Abstract

It was hypothesized that multiple injections of cryopreserved bone marrow (BM) would promote fracture healing. Experiments were performed to select a method for freezing BM nucleated cells based on the recovery rate, and to investigate the effects of frozen BM nucleated cells on fracture healing in a rabbit fracture nonunion model. Radiographic and histological evidences of bone union and new bone growth were compared between the experimental group and the control. Storage of BM nucleated cells in 10% DMSO plus 90% autologous serum showed the optimal rate of cell recovery, cell viability, and osteoprogenitor cell recovery. Consecutive injections directly to the bone defect site with cryopreserved BM nucleated cells significantly increased the incidence of union, the radiographic volume and bone mineral density of repaired bone as compared with the control (p<0.05). A new method was developed to efficiently freeze BM nucleated cells, and cells cryopreserved with this method were found to promote fracture healing by multiple injections. It is suggested that cryopreserved BM injection provides an alternative approach for grafting in delayed union or nonunion.

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