Bone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defects
Abstract Background To observe the effect of enoxaparin sodium-polymethyl methacrylate (ES-PMMA) bone cement supplemented with alendronate (AN) on bone repair of bone defects in New Zealand rabbits. Methods Twenty-seven New Zealand rabbits were randomly divided into ES/AN, ES-PMMA and PMMA groups, w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-022-03330-y |
| _version_ | 1818024708469161984 |
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| author | Zhihang Xiao Dehao Fu Li Zhang Weiye Fan Xiaoyu Shen Xiangbei Qi |
| author_facet | Zhihang Xiao Dehao Fu Li Zhang Weiye Fan Xiaoyu Shen Xiangbei Qi |
| author_sort | Zhihang Xiao |
| collection | DOAJ |
| description | Abstract Background To observe the effect of enoxaparin sodium-polymethyl methacrylate (ES-PMMA) bone cement supplemented with alendronate (AN) on bone repair of bone defects in New Zealand rabbits. Methods Twenty-seven New Zealand rabbits were randomly divided into ES/AN, ES-PMMA and PMMA groups, with a total of 27 New Zealand rabbits. The drugs loaded in 40 g bone cement powder were as follows: ES/AN group 8000 AxaIU enoxaparin (ES) and 200 mg alendronate (AN), ES-PMMA group 8000 AxaIU enoxaparin (ES), PMMA group without drugs. A bone defect model with a length of 10 mm and a diameter of 5 mm was made from the left tibia of rabbits, and the prepared bone cement was placed in the tibia defect. At 4 weeks, 8 weeks and 12 weeks after the operation, 3 rabbits in each group were sacrificed, and left tibia samples were collected for histological scoring, HE staining and Masson staining. Bone mineral density and new bone volume were measured by imaging, and the related data were processed by one-way ANOVA and least significance difference (LSD) post hoc test. Results (1) Bone mineral density (BMD, mg/mm3) around the bone defect: at the 4th week, BMD in the ES/AN group was higher than that in the PMMA group; at the 8th week, the BMD in the ES/AN group was significantly higher than that in the other two groups; and at the 12th week, the BMD in the ES/AN group was significantly higher than that in the other two groups. (2) New bone volume (BV, mm3): at the 4th week, BV in the ES/AN group was significantly higher than that in the other two groups, BV in the ES/AN group was significantly higher than that in the other two groups at the 8th and 12th weeks, and BV in the ES-PMMA group was higher than that in the PMMA group. (3) Histological score: at the 4th and 8th weeks, the histological score of the ES/AN group was higher than that of the PMMA group, and at the 12th week, the histological score of the ES/AN group was higher than that of the other two groups. (4) Cortical bone thickness (μm): at the 4th, 8th and 12th weeks, the cortical bone thickness in the ES/AN group was higher than that in the other two groups, and the cortical bone thickness in the ES-PMMA group was higher than that in the PMMA group. (5) The percentage of mature area of new bone in the ES/AN group was higher than that in the other two groups at the 4th week, and at the 8th and 12th weeks, the percentage of mature area of new bone in the ES/AN group and ES-PMMA group was significantly higher than that in the PMMA group. Conclusion (1) Enoxaparin sodium bone cement supplemented with alendronate was superior to enoxaparin sodium bone cement and PMMA bone cement in promoting bone repair of tibial bone defects in New Zealand rabbits. (2) Enoxaparin sodium bone cement is superior to PMMA bone cement in promoting bone repair, showing a certain osteogenic potential. |
| first_indexed | 2024-12-10T04:04:31Z |
| format | Article |
| id | doaj.art-d4dcc52afab247f8b121410d79756e6b |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-12-10T04:04:31Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-d4dcc52afab247f8b121410d79756e6b2022-12-22T02:02:53ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-09-0117111210.1186/s13018-022-03330-yBone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defectsZhihang Xiao0Dehao Fu1Li Zhang2Weiye Fan3Xiaoyu Shen4Xiangbei Qi5Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Orthopedics, Shanghai General Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical UniversityDepartment of Orthopaedic Surgery, The Third Hospital of Hebei Medical UniversityAbstract Background To observe the effect of enoxaparin sodium-polymethyl methacrylate (ES-PMMA) bone cement supplemented with alendronate (AN) on bone repair of bone defects in New Zealand rabbits. Methods Twenty-seven New Zealand rabbits were randomly divided into ES/AN, ES-PMMA and PMMA groups, with a total of 27 New Zealand rabbits. The drugs loaded in 40 g bone cement powder were as follows: ES/AN group 8000 AxaIU enoxaparin (ES) and 200 mg alendronate (AN), ES-PMMA group 8000 AxaIU enoxaparin (ES), PMMA group without drugs. A bone defect model with a length of 10 mm and a diameter of 5 mm was made from the left tibia of rabbits, and the prepared bone cement was placed in the tibia defect. At 4 weeks, 8 weeks and 12 weeks after the operation, 3 rabbits in each group were sacrificed, and left tibia samples were collected for histological scoring, HE staining and Masson staining. Bone mineral density and new bone volume were measured by imaging, and the related data were processed by one-way ANOVA and least significance difference (LSD) post hoc test. Results (1) Bone mineral density (BMD, mg/mm3) around the bone defect: at the 4th week, BMD in the ES/AN group was higher than that in the PMMA group; at the 8th week, the BMD in the ES/AN group was significantly higher than that in the other two groups; and at the 12th week, the BMD in the ES/AN group was significantly higher than that in the other two groups. (2) New bone volume (BV, mm3): at the 4th week, BV in the ES/AN group was significantly higher than that in the other two groups, BV in the ES/AN group was significantly higher than that in the other two groups at the 8th and 12th weeks, and BV in the ES-PMMA group was higher than that in the PMMA group. (3) Histological score: at the 4th and 8th weeks, the histological score of the ES/AN group was higher than that of the PMMA group, and at the 12th week, the histological score of the ES/AN group was higher than that of the other two groups. (4) Cortical bone thickness (μm): at the 4th, 8th and 12th weeks, the cortical bone thickness in the ES/AN group was higher than that in the other two groups, and the cortical bone thickness in the ES-PMMA group was higher than that in the PMMA group. (5) The percentage of mature area of new bone in the ES/AN group was higher than that in the other two groups at the 4th week, and at the 8th and 12th weeks, the percentage of mature area of new bone in the ES/AN group and ES-PMMA group was significantly higher than that in the PMMA group. Conclusion (1) Enoxaparin sodium bone cement supplemented with alendronate was superior to enoxaparin sodium bone cement and PMMA bone cement in promoting bone repair of tibial bone defects in New Zealand rabbits. (2) Enoxaparin sodium bone cement is superior to PMMA bone cement in promoting bone repair, showing a certain osteogenic potential.https://doi.org/10.1186/s13018-022-03330-yEnoxaparin sodium bone cementAlendronateBone defectBone cement |
| spellingShingle | Zhihang Xiao Dehao Fu Li Zhang Weiye Fan Xiaoyu Shen Xiangbei Qi Bone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defects Journal of Orthopaedic Surgery and Research Enoxaparin sodium bone cement Alendronate Bone defect Bone cement |
| title | Bone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defects |
| title_full | Bone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defects |
| title_fullStr | Bone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defects |
| title_full_unstemmed | Bone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defects |
| title_short | Bone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defects |
| title_sort | bone healing study of alendronate combined with enoxaparin sodium bone cement in rabbits with bone defects |
| topic | Enoxaparin sodium bone cement Alendronate Bone defect Bone cement |
| url | https://doi.org/10.1186/s13018-022-03330-y |
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