scholarly journals Tetramethylpyrazine Enhances Vascularization and Prevents Osteonecrosis in Steroid-Treated Rats

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Yini Jiang ◽  
Chunfang Liu ◽  
Weiheng Chen ◽  
Hui Wang ◽  
Chao Wang ◽  
...  
Keyword(s):  
Femoral Head ◽  
Micro Ct ◽  
Mineral Density ◽  
Protective Properties ◽  
Empty Lacuna ◽  
Tissue Area ◽  
Femoral Heads ◽  
Vessel Volume ◽  
Neural Disorders ◽  
First Time

Steroid-induced osteonecrosis of the femoral head (steroid-induced ONFH) is an avascular necrosis disease of bone. Tetramethylpyrazine (TMP), with significant vascular protective properties, has been widely used for the treatments of ischemic neural disorders and cardiovascular diseases. However, its role in the treatment of steroid-induced ONFH has not been evaluated. In this study, our results showed that TMP significantly decreased the ratio of empty lacuna, adipose tissue area, and adipocyte perimeter in steroid-induced ONFH rats histopathologically. TMP also reduced the levels of serum lipid dramatically by haematological examination. According to the micro-CT quantification, TMP could improve the microstructure of the trabecular bone and increases bone mineral density in steroid-induced ONFH rats. Moreover, TMP significantly increased the vessel volume, vessel surface, percentage of vessel volume, and vessel thickness of the femoral heads by micro-CT. Interestingly, the downregulation of VEGF and FLK1 proteins in the sera and necrotic femoral heads could be reversed by TMP treatment, and this was true for their mRNA expressions in femoral heads. In conclusion, these findings suggest for the first time that TMP may prevent steroid-induced ONFH and also enhance femoral head vascularization by inhibiting the effect of steroid on VEGF/FLK1 signal pathway.

scholarly journals Can the Bone Mineral Density of the Non-fractured Contralateral Hip Predict Medial Migration of Helical Blade-type Lag Screws in Osteoporotic Hip Fractures?

2020 ◽  
Author(s):  
Suenghwan Jo ◽  
Hyun Jun Lee ◽  
Sang Hong Lee ◽  
Je Hong Ryu ◽  
Ba Rom Kim ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Bone Mineral Density ◽  
Femoral Head ◽  
Bone Mineral ◽  
Mineral Density ◽  
Lag Screw ◽  
Medial Migration ◽  
Femoral Heads ◽  
Helical Blade ◽  
The Mean

Abstract Background: In this study, we performed a biomechanical tests on the osteoporotic femoral heads to validate whether the bone mineral density (BMD) measured at the non-fractured contralateral hip can predict the BMD and potential medial migration of helical blade-type lag screws on the fractured femoral head.Methods: Twenty-four osteoporotic femoral heads were retrieved from patients with femoral neck fracture undergoing hip arthroplasty. The patients had their BMD measured from the contralateral hip using dual-energy X-ray absorptiometry prior to surgery. The BMD of the retrieved femoral heads was measured using micro-computed tomography. The mechanical properties for the medial migration of lag screw were measured by performing an uniaxial compression test on the femoral head using a helical blade-type lag screw. Statistical analysis was performed to determine the correlation among the BMDs of the non-fractured contralateral hip and the retrieved femoral head and the mechanical properties of the fractured femoral head.Results: The mean BMD of the contralateral hip was 0.60±0.14 g/cm2 in the neck region and 0.63±0.15 g/cm2 in the total proximal femur. The mean BMD of the fractured femoral head was 463.3±48.05 mg HA/cm3. The mechanical properties of the fractured femoral head were measured to be 0.92 kN for the maximum compressive load and 14.50±5.48 kN for the accumulated compression load. In the analysis of the correlation among the parameters, we found no correlation between the BMD of the non-fractured contralateral hip and the mechanical properties of the fractured femoral head. In addition, we observed no correlation between the BMD of the fractured femoral head and that of the contralateral hip.Conclusions: Our results indicate that the BMD of the contralateral hip does not reflect the BMD or the mechanical properties of the fractured femoral head. Therefore, helical blade-type lag screw migration may not be predicted from the BMD of the non-fractured contralateral hip.

scholarly journals Bushenhuoxue formula inhibits osteoclastogenesis and bone resorption on rabbit steroid-related osteonecrosis of the femoral head by suppressing NF-κB/NFATc1 pathway

2020 ◽  
Author(s):  
Peng Zhang ◽  
Songfeng Hu ◽  
Huihui Xu ◽  
Wenhua Yuan ◽  
Chenjie Xia ◽  
...  
Keyword(s):  
Femoral Head ◽  
Bone Resorption ◽  
Bearing Capacity ◽  
Weight Bearing ◽  
Enzyme Linked Immunosorbent Assay ◽  
Micro Ct ◽  
Model Group ◽  
Post Induction ◽  
Femoral Heads

Abstract Background: To investigate the effect and underlying mechanism of Bushenhuoxue formula (BSHXF) on steroid-related osteonecrosis of the femoral head (SONFH). Methods：Seventy-five male New Zealand white rabbits were divided into three groups: control group, model group and BSHXF group. Rabbit SONFH was induced by methylprednisolone (MPS) combined with lipopolysaccharide (LPS). At week 2 and 6 post induction, the corresponding number of rabbits were sacrificed, and the femoral heads were harvested for tissue analyses, including histopathology, mechanical test of femoral heads, micro-CT, tartrate-resistant acid phosphatase (TRAP) staining, immunohistochemistry for p-P65 and co-staining of TRAP and alkaline phosphatase (ALP). Additionally, the serum TRACP5b level was measured using enzyme-linked immunosorbent assay (ELISA). Meanwhile, we also evaluated the effect of BSHXF treatment on osteoclastogenesis in vitro. The protein level of cathepsin K (CTSK), P65, p-P65 and NFATc1 in rabbit femoral heads and RAW264.7 cells were detected, respectively.Results: At weeks 2 and 6 post induction, the elevated TRAP, p-P65 expression and reduced ALP expression were observed in the model group, with decreases in weight-bearing capacity of femoral heads and bone mass. After BSHXF treatment, the ratio of empty lacuna and the incidence of osteonecrosis in BSHXF group were markedly lower than that in model group. Micro-CT evaluation indicated that BSHXF has a preventive effect on bone loss in rabbit SONFH. In addition, BSHXF treatment increased weight-bearing capacity of femoral heads and reduced TRAP+ osteoclasts and serum TRACP5b level. Interestingly, CTSK, p-P65 and NFATc1 upregulation in necrotic femoral head could be reversed by BSHXF treatment, which also effectively inhibited RANKL-induced osteoclast differentiation and down-regulated CTSK, p-P65 and NFATc1 expression in vitro.Conclusions: BSHXF could inhibit osteoclastogenesis and bone resorption on rabbit steroid-related osteonecrosis of the femoral head by suppressing NF-κB/NFATc1 pathway.

scholarly journals Effect of Ovariectomy on Stimulating Intracortical Remodeling in Rats

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Chun Lei Li ◽  
Xi Ling Liu ◽  
Wei Xin Cai ◽  
Weijia William Lu ◽  
Roger A. Zwahlen ◽  
...  
Keyword(s):  
Bone Remodeling ◽  
Ethical Issues ◽  
Bone Diseases ◽  
Female Rats ◽  
Ovariectomized Rats ◽  
Bone Modeling ◽  
Sham Operation ◽  
Micro Ct ◽  
Mineral Density ◽  
First Time

Objective.Technically primates and dogs represent ideal models to investigate diseases characterized by abnormal intracortical remodeling. High expenses and ethical issues, however, restrict the use of those animals in research. Rodent models have been used as alternatives instead, but their value is limited, if none, because these animals lack intracortical bone remodeling. This study aimed at investigating the effect of ovariectomy onto the stimulation of intracortical remodeling in rat mandibles.Materials and Methods.Sixteen 12-week-old Spraque-Dawly (SD) female rats were randomly assigned into two groups, receiving either ovariectomy or sham operation. All the rats were sacrificed 18 weeks postoperatively. The entire mandibles were harvested for microcomputed tomography (micro-CT) and histomorphometric assessments.Results.Micro-CT examination showed significantly decreased bone mineral density (0.95 ± 0.01 versus 1.01 ± 0.02 g/cm3,P<0.001) and bone volume (65.78 ± 5.45 versus 87.41 ± 4.12%,P<0.001) in ovariectomy group. Histomorphometric assessment detected a sixfold increased intracortical bone remodeling as well as an increased bone modeling in mandibles of ovariectomized rats.Conclusion.For the first time, to the authors’ knowledge, it was detected that ovariectomy stimulates intracortical remodeling in rat mandibles. This animal model might be of use to study various bone diseases associated with an abnormal intracortical remodeling process.

scholarly journals Differences in the Microarchitectural and Histomorphologic Characteristics Between Glucocorticoid-induced Osteonecrosis of Femoral Head and Alcohol-induced Osteonecrosis of Femoral Head

2021 ◽  
Author(s):  
Yiwei Chen ◽  
Kexin Liu ◽  
Yu Miao ◽  
Bin Zhu ◽  
Feng Xue ◽  
...  
Keyword(s):  
Femoral Head ◽  
Bone Remodeling ◽  
Hip Replacement ◽  
Micro Ct ◽  
Osteonecrosis Of Femoral Head ◽  
Normal Region ◽  
Femoral Heads ◽  
Necrotic Region ◽  
Reactive Interface ◽  
Lateral Orientation

Abstract AimsTo analyze microarchitecture and histomorphology characteristics of different regions in femoral heads from patients with glucocorticoid-induced osteonecrosis of femoral head (GIONFH) and alcohol-induced osteonecrosis of femoral head (AIONFH). MethodsPatients diagnosed with GIONFH and AIONFH were recruited. Femoral heads were obtained after total hip replacement. Micro-CT was applied to evaluate the microstructure of 9 regions of interest (ROIs) in the femoral head. Along the supero-inferior orientation, the femoral head was divided into necrotic region, reactive interface, and normal region; along the medio-lateral orientation, the femoral head was divided into medial region, central region and lateral region. Decalcified and undecalcified bone histology were then performed to assess histopathological alterations and bone remodeling levels. Results42 GIONFH patients (50 hips) and 43 AIONFH patients (50 hips) anticipated in the study. In the necrotic region, most of the microarchitectural parameters did not differ significantly between GIONFH and AIONFH, whereas both the reactive interface and normal region illustrated significant differences in the microstructure and histomorphometry. The reactive interface and normal region exhibited a less sclerotic microarchitecture, but a higher bone remodeling level in GIONFH as compared with AIONFH. Despite similar necrotic pathological manifestations, subchondral trabecular microfracture in the necrotic region was more severe and vasculature of the reactive interface was more abundant in GIONFH. ConclusionsAlthough these two subtypes of ONFH shared similar microarchitecture and pathological features in the necrotic region, GIONFH exhibited a less sclerotic microarchitecture and a more active bone metabolic status in both the reactive interface and normal region.

Holding Power of Orthopaedic Screws in Bovine Femoral Heads

1993 ◽  
Vol 06 (03) ◽  
pp. 160-162 ◽  
Author(s):  
M. J. Ulm ◽  
D. G. Wilson
Keyword(s):  
Femoral Head ◽  
Cannulated Screws ◽  
Cancellous Screw ◽  
Holding Power ◽  
Cortical Screw ◽  
Femoral Heads ◽  
Cancellous Screws ◽  
Physeal Fractures

SummaryFemoral capital physeal fractures have been successfully repaired using 7.0 mm cannulated screws. The holding power of 7.0 mm cannulated screws was compared to the holding power of 5.5 mm cortical screws and 6.5 mm cancellous screws using paired bovine femoral heads. The 7.0 mm cannulated screw’s holding power was superior to the 6.5 mm cancellous screw and similar to that of the 5.5 mm cortical screw.When placed in the bovine femoral head, 7.0 mm cannulated screws have holding power greater than 6.5 mm cancellous screws and similar to 5.5 mm cortical screws.

Micro‐CT analysis of the Lisfranc complex reveals higher bone mineral density in dorsal compared to plantar regions

2021 ◽  
Author(s):  
Melissa R. Requist ◽  
Yantarat Sripanich ◽  
Tim Rolvien ◽  
Amy L. Lenz ◽  
Alexej Barg
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Micro Ct ◽  
Mineral Density ◽  
Ct Analysis

A comparison of 2 cementing techniques in hip resurfacing using human femoral heads

2021 ◽  
pp. 112070002199706
Author(s):  
Sarah J Shiels ◽  
Martin Williams ◽  
Gordon C Bannister ◽  
Richard P Baker
Keyword(s):  
Femoral Head ◽  
Femoral Component ◽  
Bubble Formation ◽  
Young Male ◽  
Cement Mantle ◽  
Hip Resurfacing ◽  
Air Bubble ◽  
Low Viscosity ◽  
Femoral Heads ◽  
Group 2

Introduction: Hip resurfacing remains a valid option in young male patients. The creation of the optimum cement mantle aids fixation of the femoral component. If the cement mantle is too thick the prosthesis can remain proud leading to early failure or if it penetrates too far into the femoral head, it may cause osteonecrosis. Method: 18 of 96 femoral heads collected from patients undergoing total hip arthroplasty were matched for their surface porosity. They were randomly allocated into 2 different cementing groups. Group 1 had the traditional bolus of cement technique, while group 2 had a modified cementing technique (swirl) where the inside of the femoral component was lined with an even layer of low viscosity cement. Results: The traditional bolus technique had significantly greater cement mantle thickness in 3 of 4 zones of penetration ( p = 0.002), greater and larger air bubble formation (6 of 9 in bolus technique vs. 1 in 9 in swirl technique, p = 0.05) and more incomplete cement mantles compared with the swirl technique. There was no relationship to femoral head porosity. Conclusion: The swirl technique should be used to cement the femoral component in hip resurfacing. Long-term clinical studies would conform if this translates into increased survivorship of the femoral component.

scholarly journals Micro-CT data of early physiological cancellous bone formation in the lumbar spine of female C57BL/6 mice

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Michael Zenzes ◽  
Paul Zaslansky
Keyword(s):  
Cancellous Bone ◽  
Structural Changes ◽  
Bone Growth ◽  
Post Partum ◽  
Three Dimensional ◽  
Lumbar Vertebra ◽  
Tissue Growth ◽  
Micro Ct ◽  
Mineral Density ◽  
Ct Data

AbstractMicro-CT provides critical data for musculoskeletal research, yielding three-dimensional datasets containing distributions of mineral density. Using high-resolution scans, we quantified changes in the fine architecture of bone in the spine of young mice. This data is made available as a reference to physiological cancellous bone growth. The scans (n = 19) depict the extensive structural changes typical for female C57BL/6 mice pups, aged 1-, 3-, 7-, 10- and 14-days post-partum, as they attain the mature geometry. We reveal the micro-morphology down to individual trabeculae in the spine that follow phases of mineral-tissue rearrangement in the growing lumbar vertebra on a micrometer length scale. Phantom data is provided to facilitate mineral density calibration. Conventional histomorphometry matched with our micro-CT data on selected samples confirms the validity and accuracy of our 3D scans. The data may thus serve as a reference for modeling normal bone growth and can be used to benchmark other experiments assessing the effects of biomaterials, tissue growth, healing, and regeneration.

scholarly journals Microvascular Density of Rapidly Destructive Arthropathy of the Hip Joint

2005 ◽  
Vol 13 (1) ◽  
pp. 40-45 ◽  
Author(s):  
T Yamakawa ◽  
A Sudo ◽  
M Tanaka ◽  
A Uchida
Keyword(s):  
Femoral Head ◽  
Hip Joint ◽  
Joint Destruction ◽  
Bone Destruction ◽  
Microvascular Density ◽  
Blood Capillaries ◽  
Secondary Osteoarthritis ◽  
Femoral Heads ◽  
Formalin Fixed Paraffin Embedded ◽  
Destructive Arthropathy

Purpose. To assess the vascularity of the femoral head and determine how it is related to the destruction of the arthritic hip joint. The process of destructive arthropathy in arthritic hip joints is variable. Some patients with osteoarthritis of the hip have rapidly progressive destructive changes resulting in the disappearance of the femoral head. Method. Six femoral heads from patients diagnosed with rapidly destructive arthropathy and 6 femoral heads from patients with secondary osteoarthritis caused by acetabular dysplasia were analysed to reveal the association between blood capillaries and osteoclasts. The von Willebrand Factor immunostaining and counterstaining with Mayer's haematoxylin were used to label the microvessels and osteoclasts in formalin-fixed, paraffin-embedded specimens of femoral heads. The numbers of immunostained microvessels and osteoclasts in selected regions were counted. Result. The microvascular density of the bone surfaces of rapidly progressive arthritic hips was hypervascular. Osteoclasts were also found in increased numbers on the bone surfaces of rapidly progressive arthritic hips. The higher microvascular density coincided with extensive bone destruction and with the increased osteoclast count. Conclusion. These findings suggested that hypervascularity of the granulation in the femoral head may be associated with bone and joint destruction.

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