspects to fit with postmenopausal osteoporosis which is a complex, multifactorial disorder. Furthermore, a surgically induced fracture is not exactly the same as a fracture which occurs as a result of bone fragility. However, and despite contradictory results in some of the studies, in ovariectomized rats a delay in bone consolidation has been reported in the model, associated locally with a decrease in bone mineral density and mechanical resistance. Very few human data are available, which confirm the existence of a delay in consolidation subsequent to femoral fractures in aged patients compared to young patients.

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References

  1. Kubo T, Shiga T, Hashimoto J, Yoshioka M, Honjo H, Urabe M et al (1999) Osteoporosis influences the late period of fracture healing in a rat model prepared by ovariectomy and low calcium diet. J Steroid Biochem Mol Biol 68:197–202

    Article  PubMed  CAS  Google Scholar 

  2. Meyer RA Jr, Tsahakis PJ, Martin DF (2001) Age and ovariectomy impair both the normalization of mechanical properties and the accretion of mineral by the fracture callus in rats. J Orthop Res 19:428–435

    Article  PubMed  Google Scholar 

  3. Namkung-Matthai H, Appleyard R, Jansen J et al (2001) Osteoporosis influences the early period of fracture healing in a rat osteoporotic model. Bone 28:80–86

    Article  PubMed  CAS  Google Scholar 

  4. Lill CA, Hesseln J, Schlegel U et al (2003) Biomechanical evaluation of healing in a non-critical defect in a large animal model of osteoporosis. J Orthop Res 21:836–842

    Article  PubMed  CAS  Google Scholar 

  5. Xu SW, Wang JW, Li W, Wang Y, Zhao GF (2004) Osteoporosis impairs fracture healing of tibia in a rat osteoporoticmodel. Zhonghua Yi Xue Za Zhi 84:1205–1209

    PubMed  Google Scholar 

  6. Islam AA, Rasubala L, Yoshikawa H et al (2005) Healing of fractures in osteoporotic rat mandible shown by the expression of bone morphogenetic protein-2 and tumour necrosis factor-alpha. Br J Oral Maxillofac Surg 43:383–391

    Article  PubMed  Google Scholar 

  7. Wang JW, Li W, Xu SW et al (2005) Osteoporosis influences the middle and late periods of fracture healing in a rat osteoporotic model. Chin J Traumatol 8:111–116

    PubMed  Google Scholar 

  8. Qiao L, Xu KH, Liu HW, Liu HQ (2005) Effects of ovariectomy on fracture heating in female rats. Sichuan Da Xue Xue Bao Yi Xue Ban 36:108–111

    PubMed  Google Scholar 

  9. Cao Y, Mori S, Mashiba T, Westmore MS, Ma L, Sato M et al (2002) Raloxifene, estrogen, and alendronate affect the processes of fracture repair differently in ovariectomized rats. J Bone Miner Res 17:2237–2246

    Article  PubMed  CAS  Google Scholar 

  10. McCann RM, Colleary G, Geddis C, Clarke SA, Jordan GR, Dickson GR, Marsh D (2008) Effect of osteoporosis on bone mineral density and fracture repair in a rat femoral fracture model. J Orthop Res 26:384–393

    Article  PubMed  Google Scholar 

  11. Melhus G, Solberg LB, Dimmen S, Madsen JE, Nordsletten L, Reinholt FP (2007) Experimental osteoporosis induced by ovariectomy and vitamin D deficiency does not markedly affect fracture healing in rats. Acta Orthop 78(3):393–403

    Article  PubMed  Google Scholar 

  12. Yingjie H, Ge Z, Yisheng W, Ling Q, Hung WY, Kwoksu Li, Fuxing P (2007) Changes of microstructure and mineralized tissue in the middle and late phase of osteoporotic fracture healing in rats. Bone 41:631–638

    Article  PubMed  Google Scholar 

  13. Nikolaou VS, Efstathopoulos N, Kontakis G, Kanakaris NK, Giannoudis PV (2009) The influence of osteoporosis in femoral fracture healing time. Injury 40:663–668

    Article  PubMed  Google Scholar 

  14. Waters RV, Gamradt SC, Asnis P, Vickery BH, Avnur Z, Hill E, Bostrom M (2000) Systemic corticosteroids inhibit bone healing in a rabbit ulnar osteotomy model. Acta Orthop Scand 71:316–321

    Article  PubMed  CAS  Google Scholar 

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Acknowledgment

The publication of the proceedings of the 5th Bone Quality Seminar 2010 has been made possible through an educational grant from Servier.

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Correspondence to B. Cortet.

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Cortet, B. Bone repair in osteoporotic bone: postmenopausal and cortisone-induced osteoporosis. Osteoporos Int 22, 2007–2010 (2011). https://doi.org/10.1007/s00198-011-1612-3

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