J Vet Sci.  2006 Mar;7(1):73-77. 10.4142/jvs.2006.7.1.73.

Guided bone regeneration with beta-tricalcium phosphate and poly Llactide-co-glycolide-co-epsilon-caprolactone membrane in partial defects of canine humerus

Affiliations
  • 1Laboratory of Veterinary Surgery, College of Veterinary Medicine, Seoul National University, Seoul 151-742, Korea. ohkweon@snu.ac.kr
  • 2Laboratory of Veterinary Pathology, College of Veterinary Medicine, Seoul National University, Seoul 151-742, Korea.
  • 3Laboratory of Veterinary Radiology, College of Veterinary Medicine, Seoul National University, Seoul 151-742, Korea.
  • 4Biomaterial Center, National Institute for Materials Science, Tsukuba, Ibaraki 305-0044, Japan.
  • 5Department of Biomechanical Engineering, Institute of Biomaterials and Bioengineering, Tokyo Medical and Dental University, Chiyoda, Tokyo 101-0062, Japan.

Abstract

This study was performed to evaluate the effect of betatricalcium phosphate and poly L-lactide-co-glycolide-coepsilon- caprolactone (TCP/PLGC) membrane in the repair of partial bone defects in canine proximal humerus. Three adult mixed-breed dogs were used during the experimental period. The length of the defect was quarter of the full length of humerus, and width of the defect was quarter of middle diameter of the lateral aspect of humerus. The humeri of each dog were divided into treatment (TCP/ PLGC) and control groups. The defect was covered with TCP/PLGC membrane in treatment group. To evaluate regeneration of the bone, computerized tomography (CT) and histopathologic examination were performed. The radiopaque lines were appeared at the original defect sites in TCP/PLGC group but below the original site in control at 4th week. Radiopacity and thickness of the defect sites, and radiopaque lines were more increased at 8th week than those of 4th week. Histopathologic findings revealed fibrous connective tissue migration into the defect and the migration inhibited the structure of new cortex to be placed in the original level in control whereas new cortex growth was found in the level of original line in TCP/ PLGC group. However, the new cortical bone in the TCP/ PLGC group was thinner and less organized than the adjacent intact cortex, and the amount of new cancellous bones were also scanty. The result suggested that TCP/ PLGC membrane is a good guided bone regeneration material to restore the original morphology of humerus in partial defect.

Keyword

TCP/PLGC membrane; bone; defect; dog

MeSH Terms

Absorbable Implants/veterinary
Animals
Bone Regeneration/*drug effects
Calcium Phosphates/*pharmacology
Dogs/*surgery
Guided Tissue Regeneration/methods/*veterinary
Histocytochemistry/veterinary
Humerus/*surgery
Male
Polyesters/*pharmacology
Tomography, X-Ray Computed/veterinary
Wound Healing/physiology

Figure

  • Fig. 1 Computerized tomography in the transverse planes of the middle of the defects at 4th week after surgery. Radiopaque lines appeared on bone defect area in both groups, control group (L1-3) and TCP/PLGC group (R1-3).

  • Fig. 2 Computerized tomography at the transverse planes of the middle of the defects at 8th week after surgery. Radiopaque lines were found in the same site of the 4th week scan, but their thickness and radiopacity were increased. L1-3 (Control group) and R1-3 (TCP/PLGC group).

  • Fig. 3 Histopathologic findings of the bone defect in the control group at 8th week. Active periosteal reaction was observed, but the degree of cancellous bone formation is less prominent than that of adjacent intact area. (arrow: new regenerated bone; arrow-head: intact bone). H&E stain, ×40.

  • Fig. 4 Histopathologic findings of the bone defect in the TCP/PLGC group at 8th week. Active periosteal reaction was observed. The new cortex was recovered up to the original level. Regenerated cancellous bone seemed to be less amount compared with adjacent intact cancellous bone. (arrow: new regenerated bone; arrow-head: intact bone). H&E stain. ×40.


Reference

1. Arbabi F. Structural Analysis and Behavior. 1991. NewYork: McGraw Hill;244–245.
2. Artzi Z, Rohrer MD, Nemcovsky CE, Prasad HS, Tal H. Qualitative and quantitative expression of bovine bone mineral in experimental bone defects. Part 1: Description of a dog model and histological observations. J Periodontol. 2003. 74:1143–1152.
Article
3. Blakemore ME. Fractures at cancellous bone graft donor sites. Injury. 1983. 14:519–522.
Article
4. Clark CR, Morgan C, Sonstegard DA, Matthews LS. The effect of biopsy-hole shape and size on bone strength. J Bone Joint Surg. 1977. 59A:213–217.
Article
5. Ferguson JF. Fracture of the humerus after cancellous bone graft harvesting in a dog. J Small Anim Pract. 1996. 37:232–234.
6. Hockers T, Abensur D, Valentini P, Legrand R, Hammerle CHF. The combined use of bioresorbable membranes and xenografts around implants. A study in beagle dogs. Clin Oral Implants Res. 1999. 10:487–498.
Article
7. Hulsse DA. Pathophysiology of autologous cancellous bone grafts. Compend Contin Educ Pract Vet. 1980. 11:136–142.
8. Ignatius AA, Ohnmacht M, Claes LE, Kreidler J, Palm F. A composite polymer/tricalcium phosphate membrane for guided bone regeneration in maxillofacial surgery. J Biomed Mater Res. 2001. 58:564–569.
Article
9. Jansen JA, de Ruijter JE, Jansen PTM, Paquay YGCJ. Histological evaluation of biodegradable polylactive/hydroxyapatite membrane. Biomaterials. 1995. 16:819–827.
Article
10. Johnson KA. Cancellous bone graft collection from the tibia in dogs. Vet Surg. 1986. 15:334–338.
Article
11. Johnson KA. Histologic features of the healing of bone graft donor sites in dogs. Am J Vet Res. 1988. 49:885–888.
12. Koyama Y, Kikuchi M, Yamada T, Kanaya T, Hiroko N, Tsumoto M, Takakuda K, Miyairi H, Tanaka J. Guided bone regeneration with novel bioabsorbable membranes. JSME Int J (Series C). 2003. 46:1409–1416.
Article
13. Kikuchi M, Suetsugu Y, Tanaka J, Akao M. Preparation and mechanical properties of calcium phosphate/copoly-L-lactide composites. J Mater Sci Mater Med. 1997. 8:361–364.
14. Kikuchi M, Tanaka J, Koyama Y, Takakuda K. Cell culture test of TCP/CPLA composite. J Biomed Mater Res. 1999. 48:108–110.
Article
15. Kikuchi M, Tanaka J. Chemical Interaction in beta-tricalcium phosphate/copolymerized poly-L-lactide composites. J Ceram Soc Japan. 2000. 108:642–645.
Article
16. Kikuchi M, Koyama Y, Takakuda K, Miyairi H, Shirahama N, Tanaka J. In vitro change in mechanical strength of beta-tricalcium phosphate/copolymerized poly-L-lactide composites and their application for guided bone regeneration. J Biomed Mater Res. 2002. 62:265–272.
Article
17. Kikuchi M, Koyama Y, Yamada T, Imamura Y, Okada T, Shirahama N, Akita K, Takakuda K, Tanaka J. Development of guided bone regeneration membrane composed of beta-tricalcium phosphate and poly (L-lactide-co-glycolide-co-epsilon-caprolactone) composites. Biomaterials. 2004. 25:5979–5986.
Article
18. McGinnis M, Larsen P, Miloro M, Beck FM. Comparison of resorbable and nonresorbable guided bone regeneration materials: A preliminary study. Int J Oral Maxillofac Implants. 1998. 13:30–35.
19. Millis LD, Martinez AS. Slatter DH, editor. Bone Grafts. Textbook of Small Animal Surgery. 2003. 3rd ed. Philadelphia: Saunders;1875–1891.
20. Nyman S. Bone regeneration using the principle of guided tissue regeneration. J Clin Periodontol. 1991. 18:494–498.
Article
21. Penwick RC, Mosier DA. Healing of canine autogenous cancellous bone graft donor sites. Vet Surg. 1991. 20:229–234.
Article
22. Reilly DT, Burstein AH. Mechanical properties of cortical bone. J Bone Joint Surg. 1974. 56:1001–1022.
23. Palmisano MP, Schrader SC. Premature closure of the proximal physis of the humerus in a dog as a result of harvesting a cancellous bone graft. J Am Vet Med Assoc. 1999. 215:1460–1462.
24. Simpson AM. Fractures of the humerus. Clin Tech Small Anim Pract. 2004. 19:120–127.
Article
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