Use of F18 bioglass putty for induced membrane technique in segmental bone defect of the radius in rabbits

José Ivaldo de Siqueira Silva Júnior, S. Rahal, Jennifer Gabriela Figueroa Coris, Bruna Martins da Silva, Felipe César da Silva Brasileiro, Diana Nascimento, Z. A. Lacerda, Jeana Pereira da Silva, M. Mamprim, Marina Trevelin Souza
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Abstract

ABSTRACT Purpose: To evaluate the inductive capacity of F18 bioglass putty on the induced membrane technique in a segmental bone defect of the rabbit’s radius. Methods: Ten female Norfolk at 24 months of age were used. The animals were randomly separated based on postoperative time points: five rabbits at 21 and four at 42 days. A 1-cm segmental bone defect was created in both radii. The bone defects were filled with an F18 bioglass putty. Results: Immediate postoperative radiographic examination revealed the biomaterial occupying the segmental bone defect as a well-defined radiopaque structure with a density close to bone tissue. At 21 and 42 days after surgery, a reduction in radiopacity and volume of the biomaterial was observed, with particle dispersion in the bone defect region. Histologically, the induced membrane was verified in all animals, predominantly composed of fibrocollagenous tissue. In addition, chondroid and osteoid matrices undergoing regeneration, a densely vascularized tissue, and a foreign body type reaction composed of macrophages and multinucleated giant cells were seen. Conclusions: the F18 bioglass putty caused a foreign body-type inflammatory response with the development of an induced membrane without expansion capacity to perform the second stage of the Masquelet technique.
在兔子桡骨节段性骨缺损中使用 F18 生物玻璃腻子诱导膜技术
摘要 目的:评估 F18 生物玻璃腻子在兔桡骨节段性骨缺损诱导膜技术中的诱导能力。方法:10 只 24 个月大的雌性诺福克兔:使用 10 只 24 个月大的雌性诺福克兔。根据术后时间点随机将这些动物分开:5 只在 21 天时分开,4 只在 42 天时分开。在两只兔子的桡骨上各造成 1 厘米的节段性骨缺损。用 F18 生物玻璃腻子填充骨缺损。结果:术后立即进行的射线检查显示,占据节段性骨缺损的生物材料是一个轮廓清晰的不透射线结构,密度接近骨组织。术后 21 天和 42 天,观察到生物材料的透射线性和体积减小,骨缺损区域出现颗粒分散。从组织学角度来看,所有动物的诱导膜都得到了验证,主要由纤维胶原组织组成。此外,还观察到正在再生的软骨和类骨基质、血管密集的组织以及由巨噬细胞和多核巨细胞组成的异物反应。结论:F18 生物玻璃腻子引起了异物型炎症反应,并形成了没有扩张能力的诱导膜,无法进行 Masquelet 技术的第二阶段。
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