Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Münster, Germany.
Department of Regenerative Musculoskeletal Medicine, Institute of Musculoskeletal Medicine, University Muenster, Albert-Schweitzer-Campus 1, W1, 48149, Münster, Germany.
Sci Rep. 2020 Oct 1;10(1):16238. doi: 10.1038/s41598-020-73301-y.
Over the last years, murine in vivo magnetic resonance imaging (MRI) contributed to a new understanding of tissue composition, regeneration and diseases. Due to artefacts generated by the currently used metal implants, MRI is limited in fracture healing research so far. In this study, we investigated a novel MRI-compatible, ceramic intramedullary fracture implant during bone regeneration in mice. Three-point-bending revealed a higher stiffness of the ceramic material compared to the metal implants. Electron microscopy displayed a rough surface of the ceramic implant that was comparable to standard metal devices and allowed cell attachment and growth of osteoblastic cells. MicroCT-imaging illustrated the development of the callus around the fracture site indicating a regular progressing healing process when using the novel implant. In MRI, different callus tissues and the implant could clearly be distinguished from each other without any artefacts. Monitoring fracture healing using MRI-compatible implants will improve our knowledge of callus tissue regeneration by 3D insights longitudinal in the same living organism, which might also help to reduce the consumption of animals for future fracture healing studies, significantly. Finally, this study may be translated into clinical application to improve our knowledge about human bone regeneration.
近年来,鼠类体内磁共振成像(MRI)技术促进了人们对组织成分、再生和疾病的新认识。由于目前使用的金属植入物产生的伪影,MRI 在骨折愈合研究中目前受到限制。在这项研究中,我们研究了一种新型的 MRI 兼容的陶瓷髓内骨折植入物,用于小鼠的骨再生。三点弯曲测试显示,陶瓷材料的刚度高于金属植入物。电子显微镜显示陶瓷植入物的表面粗糙,与标准金属器械相当,允许细胞附着和成骨细胞生长。微 CT 成像显示骨折部位周围的骨痂形成,表明使用新型植入物时,愈合过程正常进行。在 MRI 中,不同的骨痂组织和植入物可以清晰地区分开来,没有任何伪影。使用 MRI 兼容的植入物监测骨折愈合将通过在同一活体动物中进行 3D 纵向观察,提高我们对骨痂组织再生的认识,这也可能有助于减少未来骨折愈合研究中对动物的使用,意义重大。最后,这项研究可能会转化为临床应用,以提高我们对人类骨再生的认识。