Deluca Amelie, Wagner Andrea, Faustini Bettina, Weissenbacher Nadja, Deininger Christian, Wichlas Florian, Tempfer Herbert, Mueller Ernst J, Traweger Andreas
Institute of Tendon and Bone Regeneration, Spinal Cord Injury & Tissue Regeneration Center Salzburg, 5020 Salzburg, Austria.
Department of Traumatology, KABEG-Klinikum Klagenfurt am Woerthersee, 9020 Klagenfurt, Austria.
Bioengineering (Basel). 2023 Mar 7;10(3):338. doi: 10.3390/bioengineering10030338.
The aim of this current study was to establish a metaphyseal femoral non-union model in osteoporotic rats by comparing a power tool versus a manual tool for fracture creation. Twelve adult female Sprague Dawley rats were ovariectomized (OVX) and received a special diet for 6 weeks. Biweekly pQCT measurements confirmed a significant reduction in the cancellous and total bone mineral density in OVX rats compared to control (CTRL) animals. After 6 weeks, OVX rats underwent surgery creating a distal metaphyseal osteotomy, either using a piezoelectric- (n = 6) or a manual Gigli wire (n = 6) saw. Fractures were stabilized with a Y-shaped mini-locking plate. Within each group, three rats received Alginate directly into the fracture gap. OVX animals gained more weight over 8 weeks compared to CTRL animals. pQCT analysis showed a significant difference in the volumetric cancellous bone mineral density between OVX and CTRL rats. A histological examination of the osteoporotic phenotype was completed. Radiographic evaluation and Masson-Goldner trichrome staining with the piezoelectric saw failed to demonstrate bony bridging or a callus formation. New bone formation and complete healing were seen after 6 weeks in the Gigli group. For the creation of a metaphyseal atrophic non-union in the osteoporotic bone, a piezoelectric saw should be used.
本研究的目的是通过比较电动工具和手动工具制造骨折,在骨质疏松大鼠中建立股骨干骺端骨不连模型。12只成年雌性Sprague Dawley大鼠接受卵巢切除术(OVX),并接受特殊饮食6周。每两周进行一次外周定量CT(pQCT)测量,证实与对照(CTRL)动物相比,OVX大鼠的松质骨和总骨矿物质密度显著降低。6周后,OVX大鼠接受手术,使用压电锯(n = 6)或手动吉利线锯(n = 6)制造远端干骺端截骨术。骨折用Y形微型锁定钢板固定。每组中,三只大鼠直接在骨折间隙注入藻酸盐。与CTRL动物相比,OVX动物在8周内体重增加更多。pQCT分析显示OVX大鼠和CTRL大鼠的体积松质骨矿物质密度存在显著差异。完成了骨质疏松表型的组织学检查。使用压电锯进行的影像学评估和马松-戈德纳三色染色未能显示骨桥接或骨痂形成。吉利线锯组在6周后可见新骨形成和完全愈合。对于在骨质疏松性骨中制造干骺端萎缩性骨不连,应使用压电锯。