Osteogenesis of Osteoblast Seeded Polyurethane-Hydroxyapatite Scaffolds in Nude Mice

Summary: Biodegradable porous polyurethane (PU) scaffolds were used in a tissue engineering approach to create new bone. Two groups of elastomeric bioresorbable PU disks were seeded with osteoblasts and implanted into nude mice. One group had disks of pure PU while the other group had disks of PU- hydroxyapatite composite (PU-HA). After 5 weeks both groups showed radiographic and histologic evidence of significant bone formation. As the new bone formed it replaced the PU scaffolds. Although not statistically significant, there was a trend toward more bone formation in the PU-HA group. Bioresorbable PU shows promise for use in bone tissue engineering.     

New Approaches in the Treatment of Critical-Size Segmental Defects in Long Bones

Summary : The treatment of large segmental diaphyseal bone deficiencies presents a formidable challenge. The standard treatment modalities such as cancellous bone grafting, cortical allografts, vascularized bone transfer, or distraction osteogenesis exhibit extremely high complication rates, and can culminate in limb amputation or major functional deficits. Recent efforts to develop new treatment modalities for segmental bone loss have resulted in designing new biodegradable polymeric and metallic mesh implants that can incorporate novel osteogenic, osteoinductive, and/or osteoconductive bone healing augmentation materials. These biologic implant composites are capable of further enhancing the efficacy of the treatment applied. This paper briefly reviews the limitations of the currently applied standard treatment modalities for segmental critical size bone defects, provides insight into the specific treatment challenges, and presents the animal and initial clinical results of new alterative treatment approaches that involve the application of cylindrical mesh implants consisting of biodegradable polylactide membranes or titanium cages as a means of potentiating the efficacy of bone graft.     

Modeling Methyl Methacrylate (MMA) Polymerization for Bone Cement Production

Bone cements based on poly(methyl methacrylate) (PMMA) have been widely used in orthopedic surgeries for fixation of prostheses and filling of bone defects. Bone cements are produced through in situ and in vivo free radical bulk polymerizations, which are highly exothermic and are subject to strong gel and glass effects. As a consequence, high temperatures may be reached during application. Furthermore, residual monomer usually remains unreacted inside the body and may cause aseptic loosening and tissue damages. 1 In a companion work in this volume, it was shown that usual free-radical polymerization models might effectively describe the bone cement preparation 2 and therefore be used for quantitative analysis of the bone cement synthesis. In this work, a theoretical investigation based on a multicell reactor model is performed to study the bone cement production and allow for future optimization of the preparation procedure. It is shown that the degree of solubility of the pre-polymer powder in the liquid monomer is the most important variable during the bone cement preparation and that this variable should be manipulated for design and control of the operation in real applications.     

可注射性骨修复材料不饱和聚磷酸酯的光引发交联聚合

通过凝胶含量的测定,研究了紫外光引发不饱和聚磷酸酯(UPPE)与 N-乙烯基吡咯烷酮的共聚交联反应.结果表明:加入光引发剂能够显著增加凝胶含量,安息香乙醚(BE),安息香(BN),2,2-二乙氧基苯乙酮的引发活性较高.光引发剂浓度较低时,增加光引发剂的含量能够显著提高单位时间内的凝胶生成率,但含量过大反而降低凝胶生成率.BN、BE的适宜浓度分别为2.4E^-5(mol/g UPPE)及0.6E^-5(mol/g UPPE).光照较短时间内,UPPE分子量为5960 g/mol的体系具有最高的凝胶生成率,但由于粘度的影响,光照2 min后其凝胶生成率低于UPPE分子量为4040 g/mol的体系.表层对紫外光的吸收降低了光能量,导致深层交联聚合反应速度降低,1.5 mm厚试样通过延长曝光时间,凝胶含量可与1.0 mm厚试样接近,6.0 mm试样曝光24 min后底层仍不能固化.     

高效液相色谱法测定全血中骨碱性磷酸酶的活力

 建立了测定全血中骨碱性磷酸酶(BALP)的高效液相色谱法(HPLC)。色谱柱为SpectraPhysicsODS反相柱,以V(0.01mol/L乙酸,pH4.8)∶V(甲醇)=70∶30的溶液为流动相,流速为0.8mL/min,检测波长为275nm。当BALP的质量浓度为8～200mg/L时,其活性对峰面积呈良好的线性关系(r=0.996),检测限为3ng。该方法简便、快速、可靠,可用于临床测定全血中的BALP。     

载荷诱导骨生长的力学细胞生物学机制

骨骼的结构和功能在很大程度上依赖于其所处的力学环境,这一观点已被广为接受．自从Ｗｏｌｆｆ提出其著名的骨转换定律以来,骨生长与载荷间的关系一直是生物力学中一个重要的问题．大量的动物实验均证明二者之间存在明确的关联．然而,载荷诱导骨生长的力学细胞生物学（ｍｅｃｈａｎｏｃｙ－ｔｏｂｉｏｌｏｇｙ）机制仍很不清楚．十余年来体外培养骨骼细胞加载的研究为应力（应变）诱导骨生长提供了一个微观理论框架．目前认为,载荷诱导骨生长的过程可分为四个环节,即：力学耦联、生物化学耦联、胞间信号转导和效应细胞反应．详细阐述了这几个环节,并就今后的研究方向作一讨论．     

The Effect of Physical Activity on the Properties of Bone Tissue

The effect of sports training or lack of physical activity on the properties of bone tissue is investigated. People with normal physical activity, sportsmen, and hypodynamic persons are tested. Ultrasound as a safe and noninvasive method is used. In normal activity and after short-time sports training or bed rest, the maximum ultrasound velocity is observed in the middle part of the tibia diaphysis because this region has the highest bending moment. Long-time sports training (more than seven years) in basketball and freestyle skiing alters the distribution of ultrasound velocity along the tibia: the maximum velocity is found in the distal diaphysis of the tibia due to the existence of high mechanical stresses in this region caused by the intense external impact loads and the calf muscle contraction. The maximum velocity for rowers is in the middle diaphysis or in the region between the proximal and middle diaphysis, since high impact loads are not characteristic of their foot joints. Long-time hypodynamia weakens the distal diaphysis of the tibia due to the lack of naturally occuring high stresses in this part of the bone.     

含液体松质骨的压缩实验分析

在本文中,假设不含液体松质骨为红弹性体,以及松质骨固液两相结构特性,建立了含液体松质骨的单向压缩本构方程,其形式与三参量线粘弹性体的本构方程相同。并通过拟合实验结果,得到本构方程中有关参数的值。     

Effects of time delays in a mathematical bone model

In this paper we propose a mathematical model of bone remodeling with time delays of both osteoclast-derived paracrine signaling of tumor and tumor-derived paracrine signaling of osteoclast. The effects of time delays on the growth of tumor cells and bone system are studied in multiple myeloma-induced bone disease. In the case of small osteoclast-derived paracrine signaling, it is found that the growth of tumor cells slows down, the oscillation period of the ratio of osteoclasts to osteoblasts is extended with increasing time delay, and there is a competition between the delay and osteoclast-derived paracrine signaling. In the case of large tumor-derived paracrine signaling, the tumor-derived paracrine signaling can induce a more significant decline in tumor growth for long time delay, and thus slowing down the progression of bone disease. There is an optimal coupling between the tumor-derived paracrine signaling of osteoclasts and time delay during the progressions of bone diseases, which suppresses the tumor growth and the regression of bone disease.     

复合结构组织工程化人工骨的金属支架结构设计研究?

支架结构设计是组织工程化人工骨设计的重要内容之一,本文对金属与陶瓷材料构成的复合结构人工骨中金属支架的设计进行了研究。通过对髋关节置换后假体与股骨之间力的传递规律进行数值模拟研究,采用分截面分析、网格密度逐渐减小的设计方法,对复合结构人工骨中的金属支架结构进行了设计。通过对6种不同网格密度金属支架的受力情况进行对比分析,设计出了力学特性符合股骨受力规律的金属支架结构。