Abstract
Treatment of delayed bone healing and non-unions after fractures, osteotomies or arthrodesis still is a relevant clinical challenge. Artificially applied growth factors can increase bone healing and progressively gain importance in clinical routine. The aim of this study was to determine the effects of rhPDGF-BB, rhVEGF-165, and rhBMP-2 in fibrin matrix on bone healing in a delayed-union rat model. Thirty-seven rats underwent a first operation where a standardized femoral critical size defect was created. A silicone spacer was implanted to impair vascularization within the defect. At 4 weeks the spacer was removed in a second operation and rhPDGF-BB, rhVEGF-165, or rhBMP-2 were applied in a fibrin clot. Animals in a fourth group received a fibrin clot without growth factors. At 8 weeks fibrin bound rhBMP-2 treated animals showed a significantly increased union rate and bone volume within the defect compared to the other groups. Single application of fibrin bound rhPDGF-BB and rhVEGF-165 failed to increase bone healing in our atrophic non-union model.
Original language | English |
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Pages (from-to) | 1563-9 |
Number of pages | 7 |
Journal | Journal of Orthopaedic Research |
Volume | 30 |
Issue number | 10 |
DOIs | |
Publication status | Published - Oct 2012 |
Externally published | Yes |
Keywords
- Animals
- Bone Morphogenetic Protein 2/pharmacology
- Femoral Fractures/drug therapy
- Femur/pathology
- Fibrin/pharmacokinetics
- Fracture Healing/drug effects
- Fractures, Ununited/drug therapy
- Male
- Platelet-Derived Growth Factor/pharmacology
- Rats
- Rats, Sprague-Dawley
- Recombinant Proteins/pharmacology
- Vascular Endothelial Growth Factor A/pharmacology