Poly(Thioketal Urethane) Autograft Extenders in an Intertransverse Process Model of Bone Formation
| Autor: | Joseph C. Wenke, Madison A.P. McGough, Scott A. Guelcher, Stefanie M. Shiels, Katarzyna J. Zienkiewicz, Lauren A. Boller, Craig L. Duvall |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Thioketal Calcium Phosphates Materials science medicine.medical_treatment 0206 medical engineering Polyurethanes Biomedical Engineering Bioengineering 02 engineering and technology Bone grafting Biochemistry Iliac crest Models Biological Catalysis Synthetic materials Cell Line Biomaterials 03 medical and health sciences chemistry.chemical_compound Mice Rats Nude Osteogenesis medicine Animals Bone formation Autografts 030304 developmental biology Polyurethane 0303 health sciences Bone Transplantation Sheep X-Ray Microtomography Original Articles musculoskeletal system 020601 biomedical engineering surgical procedures operative medicine.anatomical_structure chemistry sense organs Rabbits Biomedical engineering |
| Zdroj: | Tissue Eng Part A |
| ISSN: | 1937-335X |
| Popis: | Iliac crest autograft (AG) is the gold standard for bone grafting. Due to the limited supply of autograft, synthetic materials such as ceramics and polymers have been proposed as AG extenders to minimize the volume of AG required for induction of new bone formation. However, the feasibility of reactive polymers for use as settable AG extenders has not been previously investigated. In this study, a reactive oxygen species-degradable poly(thioketal urethane) (PTKUR) was evaluated as a settable AG extender. AG was anticipated to enhance infiltration of cells into the defect and induce new bone formation. Histological analysis of a preliminary study in a rat femoral segmental defect model showed that cells infiltrated PTKUR/AG implants at 4 weeks. In a second experiment, implantation into an intertransverse process model of bone formation showed bone remodeling from the superior and inferior transverse processes. Histological analysis combining data from stains and fluorochrome injections showed lamellar bone formation ongoing near the base of the transverse processes after 8 weeks. Similar findings were observed for a second group, in which 35% of the AG was replaced with calcium phosphate granules. These observations highlight the potential of PTKUR for use as a settable AG extender. IMPACT STATEMENT: The development of autograft extenders is a significant clinical need in bone tissue engineering. We report new settable poly(thioketal urethane)-based autograft extenders that have bone-like mechanical properties and handling properties comparable to calcium phosphate bone cements. These settable autograft extenders remodeled to form new bone in a biologically stringent intertransverse process model of bone formation that does not heal when treated with calcium phosphate bone void fillers or cements alone. This is the first study to report settable autograft extenders with bone-like strength and handling properties comparable to ceramic bone cements, which have the potential to improve treatment of bone fractures and other orthopedic conditions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|