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Repair effects of calcium phosphate cement as carrier to bonemorphogenetic protein on experimental avascular necrosis of femoral head in rabbits
SU Yun, ZHANG Wei, HU Chun-ming, XU Shuang, ZHANG Gui-yu, LU Tao, WU Shou-xian
J4. 2005, 31 (5):
684-687.
DOI: 中日国际合作研究项目(2003)
Objective To observe the repairing effects of a new type of bone graft material constructed by combining calcium phosphate cement (CPC) with bone morphogenetic protein (BMP) on avascular necrosis of femoral head (ANFH) in rabbits; to evaluate the feasibility to use this material to repair ANFH in clinic. Methods The models of bone defect of ANFH were established in the left femoral heads in 24 healthy adult rabbits, of which 12 defects were implanted with CPC/BMP composite, 12 implanted with CPC. The specimens were harvested separately at the end of 3 and 12 weeks after operation (each time 6 rabbits in each group). In order to observe the formation of new bone and the degradation process of the material, a series of examinations were carried out, such as radiograph, histomorphology, transmission electron microscope (TEM). The results in CPC group and CPC/BMP group were compared on the same condition. Results New bone formation in CPC/BMP group was superior to that in CPC group significantly at every stage. In CPC/BMP group, at the 3rd week, new bone and many puerile osteocytes could be found on the surface or inside of CPC, which had been divided into many small parts like islands, with Lamellar bone forming; under TEM, osteoblasts could be found invading CPC, whose rough endoplasmic reticulum (RER) and mitochondrion in plasma increased and swelled. At the 12th week in CPC/BMP group, new bone invaded CPC and enwrapped each other, with trabeculae enlarging; the image of new bone was clear by X-ray examination, with the density of CPC decreased; under TEM, many osteoblasts could be found spreading in CPC, whose RER and mitochondrion in plasma increased and swelled; many capillaries could be found in CPC. The speed of degradation in CPC/BMP group was evidently higher than that in CPC group. Conclusion CPC is an ideal carrier to BMP. The CPC/BMP composite has strong osteoconductibility and osteoinductibility and great potential in ANFH repairing. The speed of degradation of CPC/BMP is evidently higher than that of CPC.
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