Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis

Purpose: The aim of this study was to conduct a systematic literature review analyzing the results of in vivo rat femoral defect models using biomaterials for improving the induced membrane technique (IMT). Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses g...

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Main Authors: Marc Saab, Cédric Zobrist, Nicolas Blanchemain, Bernard Martel, Feng Chai
Format: Article
Language:English
Published: Bioscientifica 2024-02-01
Series:EFORT Open Reviews
Subjects:
Online Access:https://eor.bioscientifica.com/view/journals/eor/9/2/EOR-23-0055.xml
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author Marc Saab
Cédric Zobrist
Nicolas Blanchemain
Bernard Martel
Feng Chai
author_facet Marc Saab
Cédric Zobrist
Nicolas Blanchemain
Bernard Martel
Feng Chai
author_sort Marc Saab
collection DOAJ
description Purpose: The aim of this study was to conduct a systematic literature review analyzing the results of in vivo rat femoral defect models using biomaterials for improving the induced membrane technique (IMT). Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, the PubMed, Embase, and Web of Science databases were searched. Inclusion criteria were studies reporting results of the IMT in in vivo rat femoral critical-sized defect models using a biomaterial possibly combined with molecules. Methodologic quality was assessed with the Animal Research: Reporting In Vivo Experiments guidelines. Results: Twenty studies met the inclusion criteria. Femoral stabilization with plate and screws was the most frequent. Histologic, biomechanical, and/or radiologic analyses were performed. In two-stage strategies, the PMMA spacer could be associated with bioactive molecules to enhance IM growth factor expression and improve bone formation. Modulating the roughness of spacers could increase IM thickness and accelerate its formation. In one-stage strategies, human tissue-derived membranes combined with bone grafting achieved bone formation comparable to a standard IMT. All calcium phosphate grafts seemed to require a functionalization with growth factors or bone marrow mononuclear cells to improve outcomes compared with non-functionalized grafts. Conclusion: This systematic review described the main parameters of the in vivo rat femoral defect models using biomaterials to improve the induced membrane technique. Although the studies included had several methodological limitations that may limit the scope of these conclusions, one- and two-stage strategies reported promising results with biomaterials to improve the IMT.
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spelling doaj.art-64d677450aba4776aa5ac0161614e7b02024-02-02T09:19:19ZengBioscientificaEFORT Open Reviews2058-52412024-02-0192138145https://doi.org/10.1530/EOR-23-0055Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysisMarc Saab0Cédric Zobrist1Nicolas Blanchemain2Bernard Martel3Feng Chai4CHU Lille, Orthopaedic and Traumatology Department, Hôpital Roger Salengro, Lille, France; University of Lille, INSERM, CHU Lille, U1008 – Advanced Drug Delivery Systems and Biomaterials, Lille, France University of Lille, CNRS, INRAE, Centrale Lille, UMR 8207 – UMET – Unité Matériaux et Transformations, Lille, FranceUniversity of Lille, INSERM, CHU Lille, U1008 – Advanced Drug Delivery Systems and Biomaterials, Lille, FranceUniversity of Lille, CNRS, INRAE, Centrale Lille, UMR 8207 – UMET – Unité Matériaux et Transformations, Lille, FranceUniversity of Lille, INSERM, CHU Lille, U1008 – Advanced Drug Delivery Systems and Biomaterials, Lille, FrancePurpose: The aim of this study was to conduct a systematic literature review analyzing the results of in vivo rat femoral defect models using biomaterials for improving the induced membrane technique (IMT). Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, the PubMed, Embase, and Web of Science databases were searched. Inclusion criteria were studies reporting results of the IMT in in vivo rat femoral critical-sized defect models using a biomaterial possibly combined with molecules. Methodologic quality was assessed with the Animal Research: Reporting In Vivo Experiments guidelines. Results: Twenty studies met the inclusion criteria. Femoral stabilization with plate and screws was the most frequent. Histologic, biomechanical, and/or radiologic analyses were performed. In two-stage strategies, the PMMA spacer could be associated with bioactive molecules to enhance IM growth factor expression and improve bone formation. Modulating the roughness of spacers could increase IM thickness and accelerate its formation. In one-stage strategies, human tissue-derived membranes combined with bone grafting achieved bone formation comparable to a standard IMT. All calcium phosphate grafts seemed to require a functionalization with growth factors or bone marrow mononuclear cells to improve outcomes compared with non-functionalized grafts. Conclusion: This systematic review described the main parameters of the in vivo rat femoral defect models using biomaterials to improve the induced membrane technique. Although the studies included had several methodological limitations that may limit the scope of these conclusions, one- and two-stage strategies reported promising results with biomaterials to improve the IMT. https://eor.bioscientifica.com/view/journals/eor/9/2/EOR-23-0055.xmlinduced membrane techniquepmmacalcium phosphate spacerartificial membranepolymershuman tissue-derived membranesfemoral defectbone defect
spellingShingle Marc Saab
Cédric Zobrist
Nicolas Blanchemain
Bernard Martel
Feng Chai
Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis
EFORT Open Reviews
induced membrane technique
pmma
calcium phosphate spacer
artificial membrane
polymers
human tissue-derived membranes
femoral defect
bone defect
title Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis
title_full Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis
title_fullStr Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis
title_full_unstemmed Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis
title_short Systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique: a comprehensive analysis
title_sort systematic literature review of in vivo rat femoral defect models using biomaterials to improve the induced membrane technique a comprehensive analysis
topic induced membrane technique
pmma
calcium phosphate spacer
artificial membrane
polymers
human tissue-derived membranes
femoral defect
bone defect
url https://eor.bioscientifica.com/view/journals/eor/9/2/EOR-23-0055.xml
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