scholarly journals Size matters: Effect of granule size of the bone graft substitute (Herafill®) on bone healing using Masquelet's induced membrane in a critical size defect model in the rat's femur

2020 ◽  
Vol 108 (4) ◽  
pp. 1469-1482 ◽  
Author(s):  
Maximilian Leiblein ◽  
Elias Koch ◽  
Andreas Winkenbach ◽  
Alexander Schaible ◽  
Christoph Nau ◽  
...  
Injury ◽  
2018 ◽  
Vol 49 (10) ◽  
pp. 1721-1731 ◽  
Author(s):  
Christoph Nau ◽  
Sebastian Simon ◽  
Alexander Schaible ◽  
Caroline Seebach ◽  
Katrin Schröder ◽  
...  

2008 ◽  
Vol 14 (1) ◽  
pp. 79-88 ◽  
Author(s):  
Inga Drosse ◽  
Elias Volkmer ◽  
Sebastian Seitz ◽  
Hermann Seitz ◽  
Rainer Penzkofer ◽  
...  

Author(s):  
Maximilian Leiblein ◽  
Andreas Winkenbach ◽  
Elias Koch ◽  
Alexander Schaible ◽  
Hubert Büchner ◽  
...  

Abstract Purpose The Masquelet technique for the treatment of large bone defects is a two-stage procedure based on an induced membrane. Compared to mature periosteum, the induced membrane differs significantly. However, both play a crucial role in bone regeneration. As part of a histological and radiological post-evaluation of an earlier project, we analyzed the influence of the granule size of the bone void filler Herafill® on development of periosteum regrowth in a critical size defect. Methods We compared three different sizes of Herafill® granules (Heraeus Medical GmbH, Wehrheim) in vivo in a rat femoral critical size defect (10 mm) treated with the induced membrane technique. After 8 weeks healing time, femurs were harvested and taken for histological and radiological analysis. Results A significantly increased regrowth of periosteum into the defect was found when small granules were used. Large granules showed significantly increased occurrence of bone capping. Small granules lead to significant increase in callus formation in the vicinity to the membrane. Conclusion The size of Herafill® granules has significant impact on the development of periosteal-like structures around the defect using Masquelet’s induced membrane technique. Small granules show significantly increased regrowth of periosteum and improved bone formation adjacent to the induced membrane.


Apmis ◽  
2019 ◽  
Vol 127 (2) ◽  
pp. 53-63 ◽  
Author(s):  
Werner Hettwer ◽  
Peter F. Horstmann ◽  
Sabine Bischoff ◽  
Daniel Güllmar ◽  
Jürgen R. Reichenbach ◽  
...  

Injury ◽  
2016 ◽  
Vol 47 (2) ◽  
pp. 325-334 ◽  
Author(s):  
Christoph Nau ◽  
Caroline Seebach ◽  
Alexander Trumm ◽  
Alexander Schaible ◽  
Kerstin Kontradowitz ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Livia Poser ◽  
Romano Matthys ◽  
Peter Schawalder ◽  
Simon Pearce ◽  
Mauro Alini ◽  
...  

Tissue engineered constructs should be tested for their efficacy not only in normal but also in osteoporotic bone. The rat is an established animal model for osteoporosis and is used often for bone healing studies. In this study a defined and standardized critical size defect model in the rat suitable for screening new tissue engineered constructs in normal and osteoporotic bone is described and validated. Normal and ovariectomised Wistar rats received a unilateral middiaphyseal 5 mm defect in the femur, which was instrumented with a radiolucent PEEK plate fixed with angular stable titanium screws and left untreated. All animals were euthanized eight weeks after defect surgery and the bone healing was evaluated using radiographs, computed tomography measurements, and histology. The developed fixation system provided good stability, even in osteoporotic bone. The implants and ancillary instruments ensured consistent and facile placement of the PEEK plates. The untreated defects did not heal without intervention making the model a well-defined and standardized critical size defect model highly useful for evaluating tissue engineered solutions in normal and osteoporotic bone.


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