Chinese Journal of Tissue Engineering Research ›› 2015, Vol. 19 ›› Issue (49): 7885-7889.doi: 10.3969/j.issn.2095-4344.2015.49.003

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Establishment of rabbit models of chronic femoral osteomyelitis

Chen Jin-shui1, Liao Zhao-shan2, Lin Song-qing1, Lu Qiao-ping2, Wang Ben-hai1, Huang Wen-qi2, Lin Yong-yang2, Zhang Hui-hao2   

  1. 1First Department of Orthopedics, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, Fujian Province, China; 2College of Osteopathy, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, Fujian Province, China  
  • Received:2015-09-07 Online:2015-11-30 Published:2015-11-30
  • Contact: Lin Song-qing, Master, Associate chief physician, First Department of Orthopedics, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, Fujian Province, China
  • About author:Chen Jin-shui, M.D., Attending physician, First Department of Orthopedics, Fuzhou General Hospital of Nanjing Military Command, Fuzhou 350025, Fujian Province, China
  • Supported by:

    Medical and Health Scientific Research Foundation of Nanjing Military Area Command in 2012, China, No. 12MA103; the Natural Science Foundation of Fujian Province of China, No. 2013J01344

Abstract:

BACKGROUND: Establishment of an effective and stable animal model of chronic osteomyelitis is the basis of the experimental studies on treatment of chronic osteomyelitis. Previous chronic femoral osteomyelitis models are always instable and therefore not successful.
OBJECTIVE: To investigate the experimental method of establishing rabbit models of chronic femoral osteomyelitis with Staphylococcus aureus .
METHODS: Forty healthy adult New Zealand rabbits were anesthetized. After stripping periosteum located at 2 cm below the greater trochanter, two bone holes till the medullary cavity, which were connected longitudinally and overlapped partially, were drilled with a drill of 3.5 mm bore bit. Holes were sealed with sterile bone wax. Twenty rabbits from the experimental group were intramedullarily injected first with 5% sodium morrhuate (0.1mL), and then with 0.5 mL Staphylococcus aureus (1×106 cfu). Twenty rabbits from the control group were intramedullarily injected first with 5% sodium morrhuate (0.1 mL) and then with 0.5 mL normal saline. After 4 weeks, infected regions were observed, rabbit body weight and body temperature were measured and X-ray radiographs of the damaged regions were taken, bacterial culture was performed and femoral osteomyelitis lesion degree was 
evaluated using the modified osteomyelitis scoring system.
RESULTS AND CONCLUSION: After 1 week of bacterial inoculation, 20 rabbits from the experimental group began to  present the symptoms of increased body temperature, loss of appetite, lameness, vaccination site reaction. After 2 weeks, exudate or pus discharge in the local area were present in 13 rabbits. After 4 weeks, 19 rabbits all presented the symptoms of local swelling, pus discharge and fever. At this time period, rabbit body temperature was noticeabley increased, body weight was remarkably decreased, and modified Norden osteomyelitis scores were obviously higher in the experimental group compared with the control group. The secretion cultures were positive for Staphylococcus aureus in 14 rabbits. The success rate of modeling was 95%. These results suggest that stable and reliable rabbit models of chronic femoral osteomyelitis can be prepared by injection with Staphylococcus aureus and sodium morrhuate into marrow cavity. 
 

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