Abstract
The objective of this research was to induce a new animal model of osteonecrosis of the femoral head (ONFH) by microwave heating and then repair with tissue engineered bone. The bilateral femoral heads of 84 rabbits were heated by microwave at various temperatures. Tissue engineered bone was used to repair the osteonecrosis of femoral heads induced by microwave heating. The roentgenographic and histological examinations were used to evaluate the results. The femoral heads heated at 55°C for ten minutes showed low density and cystic changes in X-ray photographs, osteonecrosis and repair occurred simultaneously in histology at four and eight weeks, and 69% femoral heads collapsed at 12 weeks. The ability of tissue engineered bone to repair the osteonecrosis was close to that of cancellous bone autograft. The new animal model of ONFH could be induced by microwave heating, and the tissue engineering technique will provide an effective treatment.
Résumé
L’objectif de cette étude est de constituer un modèle animal d’ostéonécrose de la tête fémorale (ONFH) par micro traumatismes et guérison par greffe. Matériel et méthode: les deux têtes fémorales de 84 lapins ont été soumises à des micro traumatismes à des températures variables. L’os a été utilisé pour la réparation de cette ostéonécrose. Un examen radiologique et histologique ont également été réalisés de façon à évaluer les résultats. Résultats: la tête fémorale traumatisée à 55 iàC pendant 10 minutes montre des modifications de densité osseuse avec apparition de kystes sur les radiographies avec une ostéonécrose et une réparation qui apparaît entre 4 et 8 semaines. 69% des têtes fémorales sont effondrées à 12 semaines. La réparation osseuse a été réalisée par de l’os spongieux. Conclusion: ce nouveau modèle animal permet de réaliser des micro traumatismes et montre que la réparation cellulaire peut être réalisée de façon effective.
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References
Bajada S, Harrison PE, Ashton BA, Cassar-Pullicino VN, Ashammakhi N, Richardson JB (2007) Successful treatment of refractory tibial nonunion using calcium sulphate and bone marrow stromal cell implantation. J Bone Joint Surg Br 89:1382–1386
Dailiana ZH, Gunneson EE, Urbaniak JR (2003) Heterotopic ossification after treatment of femoral head osteonecrosis with free vascularized fibular graft. J Arthroplasty 18:83–88
Fan QY, Ma BA, Qlu XC, Li YL, Ye J, Zhou Y (1996) Preliminary report on treatment of bone tumors with microwave-induced hyperthermia. Bioelectromagnetics 17:218–222
Fan QY, Ma BA, Zhou Y, Zhang MH, Hao XB (2003) Bone tumors of the extremities or pelvis treated by microwave-induced hyperthermia. Clin Orthop Relat Res 406:165–175
Ishikawa H, Kitoh H, Sugiura F, Ishiguro N (2007) The effect of recombinant human bone morphogenetic protein-2 on the osteogenic potential of rat mesenchymal stem cells after several passages. Acta Orthop 78:285–292
Johnsen SP, Sorensen HT, Lucht U, Soballe K, Overgard S, Pedersen AB (2006) Patient-related predictors of implant failure after primary total hip replacement in the initial, short- and long-terms. A nationwide Danish follow-up study including 36,984 patients. J Bone Joint Surg Br 88:1303–1308
Kawate K, Yajima H, Ohgushi H, Kotobuki N, Sugimoto K, Ohmura T, Kobata Y, Shigematsu K, Kawamura K, Tamai K, Takakura Y (2006) Tissue-engineered approach for the treatment of steroid-induced osteonecrosis of the femoral head: transplantation of autologous mesenchymal stem cells cultured with beta-tricalcium phosphate ceramics and free vascularized fibula. Artif Organs 30:960–962
Koch PP, Tannast M, Fujita H, Siebenrock K, Ganz R (2008) Minimum ten year results of total hip arthroplasty with the acetabular reinforcement ring in avascular osteonecrosis. Int Orthop 32:173–179
Lin FH, Liao CJ, Chen KS, Sun JS (1999) Preparation of a biphasic porous bioceramic by heating bovine cancellous bone with Na4P2O7.10H2O addition. Biomaterials 20(5):475–484
Lisignoli G, Fini M, Giavaresi G, Nicoli AN, Toneguzzi S, Facchini A (2002) Osteogenesis of large segmental radius defects enhanced by basic fibroblast growth factor activated bone marrow stromal cells grown on non-woven hyaluronic acid-based polymer scaffold. Biomaterials 23:1043–1051
Lieberman JR, Berry DJ, Mont MA, Aaron RK, Callaghan JJ, Rajadhyaksha AD, Urbaniak JR (2003) Osteonecrosis of the hip: management in the 21st century. Instr Course Lect 52:337–355
Malizos KN, Quarles LD, Seaber AV, Rizk WS, Urbaniak JR (1993) An experimental canine model of osteonecrosis: characterization of the repair process. J Orthop Res 11:350–357
Mont MA, Jones LC, Einhorn TA, Hungerford DS, Reddi AH (1998) Osteonecrosis of the femoral head. Potential treatment with growth and differentiation factors. Clin Orthop Relat Res 355:S314–335
Motomura G, Yamamoto T, Miyanishi K, Jingushi S, Iwamoto Y (2004) Combined effects of an anticoagulant and a lipid-lowering agent on the prevention of steroid-induced osteonecrosis in rabbits. Arthritis Rheum 50:3387–3391
Peled E, Bejar J, Zinman C, Boss JH (2007) Vasculature deprivation-induced osteonecrosis of rats’ femoral heads associated with the formation of deep surface depressions. Arch Orthop Trauma Surg 127:369–374
Rosenwasser MP, Garino JP, Kierna HA, Michelsen CB (1994) Long term follow up of thorough debridement and cancellous bone grafting of the femoral head for avascular necrosis. Clin Orthop Relat Res 306:17–27
Rabie AB, Lu M (2004) Basic fibroblast growth factor up-regulates the expression of vascular endothelial growth factor during healing of allogeneic bone graft. Arch Oral Biol 49:1025–1033
Savarino L, Baldini N, Greco M, Capitani O, Pinna S, Valentini S, Lombardo B, Esposito MT, Pastore L, Ambrosio L, Battista S, Causa F, Zeppetelli S, Guarino V, Netti PA (2007) The performance of poly-epsilon-caprolactone scaffolds in a rabbit femur model with and without autologous stromal cells and BMP4. Biomaterials 28:3101–3109
Troy KL, Lundberg HJ, Conzemius MG, Brown TD (2007) Habitual hip joint activity level of the penned EMU (Dromaius novaehollandie). Iowa Orthop J 27:17–23
Tang TT, Lu B, Yue B, Xie XH, Xie YZ, Dai KR, Lu JX, Lou JR (2007) Treatment of osteonecrosis of the femoral head with hBMP-2-gene-modified tissue-engineered bone in goats. J Bone Joint Surg Br 89:127–129
Yuan B, Liu Z (2007) Treatment of osteonecrosis of the femoral head: combination of operation and multiple cellular mediators. Med Hypotheses 68:502–505
Yoon TR, Song EK, Rowe SM, Park CH (2001) Failure after core decompression in osteonecrosis of the femoral head. Int Orthop 24:316–318
Yamamoto T, Hirano K, Tsutsui H, Sugioka Y, Sueishi K (1995) Corticosteroid enhances the experimental induction of osteonecrosis in rabbits with Schwartzman reaction. Clin Orthop Relat Res 316:235–243
Acknowledgments
This study was supported by grants from NIAMS (no. 5R03AR052479), Aircast Foundation (no. P20RR024484), and Natural Science Foundation of Yunnan Province (nos. 2005C0070M and 2007C0003R).
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This study was approved by Kunming Medical College IACUC, and the principles of laboratory animal care were followed during the animal experiments.
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Li, Y., Han, R., Geng, C. et al. A new osteonecrosis animal model of the femoral head induced by microwave heating and repaired with tissue engineered bone. International Orthopaedics (SICOT) 33, 573–580 (2009). https://doi.org/10.1007/s00264-008-0672-2
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DOI: https://doi.org/10.1007/s00264-008-0672-2