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[聚(3-羟基丁酸酯-co-3-羟基戊酸酯)/溶胶-凝胶生物活性玻璃复合多孔支架修复节段性桡骨缺损]

[Repairing segmental radial bone defect with poly (3-hydroxybutyrate-co-3-hydroxyvalerate)/sol-gel bioactive glass composite porous scaffold].

作者信息

Yu Sheng-ji, Qiu Gui-xing, Xin Da-jiang, Chen Xiao-feng, Zheng Yu-dong, Wang Ying-jun

机构信息

Department of Orthopaedic, Cancer Hospital, CAMS and PUMC, Beijing 100210, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2005 Apr;27(2):185-9.

Abstract

OBJECTIVE

To investigate the capability of the bone regeneration of poly (3-hydroxybutyrate-co-3-hydroxyvalerate/sol-gel bioactive glass (PHBV/SGBG) composite porous scaffold.

METHODS

PHBV/ SGBG composite porous scaffold was implanted into the segmental radial bone defect of the New Zealand white rabbits, PHBV/hydroxylapatite (PHBV/HA) as experimental control. The degradability, biocompatibility, and bone regeneration capability of the implants were evaluated through radiological, histological, computerized graphic, and biomechanical analysis.

RESULTS

The new bone formation occurred as early as 4 weeks after implantation of PHBV/SGBG composite porous scaffold. The defect was filled with new bone 8 weeks after the implantation, and was completely repaired 12 weeks after operation. The new bone had normal bone structure and the medullar cavity regenerated. The biomechanical study showed that the anti-compression force of radial specimen in PHBV/SGBG groups was significantly higher than in PHBV/ HA groups (P < 0.05), but no significant difference existed between PHBV/SGBG group and autograft bone group (P>0.05). The PHBV/SGBG composite porous scaffold degraded no sooner than 4 weeks after the implantation and most of scaffold was absorbed after 12 weeks. The proportion of the scaffold to new bone decreased from 60% by week 4 to 8% by week 12.

CONCLUSIONS

PHBV/SGBG composite porous scaffold is a degradable bone substitute. It can achieve early bone generation and complete repair. It can be used as an ideal scaffold for tissue-engineering bone.

摘要

目的

研究聚(3-羟基丁酸酯-co-3-羟基戊酸酯)/溶胶-凝胶生物活性玻璃(PHBV/SGBG)复合多孔支架的骨再生能力。

方法

将PHBV/SGBG复合多孔支架植入新西兰白兔的桡骨节段性骨缺损处,以PHBV/羟基磷灰石(PHBV/HA)作为实验对照。通过放射学、组织学、计算机图形学和生物力学分析评估植入物的降解性、生物相容性和骨再生能力。

结果

PHBV/SGBG复合多孔支架植入后4周即出现新骨形成。植入后8周缺损处被新骨填充,术后12周完全修复。新骨具有正常的骨结构,髓腔再生。生物力学研究表明,PHBV/SGBG组桡骨标本的抗压强度显著高于PHBV/HA组(P<0.05),但PHBV/SGBG组与自体骨组之间无显著差异(P>0.05)。PHBV/SGBG复合多孔支架在植入后4周内未降解,12周后大部分支架被吸收。支架在新骨中所占比例从第4周的60%降至第12周的8%。

结论

PHBV/SGBG复合多孔支架是一种可降解的骨替代物。它能实现早期骨生成和完全修复。可作为组织工程骨的理想支架。

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