Fangel Renan, Bossini Paulo S, Renno Ana Cláudia, Granito Renata N, Wang Charles C, Nonaka Keico O, Driusso Patricia, Parizotto Nivaldo A, Oishi Jorge
1 Department of Physiotherapy, Federal University of São Carlos (UFSCar), São Carlos, SP - Brazil.
J Appl Biomater Funct Mater. 2014 Dec 30;12(3):271-7. doi: 10.5301/jabfm.5000198.
The aim of this study was to investigate the effects of laser therapy and Biosilicate® on the biomechanical properties of bone callus in osteopenic rats.
Fifty female Wistar rats were equally divided into 5 groups (n=10/group): osteopenic rats with intact tibiae (SC); osteopenic rats with unfilled and untreated tibial bone defects (OC); osteopenic rats whose bone defects were treated with Biosilicate® (B); osteopenic rats whose bone defects were treated with 830-nm laser, at 120 J/cm2 (L120) and osteopenic rats whose bone defects were treated with Biosilicate® and 830-nm laser, at 120 J/cm2 (BL120). Ovariectomy (OVX) was used to induce osteopenia. A non-critical bone defect was created on the tibia of the osteopenic animals 8 weeks after OVX. In Biosilicate® groups, bone defects were completely filled with the biomaterial. For the laser therapy, an 830-nm laser, 120 J/cm2 was used. On day 14 postsurgery, rats were euthanized, and tibiae were removed for biomechanical analysis.
Maximal load and energy absorption were higher in groups B and BL120, according to the indentation test. Animals submitted to low-level laser therapy (LLLT) did not show any significant biomechanical improvement, but the association between Biosilicate® and LLLT was shown to be efficient to enhance callus biomechanical properties. Conversely, no differences were found between study groups in the bending test.
Biosilicate® alone or in association with low level laser therapy improves biomechanical properties of tibial bone callus in osteopenic rats.
本研究旨在探讨激光治疗和生物硅酸盐对骨质疏松大鼠骨痂生物力学性能的影响。
50只雌性Wistar大鼠平均分为5组(每组n = 10):胫骨完整的骨质疏松大鼠(SC);胫骨有未填充且未治疗骨缺损的骨质疏松大鼠(OC);骨缺损用生物硅酸盐治疗的骨质疏松大鼠(B);骨缺损用830 nm激光、能量密度为120 J/cm²治疗的骨质疏松大鼠(L120);骨缺损用生物硅酸盐和830 nm激光、能量密度为120 J/cm²治疗的骨质疏松大鼠(BL120)。采用卵巢切除术(OVX)诱导骨质疏松。在OVX术后8周,在骨质疏松动物的胫骨上制造一个非关键性骨缺损。在生物硅酸盐组中,骨缺损用生物材料完全填充。对于激光治疗,使用830 nm激光,能量密度为120 J/cm²。术后第14天,对大鼠实施安乐死,并取出胫骨进行生物力学分析。
根据压痕试验,B组和BL120组的最大负荷和能量吸收更高。接受低强度激光治疗(LLLT)的动物未显示出任何显著的生物力学改善,但生物硅酸盐与LLLT联合使用被证明能有效增强骨痂的生物力学性能。相反,在弯曲试验中,各研究组之间未发现差异。
单独使用生物硅酸盐或与低强度激光治疗联合使用可改善骨质疏松大鼠胫骨骨痂的生物力学性能。