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Improvement in angiogenesis and osteogenesis with modified cannulated screws combined with VEGF/PLGA/fibrin glue in femoral neck fractures.

作者信息

Zhang Licheng, Zhang Lihai, Lan Xia, Xu Meng, Mao Zhi, Lv Houchen, Yao Qi, Tang Peifu

机构信息

Department of Orthopaedics, Chinese PLA General Hospital, No. 28 Fuxing Road, Beijing, 100853, People's Republic of China.

出版信息

J Mater Sci Mater Med. 2014 Apr;25(4):1165-72. doi: 10.1007/s10856-013-5138-4. Epub 2014 Jan 17.


DOI:10.1007/s10856-013-5138-4
PMID:24435526
Abstract

Angiogenesis is essential for bone healing. Vascular endothelial growth factor (VEGF) is regarded as one of the most potent antigenic cytokines; however, there have been very few studies that have previously investigated the effects of VEGF on bone healing in a femoral neck fracture model. Thus, the aim of the present study was to test both the angiogenic and osteogenic properties of a VEGF/poly-lactic acid glycolic acid (PLGA) delivery system for the treatment of femoral neck fractures. VEGF/PLGA microspheres were prepared by the double emulsion solvent-evaporation method and in vitro VEGF release was quantified by an ELISA assay. Then the preparation of femoral neck fracture model and internal fixation were performed, and the effect of the VEGF/PLGA microspheres on bone healing was determined by X-ray, radionuclide bone scanning, and histomorphometric evaluation. The release of VEGF from the VEGF/PLGA microspheres was sustained for at least 42 days in vitro, and suspension of the delivery system in fibrin glue further slowed this VEGF release rate. In dogs, revascularization of the fractured femoral heads was significantly improved by a local injection of VEGF/PLGA/fibrin glue, and the quality and speed of fracture healing were significantly improved in the Experimental group than in the Control group. Our study confirmed that the VEGF/PLGA delivery system offers good angiogenic and osteogenic properties for the treatment of canine femoral neck fractures.

摘要

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Improvement in angiogenesis and osteogenesis with modified cannulated screws combined with VEGF/PLGA/fibrin glue in femoral neck fractures.

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[6]
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本文引用的文献

[1]
Controlled release of vascular endothelial growth factor using poly-lactic-co-glycolic acid microspheres: in vitro characterization and application in polycaprolactone fumarate nerve conduits.

Acta Biomater. 2011-10-7

[2]
Avascular necrosis of the femoral head after osteosynthesis of femoral neck fracture.

Orthopedics. 2011-5-18

[3]
Preparation and in vitro characterization of vascular endothelial growth factor (VEGF)-loaded poly(D,L-lactic-co-glycolic acid) microspheres using a double emulsion/solvent evaporation technique.

J Microencapsul. 2011

[4]
Fibrin glue as a drug delivery system.

J Control Release. 2010-7-15

[5]
Using biomechanics to improve the surgical technique for internal fixation of intracapsular femoral neck fractures.

Chang Gung Med J. 2010

[6]
Vascular endothelial growth factor: an essential component of angiogenesis and fracture healing.

HSS J. 2009-9-9

[7]
Optimal internal fixation for femoral neck fractures: multiple screws or sliding hip screws?

J Orthop Trauma. 2009-7

[8]
The neglected femoral neck fracture in young adults: review of a challenging problem.

Clin Med Res. 2008-5

[9]
Nano/micro technologies for delivering macromolecular therapeutics using poly(D,L-lactide-co-glycolide) and its derivatives.

J Control Release. 2008-2-11

[10]
Synthesis and characterization of collagen-chitosan-hydroxyapatite artificial bone matrix.

J Biomed Mater Res A. 2008-7

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