PMID- 33673763 OWN - NLM STAT- MEDLINE DCOM- 20220211 LR - 20220211 IS - 1530-8022 (Electronic) IS - 0885-3282 (Linking) VI - 36 IP - 3 DP - 2021 Sep TI - Experimental study on repair of large segmental bone defects of goat femur by nano calcium-deficient hydroxyapatite-multi (amino acid) copolymer membrane tubes. PG - 492-502 LID - 10.1177/08853282211000298 [doi] AB - OBJECTIVE: The purpose of this study was to observe feasibility of nano calcium-deficient hydroxyapatite-multi (amino acid) copolymer (n-CDHA-MAC) membrane tubes in repairing goat femurs' large defects. METHODS: Twelve goats were divided into two groups, whose femurs were created 30 mm segmental bone defects and then implants were performed. In experimental group, the bone defect of right femur was reconstructed by n-CDHA-MAC membrane tube, while left side was reconstructed by allogenic bone tube in control group. Every three goats were sacrificed at 4, 8, 16, 24 weeks after operation respectively. General observation, X-ray analysis, histology, Scanning electron microscope (SEM) examination and protein level comparison of BMP-2 were conducted to evaluate the effects of repairing segmental bone defects. RESULTS: All goats recovered well from anesthesia and surgical interventions. The radiographic evaluations showed that periosteal reaction outside of the membrane tubes and allogenic bone tubes were observed 4 weeks after surgery. At 16 weeks, callus was continuously increased in experimental group, which was more obvious than control group. At 24 weeks, callus outside of the membrane tubes connected together. Histologic evaluation showed fibro-cartilage callus was evolved into bony callus in experimental group, which was more obvious than control group at 8 and 16 weeks. The protein expression level of BMP-2 increased at 4, 8 weeks and peaked at 16 weeks in experimental groups. There were statistical differences at 8 and 16 weeks (P < 0.05). At each time point in 8, 16, 24 weeks after surgery, the bending stiffness, torsional stiffness and compressive strength of the two groups were similar, and there was no significant difference (P > 0.05). CONCLUSIONS: This novel surface degradation n-CDHA-MAC membrane tube has good ability to maintain enough membrane space, which can provide long-term and stable biomechanical support for large bone defects and integrate well with the surrounding bone. FAU - Xiong, Yan AU - Xiong Y AUID- ORCID: 0000-0001-6130-5842 AD - Department of Orthopedics, West China Hospital, Sichuan University, Sichuan, China. FAU - Duan, Hong AU - Duan H AD - Department of Orthopedics, West China Hospital, Sichuan University, Sichuan, China. FAU - Zhang, Bin AU - Zhang B AD - Department of Orthopedics, West China Hospital, Sichuan University, Sichuan, China. FAU - Ren, Cheng AU - Ren C AD - Department of Orthopedics, West China Hospital, Sichuan University, Sichuan, China. FAU - Yu, Zeping AU - Yu Z AD - Department of Orthopedics, West China Hospital, Sichuan University, Sichuan, China. FAU - Yan, Yonggang AU - Yan Y AD - College of Physical Science and Technology, Sichuan University, Sichuan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210305 PL - England TA - J Biomater Appl JT - Journal of biomaterials applications JID - 8813912 RN - 0 (Amino Acids) RN - 0 (Bone Substitutes) RN - 0 (Membranes, Artificial) RN - 91D9GV0Z28 (Durapatite) SB - IM MH - Amino Acids/*therapeutic use MH - Animals MH - Bone Substitutes/*therapeutic use MH - Durapatite/*therapeutic use MH - Female MH - Femur/*injuries MH - Goats MH - Male MH - Membranes, Artificial OTO - NOTNLM OT - Nano calcium-deficient hydroxyapatite-multi (amino acid) copolymer OT - allogenic bone OT - animal experiments OT - guided bone regeneration OT - large segmental bone defects OT - osseointegration EDAT- 2021/03/07 06:00 MHDA- 2022/02/12 06:00 CRDT- 2021/03/06 05:27 PHST- 2021/03/07 06:00 [pubmed] PHST- 2022/02/12 06:00 [medline] PHST- 2021/03/06 05:27 [entrez] AID - 10.1177/08853282211000298 [doi] PST - ppublish SO - J Biomater Appl. 2021 Sep;36(3):492-502. doi: 10.1177/08853282211000298. Epub 2021 Mar 5.