Growth Of New Bone Tissue Research Articles

Deformity correction and extremity lengthening in the lower leg: comparison of clinical outcomes with two external surgical procedures.

Objective Distraction osteogenesis is a method of stimulating the growth of new bone tissue in order to lengthen the extremities or bridge resected bone defects. In addition to the now-established intramedullary procedures, two different fixator systems are in use. The present study investigated the classical Ilizarov ring fixator (IRF) and a hexapod to assess the precision of lower-leg lengthening and complications classified using the Paley criteria for problems, obstacles, and complications. The study also examined the follow-up results in functional tests to assess outcomes in terms of range of motion in adjacent joints, daily activities, and quality of life. Patients and methodsA total of 43 patients (53 segments) who were treated over a period of 16 years were re-assessed. In 33 segments, treatment was carried out with the hexapod Taylor Spatial Frame (TSF); the conventional IRF was used in 20 segments. The patients’ mean age was 13.5 years (range 2–54 years). The follow-up examinations were carried out 2–15 years postoperatively and comprised measurement of a current leg axis view with the patient standing, calculation of a knee score, activity scores, ankle joint scores, and assessment of motor function and sensory function using appropriate scores in the lower leg and foot. The post-treatment health-related quality of life was assessed using the Short-Form Health Survey-36 questionnaire. ResultsUsing the Paley criteria, far fewer problems occurred in the TSF group in comparison with the IRF (TSF 12.1%, IRF 50%). In the problems category, significant differences were observed with regard to axial deviation (TSF 0%, IRF 36.8%) and pin infections (TSF 9.1%, IRF 40%). Comparison of the obstacles and complications did not identify any significant differences between the two groups. Analysis of the scores for the knee, activity, and motor function/sensory function also did not show any marked discrepancies, apart from a major difference in mobility in the upper and lower ankle joints with poorer findings in the TSF group.ConclusionsDuring treatment, the TSF ring fixator leads to fewer problems, fewer secondary axial translations, and fewer pin infections. However, with temporary transfixation of the ankle joints, the TSF system is also associated with postoperative deterioration in mobility in the upper and lower ankle joint.

Strength increase during ceramic biomaterial-induced bone regeneration: a micromechanical study.

Bone tissue engineering materials must blend in the targeted physiological environment, in terms of both the materials’ biocompatibility and mechanical properties. As for the latter, a well-adjusted stiffness ensures that the biomaterial’s deformation behavior fits well to the deformation behavior of the surrounding biological tissue, whereas an appropriate strength provides sufficient load-carrying capacity of the biomaterial. Here, a mathematical modeling approach for estimating the macroscopic load that initiates failure of a hierarchically organized, granular, hydroxyapatite-based biomaterial is presented. For this purpose, a micromechanics model is developed for downscaling macroscopically prescribed stress (or strain) states to the level of the needle-shaped hydroxyapatite crystals. Presuming that the biomaterial fails due to the quasi-brittle failure of the most unfavorably stressed hydroxyapatite needle, the downscaled stress tensors are fed into a suitable, Mohr-Coulomb-type failure criterion, based on which the macroscopic failure load is deduced. The change of the biomaterial’s composition in response to placing it in physiological solution, caused by growth of new bone tissue on the granules’s surfaces, on the one hand, and by resorption of the hydroxyapatite crystals, on the other hand, is taken into account by means of suitable evolution laws. Numerical studies show how the macroscopic load-carrying capacity of the biomaterial is influenced by its design parameters. The presented modeling approach could prove beneficial for the design process of the studied biomaterials (as well as similarly composed biomaterials), particularly in terms of optimizing its mechanical performance.

Development and Characterization of Porous Biphasic Calcium Phosphate Bone Graft from Natural Biological Origin Raw Material for Biomedical Application

Hydroxyapatite (Ca10(PO4)6(OH2), HA has similarities with human bone mineral composition and morphology, bioactive, and non-toxic. However, HA has a weakness in the decay of material, so it can inhibit the growth of new bone tissue. The other materials used as biodegradable bone substitute are Tri Calcium Phosphate (TCP). It has the reception of the body is almost as good as HA but it have fast decay time, so that the material has been discharged before the newly formed tissue. This study aimed to developed a Biphasic Calcium Phosphate (BCP) which is a combination of the properties of HA and TCP, it makes the decay time can be in accordance with the growth of new bone tissue. Calcination method was used in this study. Four groups of bovine bone samples were calcined at four different temperatures ranging from 1000oC to 1300oC using the electric furnace. The heating rate during calcination process was 5oC/minute and dwell time of 2 hours. The calcined bioceramics samples are being examined to determine the characterization of materials. XRD testing to determine the chemical compounds, FTIR performed to determine the ionic bonds that exist in materials and SEM to determine the microstructure of the material calcination results. The current investigation confirms the possibility of producing porous BCP bone graft from porous bovine bone cube, without any important impurities as indicated by XRD and FT-IR techniques. The partially decomposition of HA into TCP was started when bovine bone samples were heated at 1200oC.

Reaction of bone nanostructure to a biodegrading Magnesium WZ21 implant – A scanning small-angle X-ray scattering time study

Understanding the implant–bone interaction is of prime interest for the development of novel biodegrading implants. Magnesium is a very promising material in the class of biodegrading metallic implants, owing to its mechanical properties and excellent immunologic response during healing. However, the influence of degrading Mg implants on the bone nanostructure is still an open question of crucial importance for the design of novel Mg implant alloys. This study investigates the changes in the nanostructure of bone following the application of a degrading WZ21 Mg implant (2wt% Y, 1wt% Zn, 0.25wt% Ca and 0.15wt% Mn) in a murine model system over the course of 15months by small angle X-ray scattering. Our investigations showed a direct response of the bone nanostructure after as little as 1month with a realignment of nano-sized bone mineral platelets along the bone–implant interface. The growth of new bone tissue after implant resorption is characterized by zones of lower mineral platelet thickness and slightly decreased order in the stacking of the platelets. The preferential orientation of the mineral platelets strongly deviates from the normal orientation along the shaft and still roughly follows the implant direction after 15months. We explain our findings by considering geometrical, mechanical and chemical factors during the process of implant resorption. Statement of significanceThe advancement of surgical techniques and the increased life expectancy have caused a growing demand for improved bone implants. Ideally, they should be bio-resorbable, support bone as long as necessary and then be replaced by healthy bone tissue. Magnesium is a promising candidate for this purpose. Various studies have demonstrated its excellent mechanical performance, degradation behaviour and immunologic properties. The structural response of bone, however, is not well known. On the nanometer scale, the arrangement of collagen fibers and calcium mineral platelets is an important indicator of structural integrity. The present study provides insight into nanostructural changes in rat bone at different times after implant placement and different implant degradation states. The results are useful for further improved magnesium alloys.

Priming the Surface of Orthopedic Implants for Osteoblast Attachment in Bone Tissue Engineering.

The development of better orthopedic implants is incessant. While current implants can function reliably in the human body for a long period of time, there are still a significant number of cases for which the implants can fail prematurely due to poor osseointegration of the implant with native bone. Increasingly, it is recognized that it is extremely important to facilitate the attachment of osteoblasts on the implant so that a proper foundation of extracellular matrix (ECM) can be laid down for the growth of new bone tissue. In order to facilitate the osseointegration of the implant, both the physical nanotopography and chemical functionalization of the implant surface have to be optimized. In this short review, however, we explore how simple chemistry procedures can be used to functionalize the surfaces of three major classes of orthopedic implants, i.e. ceramics, metals, and polymers, so that the attachment of osteoblasts on implants can be facilitated in order to promote implant osseointegration.

Histological analysis of the effect of accelerated portland cement as a bone graft substitute on experimentally-created three-walled intrabony defects in dogs.

Background and aims Recent literature shows that accelerated Portland cement (APC) is a non-toxic material that may have potential to promote bone healing. The objective of this study was to histologically evaluate periodontal healing focusing on new bone regeneration following implantation of APC into intra-bony defects in dogs. Materials and methods Three-wall intra-bony periodontal defects were surgically created at the mesial aspect of the first molar in both sides of mandible in six dogs. One side was randomly filled with the material and other received a flap operation only. The animals were euthanized eight weeks post-surgery when block sections of the defect sites were collected and prepared for qualitative histological analysis. Results Compared to control group, stimulation of growth of new bone tissue in the cavity con-taining APC was significantly prominent in three of six cases, showing osteoid formation with osteoblastic rimming and new bone trabeculla. New bone formation was observed just close to cavity containing APC. Connective tissue proliferation and downgrowth of epithelium were signif-icantly less than those of control group. Conclusion Our results are encouraging for the use of APC as a bone substitute, but more comprehensive study are necessary before warranting clinical use.

Decreased Bacterial Adhesion to Surface-Treated Titanium

Osteointegrative dental implants are widely used in implantology for their well-known excellent performance once implanted in the host. Remarkable bacterial colonization along the transgingival region may result in a progressive loss of adhesion at gum-implant interface and an increase of the bone area exposed to pathogens. This phenomenon may negatively effect the osteointegration process and cause, in the most severe cases, implant failure. The presence of bacteria at implant site affect the growth of new bone tissue and consequently, the achievement of a mechanically stable bone-implant interface, key parameters for a suitable implant osteointegration. In the present work, a novel surface treatment has been developed and optimized in order to convert the amorphous titanium oxide in a crystalline layer enriched in anatase capable of providing not only antibacterial properties but also of stimulating the precipitation of apatite when placed in simulated body fluid. The collected data have shown that the tested treatment results in a crystalline anatase-type titanium oxide layer able to provide a remarkable decrease in bacterial attachment without negatively effecting cell metabolic activity. In conclusion, the surface modification treatment analyzed in the present study might be an elegant way to reduce the risk of bacterial adhesion and increase the lifetime of the transgingival component in the osteointegrated dental implant.

Investigation of the bone tissue response to glass-ionomer microimplants in the canine maxillary alveolar ridge

This paper reports the results of experimental use of glass-ionomer microimplants in the augmentation of the maxillary alveolar ridge in dogs. The study included ten adult mongrel dogs 5 years of age, weighing between 50 and 70 pounds (25-30 kg), divided into 2 groups of 5 dogs each. In both groups, the maxillary 4th premolar and 1st molar were removed after the elevation of a buccal mucoperiosteal flap. The alveolar bone adjacent to the extracted teeth was also removed. In the experimental group (5 dogs), Ionogran a glass-ionomer microimplants (GIMIs) (Ionogran particle size of 0.5-1.0 mm, IONOS Medizinische Produkte GmbH & Co. KG, D-8031 Seefeld, Gemany) were used for augmentation and were inserted in the created defects. The extraction sockets and bone defects were augmented with an average amount of 2 g of GIMIs. In the control group, the bone defects were left unfilled as a control for bone healing. Histological examination showed that the glass-ionomer microimplants were extremely osteoconductive and inert materials. Stimulation of growth of new bone tissue in contact with the glass-ionomer microimplants was evident. No inflammatory cells were detected on or adjacent to the GIMIs. In the control group, incomplete bone healing with fibrous scar tissue and inflammatory cells was noted. These results indicate that glass-ionomer microimplants represent highly osteoconductive and biocompatible materials for use in bone surgery.