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采用快速成型技术制备的聚对苯二甲酸乙二酯/磷酸三钙支架修复兔桡骨缺损

Repair of the radial defect of rabbit with polyester/tricalcium phosphate scaffolds prepared by rapid prototyping technology.

作者信息

Sun Liang, Hu Yun-yu, Xiong Zhuo, Wang Wan-ming, Pan Yu

机构信息

Department of Orthopeadics, Fuzhou General Hospital, Fuzhou 350025, China.

出版信息

Chin J Traumatol. 2006 Oct;9(5):298-302.

Abstract

OBJECTIVE

To evaluate the effects of repairing rabbit radial defects with polyester/tricalcium phosphate scaffolds prepared by rapid prototyping technology loaded with bovine bone morphogenetic protein (bBMP), and find new carriers for growth factors.

METHODS

Polyester/tricalcium phosphate scaffolds prepared by rapid prototyping technology loaded with and without bovine BMP were used to repair the 15 mm radial defect in rabbit. Then the results of radiography, histology, scaffolds degrade rates and bone mineral density (BMD) were appraised to examine the effects at the 12th week.

RESULTS

At the 12th week postoperatively, all defects treated with bBMP were radiographically repaired. No radius implanted polyester/tricalcium phosphate scaffolds without bBMP showed radiographic and histological union. At experimental groups, longitudinal alignment of lamellar structure was observed histologically at the 12th week, indicating that remodeling of regenerated bone was complete in different degree. Of the three experimental groups, the bony regeneration and remodeling of callus in poly lactide-co-glycolide/tricalcium phosphate (PLGA/TCP) group was the best. The BMD values were beyond 70% of normal value at the 12th week while the PLGA/TCP scaffolds group was the highest, and no abnormalities were observed in the surrounding soft tissue in all groups.

CONCLUSIONS

Polyester/tricalcium phosphate scaffolds prepared by rapid prototyping technology loaded with bovine BMP can repair a 15 mm radial defect of rabbit. As for the results, the PLGA/TCP scaffold is ideal and better than poly L-lactide-co-D, L-lactide (PDLLA/TCP) scaffold, but the ploy L-lactic acid (PLLA/TCP) is not so good for its low degradation rates.

摘要

目的

评估通过快速成型技术制备的负载牛骨形态发生蛋白(bBMP)的聚酯/磷酸三钙支架修复兔桡骨缺损的效果,并寻找生长因子的新型载体。

方法

使用通过快速成型技术制备的负载和未负载牛BMP的聚酯/磷酸三钙支架修复兔15毫米的桡骨缺损。然后在第12周时对X线摄影、组织学、支架降解率和骨密度(BMD)结果进行评估,以检查效果。

结果

术后第12周,所有接受bBMP治疗的缺损在X线摄影上均得到修复。未负载bBMP的植入聚酯/磷酸三钙支架的桡骨未显示X线摄影和组织学愈合。在实验组,第12周时组织学观察到板层结构的纵向排列,表明再生骨的重塑在不同程度上已完成。在三个实验组中,聚丙交酯-乙交酯/磷酸三钙(PLGA/TCP)组骨痂的骨再生和重塑效果最佳。第12周时骨密度值超过正常值的70%,而PLGA/TCP支架组最高,所有组周围软组织均未观察到异常。

结论

通过快速成型技术制备的负载牛BMP的聚酯/磷酸三钙支架可修复兔15毫米的桡骨缺损。就结果而言,PLGA/TCP支架是理想的,优于聚-L-丙交酯-co-D,L-丙交酯(PDLLA/TCP)支架,但聚-L-乳酸(PLLA/TCP)因其降解率低效果不佳。

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