Department of Orthopaedic Surgery, The Catholic University in Rome, Complesso Columbus, via Moscati 31, 00168 Rome, Italy.
Biomed Mater. 2010 Feb;5(1):15008. doi: 10.1088/1748-6041/5/1/015008. Epub 2010 Feb 3.
The 'gold standard' for bone filling is currently the bone autograft, but its use is limited by material availability and by the possible risks of infection or other donor site morbidity. Materials proposed so far as bone fillers do not show all the characteristics which are desirable. These are (a) osteoconductivity, (b) controlled biodegradation and (c) ease of adaptation to the implantation site. Recently, a new class of biodegradable material based on soybeans has been presented which shows good mechanical properties and an intrinsic bioactivity on inflammatory and tissue cells in vitro. The authors investigated the morphology in vivo of bone response in repairing a surgical lesion in the presence of granules of a novel soybean-based biomaterial (SB), comparing it with a sham-operated contralateral lesion of critical size (non-healing model); 26 operations were performed in New Zealand White rabbits, with back scattered electron microscopy as the analysis technique of choice. Implantation of SB granules over 8 weeks produced bone repair with features distinct from those obtained by healing in a non-treated defect. New and progressively maturing trabeculae appeared in the animal group where SB granules were implanted, while sham operation produced only a rim of pseudo-cortical bone still featuring a large defect. The trabeculae forming in the presence of SB granules had features typical of reticular bone. These findings suggest that the bone regeneration potential of SB granules and their intrinsic bioactivity, combined with their relatively easy and cost-effective preparation procedures, make them suitable candidates as a bone filler in clinical applications.
目前,骨填充的“金标准”是自体骨移植,但由于材料的可用性以及感染或其他供体部位发病率的潜在风险,其应用受到限制。迄今为止,作为骨填充物提出的材料并不具有所有理想的特性。这些特性是:(a) 骨传导性、(b) 可控的生物降解性和 (c) 易于适应植入部位。最近,提出了一类基于大豆的新型可生物降解材料,具有良好的机械性能和内在的生物活性,可促进炎症和组织细胞的体外反应。作者研究了在新型大豆基生物材料 (SB) 颗粒存在的情况下,修复手术损伤的体内骨反应的形态,将其与具有临界尺寸的假手术对照侧损伤(非愈合模型)进行比较;在新西兰白兔中进行了 26 项手术,选择背散射电子显微镜作为首选分析技术。在 8 周的时间内植入 SB 颗粒会产生具有不同于未经处理缺陷愈合的骨修复特征。在植入 SB 颗粒的动物组中出现了新的和逐渐成熟的小梁,而假手术仅产生了仍然存在大缺陷的假皮质骨边缘。在 SB 颗粒存在的情况下形成的小梁具有网状骨的典型特征。这些发现表明,SB 颗粒的骨再生潜力及其内在的生物活性,结合其相对简单和具有成本效益的制备程序,使它们成为临床应用中骨填充物的合适候选物。