Bridging large bone defects with a xenograft composited with autologous bone marrow

1982 ◽  
Vol 6 (2) ◽  
pp. 79-85 ◽  
Author(s):  
D. Gupta ◽  
S. Khanna ◽  
S. M. Tuli
2001 ◽  
Vol 344 (5) ◽  
pp. 385-386 ◽  
Author(s):  
Rodolfo Quarto ◽  
Maddalena Mastrogiacomo ◽  
Ranieri Cancedda ◽  
Sergei M. Kutepov ◽  
Vladimir Mukhachev ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Xuehui Zhang ◽  
Mingming Xu ◽  
Xinggang Liu ◽  
Feng Zhang ◽  
Yan Wei ◽  
...  

Nano-β-tricalcium phosphate/collagen (n-β-TCP/Col) is considered with good osteoconductivity. However, the therapeutic effectiveness of n-β-TCP/Col scaffolds in combination with autologous bone marrow stromal cells (BMSCs) remains to be elucidated for the repair of critical-sized bone defects. In this study, we found that n-β-TCP/Col scaffolds exhibited high biocompatibilityin vitro. The introduction of BMSCs expandedin vitroto the scaffolds dramatically enhanced their efficiency to restore critical-sized bone defects, especially during the initial stage after implantation. Collectively, these results suggest that autologous BMSCs in n-β-TCP/Col scaffolds have the potential to be applied in bone tissue engineering.


2015 ◽  
Vol 21 (9-10) ◽  
pp. 1565-1578 ◽  
Author(s):  
Caroline Seebach ◽  
Dirk Henrich ◽  
Alexander Schaible ◽  
Borna Relja ◽  
Manfred Jugold ◽  
...  

2014 ◽  
Vol 12 (1) ◽  
pp. 123 ◽  
Author(s):  
Yefei Wang ◽  
Xiaoping Bi ◽  
Huifang Zhou ◽  
Yuan Deng ◽  
Jing Sun ◽  
...  

2008 ◽  
Vol 2 (5) ◽  
pp. 253-262 ◽  
Author(s):  
P. Giannoni ◽  
M. Mastrogiacomo ◽  
M. Alini ◽  
S. G. Pearce ◽  
A. Corsi ◽  
...  

1987 ◽  
Vol 110 ◽  
Author(s):  
Masaaki Uratsuji ◽  
T. W. Bauer ◽  
S. I. Reger

The handling property and short term biological response to a new composite of fibrillar collagen (FC) and porous calcium phosphate (HA/TCP) were studied. A 4 mm by 20 mm defect was created in the femora of rabbits. The rabbits were divided into four treatment groups and sacrificed from each group at 4, 8 and 12 weeks. In each group, the defect was treated as follows: in Group I with autogenous bone marrow; in Group II with FC and HA/TCP; and in Group III with FC and HA/TCP with bone marrow in volume ratio of 3:1. In the fourth group, the defect was unfilled. The femora were excised and studied by microradiography or histology or both. The FC could improve the handling property of the HA/TCP granules. Although the composite of FC and HA/TCP was not osteoinductive, the defects in Groups II and III showed good healing at 12 weeks without signs of inflammation. The results showed the composite of FC and HA/TCP to be an effective filler for large bone defects especially when mixed with autogenous bone marrow.


2021 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Payal Ganguly ◽  
Jehan J. El-Jawhari ◽  
James Vun ◽  
Peter V. Giannoudis ◽  
Elena A. Jones

The reconstruction of large bone defects requires the use of biocompatible osteoconductive scaffolds. These scaffolds are often loaded with the patient’s own bone marrow (BM) cells to facilitate osteoinductivity and biological potency. Scaffolds that are naturally sourced and fabricated through biomorphic transitions of rattan wood (B-HA scaffolds) offer a unique advantage of higher mechanical strength and bioactivity. In this study, we investigated the ability of a biomorphic B-HA scaffold (B-HA) to support the attachment, survival and gene expression profile of human uncultured BM-derived mesenchymal stromal cells (BMSCs, n = 6) and culture expanded MSCs (cMSCs, n = 7) in comparison to a sintered, porous HA scaffold (S-HA). B-HA scaffolds supported BMSC attachment (average 98%) and their survival up to 4 weeks in culture. Flow cytometry confirmed the phenotype of cMSCs on the scaffolds. Gene expression indicated clear segregation between cMSCs and BMSCs with MSC osteogenesis- and adipogenesis-related genes including RUNX2, PPARγ, ALP and FABP4 being higher expressed in BMSCs. These data indicated a unique transcriptional signature of BMSCs that was distinct from that of cMSCs regardless of the type of scaffold or time in culture. There was no statistical difference in the expression of osteogenic genes in BMSCs or cMSCs in B-HA compared to S-HA. VEGF release from cMSCs co-cultured with human endothelial cells (n = 4) on B-HA scaffolds suggested significantly higher supernatant concentration with endothelial cells on day 14. This indicated a potential mechanism for providing vasculature to the repair area when such scaffolds are used for treating large bone defects.


Author(s):  
Ya. V. Pyuryk ◽  
Hr. V. Pohoretska ◽  
L. O. Patskan

Summary. Operation on removing odontogenic jaw cysts is one of the most common surgical interventions. Patients with radicular cysts of the maxillary bones make up about 6 % in the overall structure of dental morbidity. After the removal of cysts the bone cavities are formed, the healing of which is accompanied by frequent suppuration and is long-lasting. To speed up the healing of bone cavity using various grafts made of native or synthetic bone.The aim of the study – to improve the efficacy of treatment for odontogenic cysts, we decided to combine autologous bone marrow with an artificial bone substitute, creating a mixture that, by replacing bone defects with it, would optimize reparative processes and thus restore the anatomical and functional properties of the dento-facial system.Materials and Methods. 60 patients aged 18–65 years who were operated on the basis of radicular jaw cysts were examined. The patients were on inpatient treatment at the Department of Maxillofacial Surgery of Ivano-Frankivsk Regional Clinical Hospital. The diagnosis of the disease was verified on the basis of the data of the X-ray examination. The radiographic dimensions of the cysts were within 1.5–3.5 cm. Depending on the type of material used to substitute postoperative bone cavities, patients were divided into III groups: I – in 20 patients restoration was made a blood clot; II – in 20 patients postoperative bone defects were replaced with bioactive glass, and ІІІ – in 20 patients postoperative bone defects were replaced with a mixture of autologous bone marrow and bioactive glass.Conclusions. The developed composite material of bioactive glass with the addition of an autologous bone marrow is an inductor and a source of osteogenesis, which allows to recommend it as a method of choice in the treatment of patients with bone defects of the jaws that are formed after the removal of odontogenic cysts. Thus, the prospectivity and importance of the use of bioplastic material in the clinical practice of marrow bioactive mixture in clinical practice will significantly expand the possibilities of modern reconstructive and restorative maxillofacial surgery.


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