JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (2): 22-26.doi: 10.6040/j.issn.1671-7554.0.2014.732

Previous Articles     Next Articles

Curative effect of mechanical stress in the treatment of nonunion

LI Shangzhi, LIU Haichun, WU Wenliang, CAO Cong, CHEN Yunzhen   

  1. Department of Orthopaedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2014-10-22 Online:2015-02-10 Published:2015-02-10

Abstract: Objective To observe the therapeutic effects of mechanical stress in treating nonunion in animal models. Methods Animal models of nonunion were built using self-adjustable external fixation. The models were then randomly divided into the experimental group and control group, with 30 animals in either group. The experimental group received axial pressure on the fracture end, while the control group received no pressure. Then nonunion was imaged and stained, and osteogenetic factors such as bone morphogenetic protein (BMP) and vascular endothelial growth factor (VEGF) were detected. Results There were statistical differences between the experimental group and control group (P<0.05). Calcium cobalt staining revealed that more osteoblasts were generated, and more amplification of BMP and VEGF were observed in the experimental group at different time points (both P<0.05). Conclusion Mechanical stress can promote the growth of osteoblasts and amplification of osteogenetic factors in the nonunion, and effectively accelerate its healing.

Key words: Mechanical stress, Rat model, Fracture, Nonunion, Osteogenetic factors

CLC Number: 

  • R687.1
[1] Borrelli J Jr, Prickett WD, Ricci WM. Treatment of non-unions and osseous defects with bone graft and calcium sulfate[J]. Clin Orthop Relat Res, 2003, Jun:(411):245-254.
[2] Cypher TJ, Grossman JP. Biological principles of bone graft healing[J]. J Foot Ankle Surg, 1996, 35(5):413-417.
[3] Murnaghan M, Li G, Marsh DR. Nonsteroidal Antiinflammatory drug-induced fracture nonunion: an inhibition of angiogenesis[J]. J Bone Joint Surg Am, 2006, 88(Suppl 3):140-147.
[4] Thiel M. Application of shock waves in medicine[J]. Clin Orthop, 2007, 387:18-21.
[5] Chen YJ, Warts T, Wang CJ, et al. Recruitment of mesenchymal stem cells and expression of TGF-beta 1 and VEGF in the early stage of shock wave-promoted bone regeneration of segmental defect in rats[J]. J Orthop Res, 2006 , 22(3):526-534.
[6] Kido S, Kuriwaka KR, Imamura T, et al. Mechanical stress induces interleukin-1 expression to stimulate osteoblast differentiation[J]. Bone, 2009, 45(6):1125-1132.
[7] Mavcic B, Antolic V. Optimal mechanical environment of the healing bone fracture/osteotomy[J]. Int Orthop, 2012, 36(4):689-695.
[8] 田林强, 郭风劲, 虞姬哲, 等. 动态压应力促进大鼠成骨细胞成熟分化的基因水平研究[J]. 中华物理医学与康复杂志, 2012, 34(3):181. TIAN linqiang, GUO Fengjin, YU jizhe, et al. A genetic study of dynamic compressive stress promoting proliferation and differentiation of rat osteoblasts[J]. Chin J Phys Med Rehabil, 2012, 34(3):181.
[9] Rentz JA, Chapman B, Alvarez PJ,et al. Stimulation of hybrid poplar growth in petroleum-contaminated soils through oxygen addition and soil nutrient amendments[J]. Int J Phytoremediation, 2003, 5(1):57-72.
[10] Lin H, Aubin CE, Parent S, et al. Recent advances in mechanobiological modeling of bone regeneration[J]. Mechanics Research Communications, 2012, 42:22-31.
[11] Moutsatsos IK, Turgeman G, Zhou S, et al. Exogenously regulated stem cell-mediated gene therapy for bone regeneration[J]. Mol Ther, 2001, 3(4):449-461.
[12] Langenfeld EM, Langenfeld J. Bone morphogenetic protein-2 stimulates angiogenesis in developing tumors[J]. Mol Cancer Res, 2004, 2(3):141-149.
[13] Deckers MM, Vail Bezooijen RL, van der Horst G, et al. Bone morphogenetic proteins stimulate angiogenesis through osteoblast-derived vascular endothelial growth factor A[J]. Endocrinology, 2002, 143(4):1545-1553.
[14] Barron MJ, Tsai CJ, Donahue SW. Mechanical stimulation mediates gene expression in MC3T3 osteoblastic cells differently in 2D and 3D environments[J]. J Biomech Eng, 2010, 132(4):041005. doi: 10.1115/1.4001162.
[15] Groothuis A, Duda GN, Wilson CJ, et al. Mechanical stimulation of the pro-angiogenic capacity of human fracture haematoma: involvement of VEGF mechano-regulation[J]. Bone, 2010, 47(2):438-444.
[16] Foo T, Reagan J, Watson JT, et al. External fixation of femoral defects in athymic rats: Applications for human stem cell implantation and bone regeneration[J]. Journal of tissue engineering, 2013, 4: 2041731413486368.doi:10.1177/2041731413486368, Print 2013.
[17] Seamon J, Wang X, Cui F, et al. Adenoviral delivery of the VEGF and BMP-6 genes to rat mesenchymal stem cells potentiates osteogenesis[J]. Bone Marrow Res, 2013; 2013:737580. doi:10.1155/2013/737580.
[1] LIU Huashui, DUAN Shengjun, JIA Fengshuang, LIU Shidong, CHEN Hua, WANG Yeben, JIA Tanghong, ZHAO Guohui, ZHU Liming, LIU Mincen. TiRobot-assisted percutaneous screw fixation in unstable pelvic ring fractures [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(7): 103-109.
[2] LIU Huashui, DUAN Shengjun, LIU Shidong, JIA Tanghong, JIA Fengshuang. Stoppa approach in the treatment of anterior pelvic ring fractures complicated with posterior urethral disruption [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(8): 88-91.
[3] SONG Ke, LIU Huan, WU Wenliang, LIU Haichun, LI Shangzhi, CHEN Yunzhen. Combination of bone marrow mesenchymal stem cells, platelet gel and extrocorporeal shock wave on bone regeneration [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 1-6.
[4] ZHANG Zhenwei, FAN Xiaoyan, ZHANG Yunhua, JIANG Zhongmin. Analgesic effect of continuous thoracic paravertebral block in patients with multiple fractured ribs [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 39-42.
[5] LIU Tao, BAO Feilong, GAO Wei, KANG Shijie, LÜ Fuxin, HU Yiming. A standard surgical protocol and outcome of treating varus posteromedial rotational instability of elbow [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(12): 41-45.
[6] SUN Xiangyao, HAI Yong, ZHANG Xinuo. Comparison of the adverse events of percutaneous pedicle screw fixation and traditional open pedicle screw fixation for thoracolumbar fractures: a Meta-analysis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(11): 56-63.
[7] LIN Jinxiu, SUN Dongsheng, ZHENG Xiao, YIN Dechao, LI Ye, WANG Kunpeng. Impact of topical use of tranexamic acid on hidden blood loss after femoral intertrochanteric fracture fixation with PFNA [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(1): 67-70.
[8] DONG Wuping. Clinical outcome of unilateral external fixator combined with closed negative pressure drainage technology in the treatment of tibiofibula Gustilo Ⅲ type fracture [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(9): 86-89.
[9] LIU Shenghou, WANG Shaojin, LIU Wenguang, YIN Qingfeng, ZHAO Heng, XIAO Shipeng. Curative effect of domestic Wagner SL prosthesis replacement for Evans Ⅲ intertrochanteric fracture in elderly patients [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(8): 49-52.
[10] QIN Xiangde, YANG Chunyun, ZHANG Yuan, NI Yihong, YU Chao, FENG Xiaoli, XU Chengwei. Changes of thrombosis molecular markers and their clinical values in type 2 diabetic patients with low extremity fractures [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(11): 55-58.
[11] CHU Hai-kun, SHEN Jian-hui, XU Ya-jun, DIAO Zhen-bin, WANG Nuan-feng, LI Mei4, FANG Jin-nv. Application of reconstructive fixation with plastic splint in treatment of supracondylar fracture of humerus in children [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(S1): 28-29.
[12] LIU Jinwei1, LIU Haichun1, WU Wenliang1, CHEN Liang2, LI Shangzhi1, CAO Cong1, CHEN Yunzhen1. A femoral osteoporotic nonunion model established with an adjustable external fixator in rats [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(6): 33-36.
[13] MENG Xiangji, PANG Qi, DING Feng, XIN Tao, YANG Hongan. Establishment of PD rat model by injecting Taclo sterically and directionally into striatum [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(3): 16-18.
[14] WANG Wei, CHANG Kang, LI Xiaodong, HAO Guimin. Effect of insulin sensitizer on the expression of insulin receptor substrate in endometrium of rats with polycystic ovarian syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(12): 24-29.
[15] FAN Qingkai, GONG Weiming, NING Bin, SONG Hongliang, WEI Jianlu, JIA Tanghong. Therapeutic effect of percutaneous kyphoplasty on osteoporotic multi-compressive fracture [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(11): 73-76.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!