有机-无机复合骨修复材料

本文对近5年来有机/无机复合骨修复材料研究领域的进展进行了综述,根据材料组分的特点分析其在生物相容性、生物降解性、生物活性以及力学性能等方面的优缺点,同时探讨了目前骨修复材料领域存在的问题,并对今后人工骨替代材料的发展趋势作出了展望。     

均匀化理论及其在生物力学中的应用

在线弹性理论的范围内,简要介绍了新近发展起来的均匀化理论（ｈｏｍｏｇｅｎｉｚａｔｉｏｎｔｈｅｏｒｙ）,并引入了误差分析方面的一些研究成果．由于均匀化理论可以详尽地考虑材料的微观结构,在生命器官组织的细观力学研究中会起到推动作用．作为应用实例,本文介绍了均匀化理论在密质骨力学性能的数值模拟中的应用．      

Resveratrol in management of bone and spinal cancers

Bone cancer is a malignant primary tumour of the bone with different typing, such as, osteosarcoma, chondrosarcoma, Ewing’s sarcoma and fibrosarcoma. Despite the clinical efficacy of conventional therapies of bone cancer, most patients eventually relapse and the disease remains incurable. Therefore, new therapeutic strategies are needed to improve patient outcome. In this review article, we have discussed the role of resveratrol in preventing bone and spinal cancers and therapeutics. Resveratrol (3,5,4′-trihydroxy-trans-stilbene) is a natural polyphenol, which has been widely reported as an anticancer molecule. Resveratrol exhibits multiple tumour-suppressing activities in bone cancer by affecting a series of critical events. It has the protective effects against oxidative injury, possesses antiproliferative activity and induces apoptosis in cancer cells. Resveratrol might be a good option for the treatment of different types of bone and spinal cancers.     

Collagenated Porcine Heterologous Bone Grafts: Histomorphometric Evaluation of Bone Formation Using Different Physical Forms in a Rabbit Cancellous Bone Model

Collagenated porcine-derived bone graft materials exhibit osteoconductive properties and the development of different formulations intends to enhance bone regeneration. This study aims to evaluate bone healing in a rabbit cancellous bone defect in response to grafting with different physicochemical forms of heterologous porcine bone. Twenty-six adult male New Zealand White rabbits received two critical size femoral bone defects per animal (n = 52), each randomly assigned to one of the five tested materials (Apatos, Gen-Os, mp3, Putty, and Gel 40). Animals were sacrificed at 15- and 30-days post-surgery. Qualitative and quantitative (new bone, particle and connective tissue percentages) histological analyses were performed. Histomorphometry showed statistically significant differences in all evaluated parameters between mp3 and both Putty and Gel 40 groups, regardless of the timepoint (p < 0.05). Moreover, statistical differences were observed between Apatos and both Putty (p = 0.014) and Gel 40 (p = 0.007) groups, at 30 days, in regard to particle percentage. Within each group, regarding new bone formation, mp3 showed significant differences (p = 0.028) between 15 (40.93 ± 3.49%) and 30 (52.49 ± 11.04%) days. Additionally, intragroup analysis concerning the percentage of particles revealed a significant reduction in particle occupied area from 15 to 30 days in mp3 and Gen-Os groups (p = 0.009). All mp3, Gen-Os and Apatos exhibited promising results in terms of new bone formation, thus presenting suitable alternatives to be used in bone regeneration.     

Bone Grafts and Substitutes in Dentistry: A Review of Current Trends and Developments

After tooth loss, bone resorption is irreversible, leaving the area without adequate bone volume for successful implant treatment. Bone grafting is the only solution to reverse dental bone loss and is a well-accepted procedure required in one in every four dental implants. Research and development in materials, design and fabrication technologies have expanded over the years to achieve successful and long-lasting dental implants for tooth substitution. This review will critically present the various dental bone graft and substitute materials that have been used to achieve a successful dental implant. The article also reviews the properties of dental bone grafts and various dental bone substitutes that have been studied or are currently available commercially. The various classifications of bone grafts and substitutes, including natural and synthetic materials, are critically presented, and available commercial products in each category are discussed. Different bone substitute materials, including metals, ceramics, polymers, or their combinations, and their chemical, physical, and biocompatibility properties are explored. Limitations of the available materials are presented, and areas which require further research and development are highlighted. Tissue engineering hybrid constructions with enhanced bone regeneration ability, such as cell-based or growth factor-based bone substitutes, are discussed as an emerging area of development.     

骨密度治疗仪疗效的统计分析

医院用仪器治疗患者的骨密度.从临床症状上来看,效果较好.为了印证这种效果,需要对数据进行统计分析.针对医生提供的数据,在样本服从正态分布的假设下,进行了频数分析、配对检验和方差分析.     

Mechanical breakdown of trabecular bone: Dependence on microstructure

Experiment on mechanical strength of porous trabecular bone shows power law dependence on the density of the structure. Physical structure and mechanical properties of the trabecular network are modelled here with a fractal lattice network of elastic springs having a strain based fracture criteria. An analysis of the model system supports the power law and shows that lacunarity is an important parameter in differentiating the mechanical strength of trabecular bones of same density.     

The effect of bone structure on ultrasonic attenuation and velocity

The relationship between the structure of bovine cancellous bone, and its ultrasonic propagation parameters is investigated by means of a novel technique involving the application of large static loads, thereby changing the porosity in a controlled manner. The results show that for frequencies in the range 0.4 to 1 MHz, porosity decreases up to 35% are associated with a reduction in attenuation of up to 500%, whereas the velocity increases by roughly 35% for the same changes. The data taken overall suggest that in determining the ultrasonic attenuation coefficient at these frequencies, the amount of material in a given bone section is significantly less important than the distribution of that material.     

Vitamin D and bone: — How does vitamin D regulate bone formation and resorption? —

Vitamin D was discovered as an anti-rachitic agent, but even at present, there is no direct evidence to support the concept that vitamin D directly stimulates osteoblastic bone formation and mineralization. It appears to be paradoxical, but vitamin D functions in the process of osteoclastic bone resorption. Osteoclasts, the only cells responsible for bone resorption, develop from hematopoietic cells of the monocyte-macrophage lineage. In 1992, we hypothesized that a membrane-bound factor, designated as “osteoclast differentiation factor (ODF)”, is expressed on the plasma membrane of osteoblasts/stromal cells in response to osteotropic factors including the active form of vitamin D₃, 1α,25-dihydroxyvitamin D₃ [1α,25(OH)₂D₃]. Recently, four research groups including ours independently identified three key molecules (RANKL, RANK, and OPG) responsible for osteoclastogenesis. A long-sought-after ligand, ODF, was identical to RANKL. RANKL was a member of the membrane-associated TNF ligand family, which induced differentiation of spleen cells (osteoclast progenitors) into osteoclasts in the presence of M-CSF. RANK, a member of the TNF receptor family, was a signaling receptor essential for the RANKL-mediated osteoclastogenesis. OPG, a secreted member of the TNF receptor family, was a decoy receptor for RANKL. The discovery of RANKL, RANK and OPG opens a new era in the study of bone biology and the therapy of several metabolic bone diseases such as osteoporosis, rheumatoid arthritis, and periodontal diseases.     

复方丹参合剂对去卵巢大鼠骨矿盐代谢的影响

用测定骨矿盐含量的方法,分析了复方丹参合剂(三种不同剂量)对切除双侧卵巢后的大鼠骨矿盐代谢的影响。将健康4月龄雌性SD大鼠36只,随机分成6组:A组(正常对照组);B组(假去卵巢组);C组(去卵巢组);D组(去卵巢 合剂小剂量组);E组(去卵巢 合剂中等剂量组);F组(去卵巢 合剂大剂量组)。去卵巢手术后1 d开始,连续用药11周。结果表明,去卵巢大鼠骨干质量、干质量/体质量、骨灰质量、骨灰质量/体质量、骨灰质量占骨干质量比等均明显降低,复方丹参合剂可使去卵巢大鼠降低的骨干质量、骨干质量/体质量、骨灰质量、骨灰质量/体质量、骨灰质量占骨干质量比等均显著回升。提示复方丹参合剂具有良好的对抗由于去卵巢引起骨矿盐含量降低和骨丢失作用。