Scientific article
English

Long‐bone critical‐size defects treated with tissue‐engineered grafts : A study on sheep

Published inJournal of orthopaedic research, vol. 25, no. 6, p. 741-749
Publication date2007-06
First online date2007-02-22
Abstract

Standardized particulate bone constructs, obtained by expanding autologous mesenchymal stem cells (MSCs) onto coral granules in vitro, were transplanted into long‐bone, critical‐size defects in sheep. Control experiments were also performed in which autologous bone grafts were implanted. Defect cavities were lined with a preformed vascularized membrane (induced by temporarily inserting a cement spacer for 6 weeks prior to bone construct implantation), which served as a mold keeping the engineered bone granules in place. Radiographic, histological, and computed tomographic tests performed 6 months later showed that the osteogenic abilities of the engineered construct and autograft were significantly greater than those of coral scaffold alone. No significant differences were found between the amount of newly formed bone in defects filled with coral/MSCs and those filled with autograft, yet radiological scores differed significantly between the two groups (21% and 100% healed cortices, respectively). The present study on a clinically relevant animal model provides the first evidence that standardized particulate bone constructs can be used to repair large bone defects and that their osteogenic ability approaches that of bone autograft, the bone repair benchmark. By proving feasibility, the present study makes possible the treatment of segmental bone losses with bone constructs engineered from granules, a process which is much simpler than preparing customized massive constructs using computer‐assisted techniques. Important parameters, such as the rate of scaffold resorption and the number of MSCs to be seeded on the scaffolds, need to be optimized before reaching pertinent definitive conclusions. © 2006 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 25: 741–749, 2007

Keywords
  • Animals
  • Anthozoa
  • Bone Diseases / physiopathology
  • Bone Diseases / surgery
  • Bone Substitutes
  • Bone Transplantation / methods
  • Female
  • Fracture Healing
  • Mesenchymal Stem Cell Transplantation / methods
  • Metatarsal Bones / diagnostic imaging
  • Metatarsal Bones / physiology
  • Metatarsal Bones / surgery
  • Osseointegration
  • Osteogenesis
  • Radiography
  • Sheep
  • Tissue Engineering
  • Transplantation, Autologous
Affiliation entities Not a UNIGE publication
Citation (ISO format)
VIATEAU, Véronique et al. Long‐bone critical‐size defects treated with tissue‐engineered grafts : A study on sheep. In: Journal of orthopaedic research, 2007, vol. 25, n° 6, p. 741–749. doi: 10.1002/jor.20352
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Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN0736-0266
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