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    16 April 2015, Volume 19 Issue 16 Previous Issue    Next Issue
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    Pedicle screw fixation combined with artificial bone graft improves bone formation after thoracolumbar fractures
    Ren Yong-an, Yu Sheng-hui, Gu Zu-chao, Zhang Yu, Peng Yin-xiao, Chen Xin, Gao Wei-qiang
    2015, 19 (16):  2461-2466.  doi: 10.3969/j.issn.2095-4344.2015.16.001
    Abstract ( 296 )   PDF (935KB) ( 517 )   Save

    BACKGROUND: Simple pedicle screw fixation for thoracolumbar fractures has better outcomes, but there are some deficiencies, such as poor applicability for severe compression or burst fractures, strong vertebral pain, easy to cause vertebral wound denervation and paraspinal muscle injury, and slow recovery.
    OBJECTIVE: To investigate the clinical effects of pedicle screw fixation combined with artificial bone graft for the treatment of thoracolumbar fractures.
    METHODS: A total of 126 patients with thoracolumbar vertebral compression fractures, who had undergone pedicle screw fixation without bone graft (control group, n=62) and with bone graft (test group, n=64) were enrolled. The fracture healing, anterior vertebral height ratio, sagittal Cobb angle, and loss rate of vertebral height after 6 months were observed by X-ray in the two groups.
    RESULTS AND CONCLUSION: All patients were followed up, and had complete fracture healing after 12-16 months. The anterior vertebral height and Cobb angle were both improved in the two groups at 1 week after operation (P < 0.01), but there was no difference between the two groups (P > 0.05). New bone formation was observed in the test group at 6 months after operation, and patients were pain-free; but the speed of bone formation was slower in the control group, and patients still suffered from painful thoracolumbar fractures. There was no difference in the loss of anterior vertebral height and Cobb angle between the two groups (P > 0.05). These findings indicate that pedicle screw fixation combined with artificial bone graft lead to a better recovery in thoracolumbar fractures.


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    Cervical stability changes following metal rubber cervical disc replacement
    Bai Chuan-yi, Wei Wen-bo, Dang Xiao-qian, Wang Kun-zheng
    2015, 19 (16):  2467-2472.  doi: 10.3969/j.issn.2095-4344.2015.16.002
    Abstract ( 263 )   PDF (879KB) ( 637 )   Save

    BACKGROUND: Previous studies designed and made titanium metal rubber cervical disc prosthesis, and performed feasible studies on its effect on movement and stress distribution by replicating intervertebral discs.
    OBJECTIVE: To further observe the changes in the stability of goat cervical vertebra after metal rubber cervical disc replacement.
    METHODS: Nine goats were randomly divided into experimental group (n=6) and normal control group (n=3). Goats in the experimental group received metal rubber cervical disc replacement at C4/5 segment. Goats in the normal control group did not receive any treatment. Radiographic data at anteroposterior and lateral position, hyperextension and excessive flexion were taken to measure intervertebral height, range of motion and intervertebral angle at C4/5 segment before operation, immediately, 4, 8, 12 weeks after operation. Subsequently, slicing and embedding of hard tissue at surgical segment, picric acid-acid fuchsin staining and scanning electron microscopy were conducted. 
    RESULTS AND CONCLUSION: No significant difference in the intervertebral height and spinal range of motion at C4/5 segment at different time points was detected between postoperative results in the experimental group and preoperative results in the experimental group, normal control group. The intervertebral height at C4/5 segment was higher immediately, 4 and 8 weeks after surgery than preoperative result in the experimental group (P < 0.05). No significant difference in intervertebral angle at C4/5 segment was detectable between 4, 8 and 12 weeks postoperatively in the experimental group and normal control group (P < 0.05). At 4 weeks after surgery, bone did not contact with the edge of the prosthesis in the experimental group. At 8 weeks, the gap between bone and the prosthesis became small, and some new bone attached to the edge of the prosthesis. At 12 weeks, a few osteoblasts were observed on the surface of the prosthesis. New osteogenic tissue grew into the prosthesis. Results suggested that metal rubber cervical disc replacement in the intervertebral space could maintain intervertebral height and range of motion in a short period, and tightly bind to the vertebral body.


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    Innova 3D-guided percutaneous vertebraplasty puncture reduces bone cement breakage
    Li Song-hua, Yang Kai, Shen Yu-lan, Tian Qing-hua, Wu Chun-gen
    2015, 19 (16):  2473-2478.  doi: 10.3969/j.issn.2095-4344.2015.16.003
    Abstract ( 318 )   PDF (1090KB) ( 912 )   Save

    BACKGROUND: Percutaneous vertebraplasty is a new means for the treatment of vertebral compression fractures and bone metastases. The multiplaner reconstruction with digital substraction angiography (DSA)-Innova 3D plays an important role in guiding the percutaneous vertebraplasty puncture, which can effectively prevent the leakage of bone cement.
    OBJECTIVE: To explore the value of DSA-Innova 3D in the guidance of puncture of percutaneous vertebroplasty.
    METHODS: From March 2014 to September 2014, a total of 72 patients with 94 vertebras were selected for percutaneous vertebraplasty, of whom 36 (48 vertebras) with Innova 3D (experimentalgroup) and 36 (46 vertebras) without Innova 3D (control group). Spiral CT scan was performed in all patients to assess the distribution of bone cement. The imaging quality in the two groups was compared by Mann-Whitney U test.
    RESULTS AND CONCLUSION: CT showed bone cement leakage occurred in 7 of the 36 patients in the control group. Leakages were into the lumber disc in two cases, paravertebral space in two cases, vertebral pedicle in one case or veins in two cases. However, only one case of bone cement leakage was observed in the experimental group. With the guidance of DSA-Innova 3D, the experimental group had signficantly lower leakage and fluoroscopic time than the control group (P < 0.05). The multiplaner reconstruction with DSA-Innova 3D plays an important role in guiding the percutaneous vertebraplasty puncture, thereby effectively reducing the leakage of bone cement.


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    Percutaneous kyphoplasty with bone cement injection rapidly eases pain in patients with multi-segmental thoracolumbar vertebral osteoporotic fractures
    Fu Dong-ming, Wang Yun, Zhou Chang-ming
    2015, 19 (16):  2479-2483.  doi: 10.3969/j.issn.2095-4344.2015.16.004
    Abstract ( 225 )   PDF (651KB) ( 639 )   Save

    BACKGROUND: Percutaneous kyphoplasty with bone cement injection for repair of multi-segmental thoracolumbar vertebral osteoporotic fractures can restore the compressed vertebral height, correct deformity and reduce complications.
    OBJECTIVE: To explore the therapeutic effects of percutaneous kyphoplasty with bone cement in patients with multi-segmental thoracolumbar vertebral osteoporotic fractures.
    METHODS: Eighty patients with multi-segmental thoracolumbar vertebral osteoporotic fractures were enrolled, 29 males and 51 females, aged 61-78 year, including 52 case of two-segmental vertebral fractures, 22 cases of three-segmental vertebral fractures, 6 cases of four-segmental vertebral fractures. All the patients were divided into experimental group and control group randomly. Patients in the control group were given active basic treatment and anti-osteoporosis treatment and stayed in bed. Patients in the experimental group were given 
    percutaneous kyphoplasty with bone cement injection on the above basis. All the patients were followed-up 12 months after treatment. Then the Oswesty dysfunction index, Barthel index, visual analog scale score, and the anterior vertebral height and midline height, Cobb angle were compared between the two groups.
    RESULTS AND CONCLUSION: In the experimental group, the Oswesty dysfunction index, Barthel index, visual analog scale score, and the anterior vertebral height and midline height, Cobb angle were all significantly improved at 3 days, 3 months and 12 months after treatment than before (P < 0.05). In the control group, the Oswesty dysfunction index, Barthel index and visual analog scale score were improved significantly at 3 and 12 months after treatment (P < 0.05), while the anterior vertebral height and midline height were improve dramatically at 12 months after treatment (P < 0.05). Compared with the control group, the experimental group showed better the Oswesty dysfunction index and Cobb angle than the control group at 12 months after treatment (P < 0.05), but there were no difference in the other indicators between the two groups. No adverse reactions associated with bone cement material occurred in the experimental group. Taken together, the percutaneous kyphoplasty with bone cement injection can rapidly relieve pain in patients with multi-segmental thoracolumbar vertebral osteoporotic fractures, which can correct kyphosis and improve patient’s quality of life.


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    Percutaneous kyphoplasty with bone cement injection for treatment of spinal metastases: changes of spinal stability and pain
    Liu Yong, Xia Bo, Li Xin-fu
    2015, 19 (16):  2484-2488.  doi: 10.3969/j.issn.2095-4344.2015.16.005
    Abstract ( 264 )   PDF (693KB) ( 578 )   Save

    BACKGROUND: Patients with spinal metastases may appear different degrees of pain and abnormal spinal stability, and can be treated with percutaneous balloon kyphoplasty combined with bone cement implantation.
    OBJECTIVE: To explore the effect of percutaneous balloon kyphoplasty with bone cement implantation on spinal stability and pain in patients with spinal metastases.
    METHODS: Twenty-three patients with metastatic spinal tumor were treated with percutaneous balloon dilatation kyphoplasty with polymethyl methacrylate bone cement. There were 10 females and 13 males, and their age ranged from 23 to 71 years. The visual analogue scale score, anterior and posterior edge height of vertebral body, quality of life, and motor function score of patients were observed before and after treatment.
    RESULTS AND CONCLUSION: Compared with before treatment, the visual analogue scale score and motor function score were significantly decreased, while anterior and posterior edge height of vertebral body were
    significantly increased in 23 patients at 24 hours after treatment (P < 0.05). After 12 months of follow-up, no case appeared to have spinal nerve root damage, serious adverse reactions and bone cement embolism. The patient’s quality of life was significantly improved, compared with before treatment (P < 0.05). Experimental findings indicate that percutaneous balloon dilatation kyphoplasty with polymethyl methacrylate bone cement can significantly improve the spinal stability, relieve the degree of pain, and exert exact effects in treatment of spinal metastases.


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    In vitro fabrication of tissue-engineered osteochondral composite graft in a home-made double-chamber stirring bioreactor
    Hu Yan-ling, Wang Ai-rong, Gong Hai-feng, Liu Hai-fei, Chen Feng, Qiao Guang-xi
    2015, 19 (16):  2489-2493.  doi: 10.3969/j.issn.2095-4344.2015.16.006
    Abstract ( 251 )   PDF (760KB) ( 489 )   Save

    BACKGROUND: Articular cartilage injury is often complicated by subchondral bone damage to form osteochondral defects, and its treatment remains a pressing problem in orthopedics. Osteochondral composite grafts fabricated by tissue engineering technology provide a new way to repair osteochondral defects.
    OBJECTIVE: To explore the feasibility of fabricating osteochondral composite grafts in an independently designed double-chamber stirring bioreactor.
    METHODS: Goat bone marrow mesenchymal stem cells were seeded into β-tricalcium phosphate scaffolds. The cell/scaffold constructs were subjected to chondrogenic and osteogenic induction simultaneously in the double-chamber stirring bioreactor. According to the applied shear stress, they were divided into dynamic and static culture groups. The proliferation of bone marrow mesenchymal stem cells was detected by MTT test and scanning electron microscope examination. Osteogenesis and chondrogenesis related genes were detected by RT-PCR for the evaluation of chondrogenic and osteogenic differentiation.
    RESULTS AND CONCLUSION: The bone marrow mesenchymal stem cells in both dynamic and static culture groups demonstrated satisfactory proliferation and differentiation. Better proliferation and differentiation ability were found in the dynamic culture group. Fabrication of osteochondral composite grafts in the independently.designed double-chamber stirring bioreactor is feasible, which is better under the mechanical stimulus environment than the static environment.


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    Preparation of an acellular cartilage matrix scaffold 
    Sun Liang, Li Pi-bao, Luan Bao-hua
    2015, 19 (16):  2494-2499.  doi: 10.3969/j.issn.2095-4344.2015.16.007
    Abstract ( 536 )   PDF (761KB) ( 1035 )   Save

    BACKGROUND: Acellular matrix which is decellularized but retains the matrix components in the nature materials can reduce the immunogenicity of natural materials effectively and keep the material mechanical strength.
    OBJECTIVE: To prepare the natural biological scaffold material by using elution method to remove the cells in the rabbit costicartilage matrix.
    METHODS: After removal of the surrounding tissues, the costicartilage samples from New Zealand white rabbits were randomly divided them into three groups: costicartilages untreated as normal control group, detergent-enzyme digestion for 48 hours as 48-hour treatment group, detergent-enzyme digestion for 96 hours as 96-hour treatment group. Hematoxylin-eosin staining and electron microscope were used to observe decellularized effects. At 7 days of induction, bone marrow mesenchymal stem cells, 3×109/L, were collected and co-cultured with allogeneic acellular costicartilage matrix in vitro. At 3 and 7 days of co-culture, the composite was  taken for observation of cell growth on the cell-free substrate surface under electron microscope.
    RESULTS AND CONCLUSION: Two or three cartilage cells were closely packed in each cartilage pit, began to depigment using the detergent-nuclease digestion method, and then completely depigmented at 96 hours after treatment. At 3 days of co-culture, there were a large amount of polygon-shaped adherent cells with pseudopodias observed on the acellular matrix surface in vitro, and cells could proliferate and divide in partial regions. At 7 days of co-culture, adherent cells spread mostly throughout the acellular matrix surface, these cells were flat-shaped and extended with multiple interconnected processes. Mass of secreted excellular matrixes were deposited on the matrix surface and showed frost-like changes, indicating the prepared acellular matrix has favorable cytocompatibility.


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    Fiber posts with different designs in the repair of molar residual roots and crowns: comparison of post fracture and retention
    Du Jin-ying, Mu Jin-quan, Li Jian, Xu Xiang-qin, Wu Hua-ying
    2015, 19 (16):  2500-2504.  doi: 10.3969/j.issn.2095-4344.2015.16.008
    Abstract ( 435 )   PDF (668KB) ( 601 )   Save

    BACKGROUND: Molars are characterized by multi-root, multi-root canal, multi-directional, different geometric shape and distribution. Single-root canal teeth post-core theory was used to guide molar repair in the clinic. It is easy to cause root canal perforation or vertical fracture due to excessive post preparation. Therefore, it is necessary to make further study and investigation in the design of fiber post-resin core for repairing molars.
    OBJECTIVE: To evaluate the clinical therapeutic effects of fiber post-resin core with different numbers of posts in the repair of molar residual roots and crowns. 
    METHODS: A total of 54 human molar residual roots and crowns with sound root canal filling in 48 patients were selected and restored with fiber post of different numbers and resin core as well as complete coronal restoration.  
    There were 17 cases (20 samples) restored with single fiber post core, 16 cases (18 samples) restored with double fiber post cores, and 15 cases (16 samples) restored with three fiber post cores. They were followed up for 24 months and the repair results were compared.
    RESULTS AND CONCLUSION: After 24 months of follow-up, the success rates were 85%, 94% and 94% in the single fiber post, double fiber post and three fiber post groups, respectively, and no significant difference was detected among the three groups. Five failures were observed among 54 teeth: three cases of fiber post shedding in the single fiber post group, one case of fiber post shedding in the double fiber post group, and one case of fiber post shedding in the three fiber post group, and no root fracture occurred. Three kinds of fiber post-resin cores for repairing molar residual roots and crowns can get a better short-term clinical result. The repair effects were not different because of the different numbers of fiber posts.


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    Development of biodegradable Nano-NdFeB composite materials to surgical anastomosis
    Wang Shan-pei, Li Jian-hui, Qian Jun-min, Yan Xiao-peng, Yao Wei-jie, Dong Ding-hui, Ma Feng, Lv Yi
    2015, 19 (16):  2505-2510.  doi: 10.3969/j.issn.2095-4344.2015.16.009
    Abstract ( 487 )   PDF (2352KB) ( 547 )   Save

    BACKGROUND: Magnamosis is regarded as a fast, convenient, and safe approach of surgical anastomosis in general surgery. Biodegradable Nano-magnetic composite materials with good biocompatibility and degradation of adjustability will solve the potential problems of magnets left in the body.
    OBJECTIVE: To develop biodegradable Nano-NdFeB composite materials and to evaluate the magnetic energy product and degradation performance in vitro.
    METHODS: NdFeB nanoparticles were prepared with high-energy ball milling and Nano-NdFeB magnetic particles bonded biodegradable polymer material poly-L-lactide-co-glycolide (PLGA content 2.5%, 5%, 7.5%, 10%, 20%, 30%, 40%, 50%) by the means of solvent evaporation method. The fabrication procedures of biodegradable PLGA-Nano-NdFeB composite materials by warm compaction process under certain pressure (6, 8, 10, 12, 14 MPa) and temperature (60, 80, 100, 120, 140 ℃) were investigated to reveal their effects on the maximum magnetic energy product. The vitro degradation experiment of PLGA-Nano-NdFeB composite materials (PLGA molar ratio 90/10, 70/20, 50/50) was done with the magnets soaked in 10% PBS at 37 ℃constant temperature followed by phugoid oscillation. Microstructure changes were observed by scanning electron microscopy before and after degradation. The relationship between PLGA molar ratio and degradation time was also investigated.
    RESULTS AND CONCLUSION: The magnetic energy product of biodegradable PLGA-Nano-NdFeB composite materials was in direct proportion with the content of PLGA-Nano-NdFeB magnetic particles, temperature and pressure during warm compaction process, but in inverse proportion with PLGA content within a certain range. The best energy product of biodegradable PLGA-Nano-NdFeB composite materials was 45 kJ/m3 at 120 ℃, 12 MPa and PLGA content 5%. The degradation time of biodegradable PLGA-Nano-NdFeB composite materials was closely related to molar ratios of PLGA, directly proportional to PLA content and inversely proportional to PGA content. The degradation peak of molar ratios of PLGA (90/10), (70/20), (50/50) occurred at weeks 8, 6, 4, respectively.


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    Feasibility of Eucommia ulmoides gum as a root canal filling material
    Long Hui, Zhang Feng-y, Feng Yun-zhi
    2015, 19 (16):  2511-2517.  doi: 10.3969/j.issn.2095-4344.2015.16.010
    Abstract ( 442 )   PDF (3254KB) ( 544 )   Save

    BACKGROUND: Eucommia ulmoides gum has good thermoplastics, liquidity, bondability and antimicrobial properties. However, the application of Eucommia ulmoides gum as a root canal filling material is rarely reported.
    OBJECTIVE: To compare the different contents of gas phase nano-silica on mechanical performance of composite material taking the gutta-percha as the matrix, and observe the effect of the root canal filling.
    METHODS: Four kind of root canal filling materials were prepared through adding barium sulfate (20%), nano-hydroxyapatite (10%) and different contents of gutta-percha and gas phase nano-silica (40% and 15%, 45% and 20%, 50% and 25%, 55% and 30%). Pure Eucommia ulmoides gum served as the blank control. The mechanical properties (hardness, tensile strength and rupture elongation rate) of those five materials were detected. Furthermore, four kinds of composite materials, pure Eucommia ulmoides gum and Gutta-Percha Pellets were filled into the fresh extracted premolar root canal by using Obtura II technology. The effect of root canal filling was observed under X-ray and scanning electron microscopy.
    RESULTS AND CONCLUSION: Along with the increase of the content of gas phase nano-silica, the hardness of Eucommia ulmoides gum composite material increased, tensile strength increased firstly and then decreased, and rupture elongation rate decreased. Pure Eucommia ulmoides gum was transmitted to the X-ray and no image of filling material was obtained. Four kinds of composite materials were resistant to X-ray, and images showed that all composite materials were equally filled into the root canal, without cacuole, and were in contact with the root canal inner wall, showing good filling effect. Scanning electron microscopy showed that, fingerlike projections were the longest at the surface of pure Eucommia ulmoides gum; as the content of gas phase nano-silica increased, fingerlike projection length reduced at the surface of composite materials. Eucommia ulmoides gum composite materials could be developed as a canal filling material under heat flow condition.


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    Sanqi sodium hyaluronate gel inhibits alpha-smooth muscle actin expression in the epidural scar
    Xu Quan, Pan Yu, Zhou Wei, Zhang Zhao-jie, Liu Can
    2015, 19 (16):  2518-2522.  doi: 10.3969/j.issn.2095-4344.2015.16.011
    Abstract ( 251 )   PDF (1679KB) ( 446 )   Save

    BACKGROUND: Epidural scar after laminectomy is one important reason for the secondary spinal stenosis, and local application of Sanqi sodium hyaluronate gel can prevent epidural scar adhesion after laminectomy.
    OBJECTIVE: To study the effects of Sanqi sodium hyaluronate gel on α-smooth muscle actin expression in the process of rabbit’s epidural scar formation.
    METHODS: In this study, there were ninety-six rabbits which were randomized into four groups and given 0.5 mL normal saline, 0.5 mL Sanqi concentrated solution, 0.5 mL sodium hyaluronate and 0.5 mL Sanqi sodium hyaluronate gel around the dura. At 1, 2, 4, 8 weeks after treatment, immunohistochemistry staining was employed for analysis of α-smooth muscle actin expression.
    RESULTS AND CONCLUSION
    : At the end of weeks 1 and 2, the expression of α-smooth muscle actin antibody in the normal saline group was significantly higher than that in the other three groups (P < 0.01 or P < 0.05), but there were no significant differences among the Sanqi, sodium hyaluronate and Sanqi sodium hyaluronate gel groups (P > 0.05). At weeks 4 and 8, the expression of α-smooth muscle actin antibody in the Sanqi sodium hyaluronate gel group was significantly lower than that in the other three groups (P < 0.01 or P < 0.05), and there was no significant difference among the latter three groups (P > 0.05). These findings suggest that Sanqi sodium hyaluronate gel can inhibit the expression of α-smooth muscle actin, and thus ease scar contracture.


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    In vivo animal study on osteal histocompatibility of carbon fiber-reinforced nano-hydroxyapatite/polyamide 66 composites
    Lu Ming, Zhang Xue-song, Xu Hui, Hu Wen-hao, Yang Xiao-qing
    2015, 19 (16):  2523-2528.  doi: 10.3969/j.issn.2095-4344.2015.16.012
    Abstract ( 360 )   PDF (1958KB) ( 693 )   Save

    BACKGROUND: Compared with hydroxyapatite materials and other nano-hydroxyapatite composites, carbon fiber-reinforced nano-hydroxyapatite/polyamide 66 composites have been significantly improved in the mechanical strength, toughness, elastic modulus and other aspects. It can be used for repairing bone defects of loading parts.
    OBJECTIVE: To investigate the biocompatibility of carbon fiber-reinforced nano-hydroxyapatite/polyamide 66 composites in bone tissues.
    METHODS: Eight Bama mini pigs were taken to establish models of thoracic vertebral defects and implanted with carbon fiber-reinforced nano-hydroxyapatite/polyamide 66 composites. At 8, 16 and 24 weeks after implantation, 
    the animals were sacrificed, respectively, for bone mineral density detection and hematoxylin-eosin staining. Blood samples for kidney and liver function tests were taken before and 1 and 8 weeks after implantation.
    RESULTS AND CONCLUSION: Hematoxylin-eosin staining of bone samples showed that the materials could bond with the bone defect interface without rejection, and could induce osteogenesis of chondrocytes. At 8 weeks after surgery, the broken ends of cancellous bone closed and the composite material was wrapped by granulation tissues. At 16 weeks after surgery, granulation tissues were organized and new bone developed directly from fibroblast cells. The new bone tissues were nearly fused with the end of cancellous bone. At 24 weeks after surgery, new bone tissue became mature lamellar bone, and the end of cancellous bone was connected tightly with the composite material. Bone mineral density of the implanted vertebra showed an increase trend at 8, 16 and 24 weeks after implantation. Over time, the bone mass was increased. The liver and kidney function tests showed that there was no significant difference before and after implantation. It is preliminarily believed that the carbon fiber-reinforced nano-hydroxyapatite/polyamide 66 composite has excellent histocompatibility and bioactivity without hepatic toxicity and nephritic toxicity.

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    In vivo biocompatibility of whole-kidney acellular matrix scaffolds prepared by perfusion method
    Chen Jie, Yang Jing-qiu, Liu Chun-xiao
    2015, 19 (16):  2529-2533.  doi: 10.3969/j.issn.2095-4344.2015.16.013
    Abstract ( 285 )   PDF (2209KB) ( 680 )   Save

    BACKGROUND: The whole-kidney acellular matrix scaffold in rats prepared by perfusion method is proved to have good in vitro biocompatibility, but in vivo biocompatibility is still unclear.
    OBJECTIVE: To produce a whole-kidney acellular matrix scaffold in rats by perfusion method and to evaluate the in vivo biocompatibility of the scaffold.
    METHODS: The whole-kidney acellular matrix scaffold in Wistar rats was prepared by perfusion method and evaluated with the following tests. (1) Acute toxicity test: mice were subject to intraperitoneal injection of whole-kidney acellular matrix scaffold extract liquid, normal saline and phenol. (2) Hemolytic test: Anticoagulant blood samples from New Zealand rabbits were mixed with whole-kidney acellular matrix scaffold extract liquid, 
    normal saline and distilled water, respectively. (3) Pyrogen test: Whole-kidney acellular matrix scaffold extract liquid was injected into the ear vein of New Zealand rabbits. (4) Intracutaneous stimulation test: Whole-kidney acellular matrix scaffold extract liquid was injected subcutaneously into New Zealand rabbits for observing whether there was a skin stimulus response. (5) Subcutaneous implantation test: The whole-kidney acellular matrix scaffold was implanted subcutaneously into the back of New Zealand rabbits.
    RESULTS AND CONCLUSION: There was no cell residual in the whole-kidney acellular matrix scaffold prepared by perfusion method, and no acute systemic toxicity, hemolytic reaction, pyrogen response, and skin stimulus respons, indicating the scaffold has a good histocompatibility in the rabbits. These findings suggest that the whole-kidney acellular matrix scaffolds in Wistar rats prepared by perfusion method have good in vivo biocompatibility.


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    Nano-hydroxyapatite is non-toxic to human umbilical cord vein endothelial cells
    Cheng Guang-cun, Yan Zhong-ya, Li Chun-sheng, Yan Yu, Wei Xiao-yong
    2015, 19 (16):  2534-2539.  doi: 10.3969/j.issn.2095-4344.2015.16.014
    Abstract ( 336 )   PDF (2023KB) ( 366 )   Save

    BACKGROUND: Pulsed laser deposition synthesis technology has been used to prepare new nano-hydroxyapatite thin film coating by collagen deposition on artificial mechanical heart valve. 
    OBJECTIVE: To investigate the toxicity of new nano-hydroxyapatite thin film on human umbilical vein endothelial cells.
    METHODS: Human umbilical vein endothelial cells were cultured with nano-hydroxyapatite film room-temperature leaching solution, nano-hydroxyapatite film high-temperature leaching solution, high-density polyethylene and phenol solution. Within 72 hours, cell growth was observed under the inverted phase contrast microscope. At 7 days after culture, cell proliferation and toxicity grading were detected using Cell Counting Kit-8. 
    RESULTS AND CONCLUSION: At 24 hours after culture, cells grew well, showed fusiform shape, and had strong refraction in the nano-hydroxyapatite film room-temperature leaching solution, nano-hydroxyapatite film high-temperature leaching solution, high-density polyethylene groups, and no significant differences in cell morphology and number were detected among above groups. Cells in the phenol solution group were suspended, round, pyknotic and dead. At 48 hours, except phenol solution group, cell number increased significantly, and cell grew densely in other three groups. At 72 hours, cells grew strongly, and the gap became small obviously. Within 7 days after culture, cell proliferation activity was not significant in the nano-hydroxyapatite film room-temperature leaching solution, nano-hydroxyapatite film high-temperature leaching solution, and high-density polyethylene groups, which was significantly higher than in the phenol solution group (P < 0.05). The toxicity of nano-hydroxyapatite film graded 0 to 1. These results suggested that nano-hydroxyapatite artificial mechanical heart valve has good histocompatibility, but no toxicity.


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    Glass fiber post versus metal post in repair of dental defects
    Kong De-rang
    2015, 19 (16):  2540-2544.  doi: 10.3969/j.issn.2095-4344.2015.16.015
    Abstract ( 436 )   PDF (687KB) ( 578 )   Save

    BACKGROUND: Post-core restoration of dental defects can restore the morphology and function of the teeth. Glass fiber post and casting metal post are commonly used in the post-core restoration, and have different repair effects.
    OBJECTIVE: To compare the effect of glass fiber post and metal post restoration for dental defects.
    METHODS: 97 patients of dental defects in 146 teeth were divided into two groups, glass fiber post group (49 cases, 74 teeth) and casting metal post group (48 cases, 72 teeth). All patients were followed up for 12 months. Periodontal alkaline phosphatase levels, integrity of dental prosthetics, edge matching condition, color matching condition, crown post rupture, prosthetic loosening and dental root rupture were observed before repair and 24 hours after repair.
    RESULTS AND CONCLUSION: At 24 months after repair, alkaline phosphatase levels in the casting metal post group were significantly increased compared with before repair (P < 0.05), and were obviously higher than that in the glass fiber post group (P < 0.05), there was no significant differen ce in the glass fiber post group before and 
    after repair (P > 0.05). The edge matching condition and color matching condition in the glass fiber post group were significantly better than that in the casting metal post group (P < 0.05). Six teeth in the glass fiber post group and 17 teeth in the casting metal post group appeared crown post rupture, and the successful repair rate in the glass fiber post group was significantly higher than that in the casting metal post group (91.9%, 76.4%, P < 0.05). Compared with casting metal post, glass fiber post can restore better appearance, better mechanical functions, higher success rate and fewer impact on periodontal tissue.


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    Stress distribution in natural maxillary central incisor and implant: a three-dimensional finite element analysis
    Wan Lin-zi, Sun Lei1, Wu Xi-feng, Lin Zhen-yan, Xu Liang-wei, Liu Zhen-zhe, Xu Duo-ling, Li Yang, Zhou Yan-min, Gao Yong-bo
    2015, 19 (16):  2545-2550.  doi: 10.3969/j.issn.2095-4344.2015.16.016
    Abstract ( 309 )   PDF (747KB) ( 749 )   Save

    BACKGROUND: Biomechanical compatibility is the necessary condition to ensure the stable osseointegration with implants that then can function over a long period; therefore, it is especially important to get knowledge about distribution of stress and strain between the maxillary central incisor and its surrounding bone tissue.
    OBJECTIVE: Based on five different anatomical types of natural teeth, to study the regularity of stress distribution between the maxillary central incisor root and implant. 
    METHODS: According to the five different anatomical types of natural maxillary central incisors, UGNX and ANSYS were used to set up three-dimensional finite element models (B1, B2, M1, M2, P1) for the implant and surrounding structures, which were under 100 N static load at angles of 0º, 30º, 45º, 60º, 90º with the long axis of teeth. Then, the stress distribution between the five kinds of maxillary central incisor roots and implants was analyzed.
    RESULTS AND CONCLUSION: Among the five different anatomical types, the equivalent stress for both the natural central incisor and implant were increased with the increasing of angles, and the implant had a higher raising trend. The equivalent stress for the natural tooth concentrated upon B1 for the maximum value and M1 for the minimum value; while the equivalent stress for the implant focused on the maximum value at M1 and the minimum value at M2. There was a gap of 2%-31% between the equivalent stresses for the natural tooth roots and a gap of 4%-21% for the implants. The stress distribution range for the implant was just smaller than that for the natural tooth roots. It implies that the bit force of implant and natural tooth is in positive proportion to the bite angles, and the bite force that implant can burden is smaller than that the central incisor can.


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    Implant stability during osseointegration using osteotome technique
    Zhang Xiao-dong, Yang Yong-qin, Shi Sa-sa, Ma Rui-zhao, Liao Li-fei
    2015, 19 (16):  2551-2558.  doi: 10.3969/j.issn.2095-4344.2015.16.017
    Abstract ( 291 )   PDF (345KB) ( 477 )   Save

    BACKGROUND: Implant stability is the basic requirement of osseointegration and also one of important parameters to judge whether the implant is implanted successfully. Generally, the implant stability is closed related to bone quality (bone hardness and bone density) in the implant zone, implant shape, diameter and length.
    OBJECTIVE: To continuously monitor the changing trend of implant stability during early healing period due to the utilization of osteotome technique by resonance frequency analysis. 
    METHODS: Twenty patients with class IV defects in the posterior maxilla who underwent implant restoration (4.8 mm×12 mm) from 2010 to 2011 at the Department of Stomatology, the 521 Hospital of China North Industries Group Corporation were recruited. Resonance frequency analysis was used to measure the implant stability at implant insertion, 1, 2, 3, 4, 6, 8 and 12 weeks postoperatively.
    RESULTS AND CONCLUSION: All the implants achieved osseintegration uneventfully within 12 weeks. At implant installation, the mean implant stability quotient value was 69.66±4.75. An increase trend in implant stability quotient values was visible within 1 week, and the implant stability quotient value reached the peaked at 1 week, and then decreased to the lowest point at 2 weeks, which were significantly different from that at implant installation (P < 0.05). In the secondary stability phase, the increasing slope of implant stability quotient values reached a plateau by the 8th week. The resonance frequency analysis can estimate the quantitative change of implant stability after applying the osteotome technique, and the osteotome technique can promote the implant initial stability.


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    Long-term effects of five kinds of pulp capping agents: a comparative study
    Nie Er-min, Jiang Rui, Zhang Chun-yuan, Zeng Jin-di, Tan Ji-zhou
    2015, 19 (16):  2557-2561.  doi: 10.3969/j.issn.2095-4344.2015.16.018
    Abstract ( 4962 )   PDF (585KB) ( 923 )   Save

    BACKGROUND: In the deep caries treatment, the pulp capping agent used in indirect pulp can induce the formation of dentin bridge (the complex of dental pulp and dentin), to protect the pulp tissue from stimulus and save the pulp vitality, completely avoid the occurrence of complications, with a higher clinical success rate.
    OBJECTIVE: To evaluate the differences in clinical efficacy of five kinds of calcium hydroxide preparations.
    METHODS: Totally 236 patients with deep caries were selected and randomized to undergo indirect pulp with the double-component calcium hydroxide powder (n=46), Metapex with one-component injection dosage form and the chemical curing calcium hydroxide preparation (n=47), Dycal with the chemical curing calcium hydroxide preparation (n=45), Ionosit-Baseliner (n=49) and Calcimol LC (n=49) with one-component and the light curing calcium hydroxide preparation. The status of the dental pulp, the restoration and the root tip were observed at 1, 6, 12 and 24 months after operation.
    RESULTS AND CONCLUSION: There was no significant difference between the five groups in the success rate of indirect pulp capping at 1, 6 and 12 months (P > 0.05). At 24 months, the success rate of indirect pulp capping in the double-component calcium hydroxide powder group was lower than that in the other four groups (P < 0.05), but there was no significant difference between the latter four groups (P > 0.05). Metapex, Dycal, Ionosit-Baseliner and Calcimol LC all have a good effect on indirect pulp capping to deep caries, which can be used as agents for long-term pulp protection.


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    Periodontal tissue remodeling assisted by three kinds of orthodontic appliances: osteoclast differentiation factor mRNA expression under pressure
    Huang Yan, Guo Na
    2015, 19 (16):  2562-2556.  doi: 10.3969/j.issn.2095-4344.2015.16.019
    Abstract ( 376 )   PDF (751KB) ( 462 )   Save

    BACKGROUND: Recent studies have shown that osteoclast differentiation factor is closely related to osteoclast differentiation, formation and function in bone remodeling during orthodontic tooth movement.
    OBJECTIVE: To observe the effects of three kinds of orthodontic appliances on the expression of osteoclast differentiation factor at the pressure side of rat periodontal tissue during remodeling process and to explore the biocompatibility of the orthodontic appliances with the host tissues during orthodontic treatment.
    METHODS: Eighty healthy Wistar rats were selected to establish animal models of orthodontic tooth movement, and then randomly divided into four groups: control group, MBT group, Begg group, Damon III appliance group. Four animal from each group were sacrificed at 3, 7, 14 days after wearing orthodontic appliances. The tartrate-resistant acid phosphatase staining was used to count the osteoclasts at the pressure side of alveolar bone tissue; real-time quantitative PCR detection to detect mRNA expression of osteoclast differentiation factor at the pressure side of periodontal tissue and time distribution characteristics.
    RESULTS AND CONCLUSION: Compared with the control group, the number of positive osteoclasts and mRNA expression of osteoclast differentiation factor at the pressure side of the alveolar bone tissue were increased with orthodontic time, reached the peaked at 7 days and then gradually decreased. The number of positive osteoclasts 
    and mRNA expression of osteoclast differentiation factor at the pressure side of the alveolar bone tissue were significantly higher in the Damon III group than the other three groups at 7 days after orthodontic treatment (P < 0.05). These findings indicate that, during the bone remodeling, the number of positive osteoclasts changed in accordance with the mRNA expression of osteoclast differentiation factor, and at 7 days, the number of positive osteoclasts and mRNA expression of osteoclast differentiation factor were highest in the Damon III group.


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    Crosslinking process optimization of collagen sponge
    Wang Heng, Yu Hong-liu, Lu Jin-ting, Zhao Ying
    2015, 19 (16):  2567-2572.  doi: 10.3969/j.issn.2095-4344.2015.16.020
    Abstract ( 859 )   PDF (708KB) ( 803 )   Save

    BACKGROUND: Collagen materials have good biocompatibility and biodegradability, but also had some problems such as low mechanical strength, poor resistance to degradation exposed in the process of clinical application. Numerous studies have reported that proper crosslinking could improve the disadvantage of collagen materials, regulate porous network structure, swelling and degradation of collagen materials. 
    OBJECTIVE: To optimize carbodiimide crosslinking process of collagen sponge and determine the best process conditions.
    METHODS: Collagen sponge was cross-linked by carbodiimide for the preparation of loose and porous collagen sponge. Meanwhile, we optimized the conditions of cross-linking, in which the selected concentration of carbodiimide was 5, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100 mmol/L, linking time was 2, 4, 6, 8, 12, 16, 20, 24 hours, and linking temperature was 5, 10, 15, 20, 25, 30, 35 ℃. We evaluated the best process conditions of collagen sponge through the aperture, porosity, water absorption, and degradation rate.
    RESULTS AND CONCLUSION: The optimal conditions were carbodiimide concentration 50 mmol/L, crosslinking temperature 20 ℃, crosslinking time 6 hours. At this point, the average pore diameter of collagen sponge was 105 μm, the porosity was 79.45%, water absorption was 287.14%, and the degradation rate was 15.04% (2 days). The crosslinking of collagen sponge significantly improved its water absorption and degradation resistance.


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    Biological dressing A versus Physiotulle Ag in the repair of degree ll facial burns
    Wang Qiang, Liu Xiao-wen, Lv Ren-rong, Huo Ran
    2015, 19 (16):  2573-2577.  doi: 10.3969/j.issn.2095-4344.2015.16.021
    Abstract ( 626 )   PDF (722KB) ( 932 )   Save

    BACKGROUND: Biological dressing A (porcine Xenoderm) and Physiotulle Ag (Coloplast) show good effects on the absorption of exudates, adhesion and anti-bacteria in treatment of degree ll facial burns.
    OBJECTIVE: To observe the effectiveness of biological dressing A versus Physiotulle Ag after early debridement of degree ll facial burns.
    METHODS: A total of 15 patients with superficial degree ll facial burn and 10 patients with deep degree ll facial burns were included. Symmetric facial area of the same patient with the same depth of burn was divided into two parts of same size for treatments. One side was randomly selected as the experimental side, and treated with biological dressing A. The other was selected as the control side and treated with Physiotulle Ag. We compared wound healing time, infection, times of changing dressings, skin after healing, drug change comfort and dressing comfort between the two sides.
    RESULTS AND CONCLUSION: In patients with superficial grade ll facial burn, times of changing dressings and drug change comfort were better in the experimental side than in the control side (P < 0.05), but the dressing comfort was better in the control side than the experimental side (P < 0.05). No significant difference in wound healing time, infection and skin after healing was detected between the two sides. In patients with deep degree ll facial burns, wound healing time, times of changing dressings, skin after healing and drug change comfort were better in the experimental side than in the control side (P < 0.05), but the dressing comfort was better in the control side than the experimental side (P < 0.05). No significant difference in infection was detectable between the two sides. Above findings suggested that the therapeutic effects of biological dressing A and Physiotulle Ag were similar in treatment of degree ll facial burns. Biological dressing A in repair of deep degree ll facial burns promotes the wound healing and elevates the quality of healing.


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    Two kinds of artificial valve rings in the treatment of degenerative mitral regurgitation due to pure mitral valve ring expansion
    Han Jin-song1, Wang Hui-shan1, Yin Zong-tao1, Wang Ting-ting2, Han Hong-guang1, Song Heng-chang1, Jin Yan1, Zhu Yan1, Chen Zhao-hui1
    2015, 19 (16):  2578-2582.  doi: 10.3969/j.issn.2095-4344.2015.16.022
    Abstract ( 774 )   PDF (760KB) ( 964 )   Save

    BACKGROUND: Incidence of degenerative mitral regurgitation show a gradual increase tendency, but there is no report on degenerative mitral regurgitation due to pure mitral valve ring expansion in China.
    OBJECTIVE: To summarize the early and midterm outcomes of pure mitral valve annuloplasty in the treatment of degenerative mitral regurgitation due to pure mitral valve ring expansion.
    METHODS: Forty-eight patients with degenerative mitral regurgitation due to pure mitral valve ring expansion underwent pure mitral valve annuloplasty, including 23 cases treated with Carpentier-Edwards Physio ring and 23 with SJMTM rigid saddle ring. After discharge, echocardiography was used to evaluate heart function and mitral regurgitation degree during the follow-up. The outcomes were compared between the two groups.
    RESULTS AND CONCLUSION: There was no early death after operation and all cases were cured and discharged. All patients were followed up for 3 months to 4 years, and the cardiac function and mitral valve regurgitation were significantly improved (no mitral regurgitation in 36 cases, trivial mitral regurgitation in 10 cases and mild mitral regurgitation in 2 cases). According to NYHA grading, there were 32 cases of level I and 16 cases 
    of level II. The echocardiography showed that postoperative left atrium diameter, left ventricular end-diastolic diameter, left ventricular end-systolic diameter, pulmonary artery systolic pressure and the ratio of regurgitation beam area to left atrial area were significantly lower than those before operation (P < 0.01). The left ventricular ejection fraction increased greatly (P < 0.01). There was no ring rupture, ring avulsion and hemolysis. Postoperative transvalvular pressure was less than 3 mm Hg. However, there were no significant differences in the above-mentioned parameters between the Carpentier-Edwards Physio ring and SJMTM rigid saddle ring groups. The results suggest that the pure mitral valve annuloplasty is excellent in the treatment of degenerative mitral regurgitation due to pure mitral valve ring expansion, through the right surgical techniques and the right choice of artificial valve ring.


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    Biovalve and meachanical valve replacement for valvular disease: the value of serum Apelin-12 detection
    Hou Peng, Wang Hui-shan, Han Jin-song
    2015, 19 (16):  2583-2587.  doi: 10.3969/j.issn.2095-4344.2015.16.023
    Abstract ( 404 )   PDF (667KB) ( 579 )   Save

    BACKGROUND: Artificial valve replacement for valvular disease has good biocompatibility and hemodynamic characteristics, but there are still many factors that affect its therapeutic effects.
    OBJECTIVE: To detect the level of serum Apelin-12 in the perioperative period of valve replacement in valvular disease patients with atrial fibrillation.
    METHODS: Sixty-two patients with valvular heart disease scheduled for artificial valve replacement were selected, including 30 patients with persistent atrial fibrillation (atrial fibrillation group) and 32 patients with sinus rhythm (sinus rhythm group). There were 33 males and 29 females, with a mean age of (55±11) years. Levels of serum Apelin-12 and makers related to inflammation and oxidative stress were detected in two groups at admission. Furthermore, the sinus rhythm group was sub-divided into postoperative atrial fibrillation (POAF) 
    group (n=8) and non-POAF group (n=24) after valve replacement, and the above-mentioned indicators were detected and compared between these two subgroups.
    RESULTS AND CONCLUSION: Compared with the sinus rhythm group, the serum level of Apelin-12 was significantly lower in the atrial fibrillation group, while the levels of high-sensitivity C-reactive protein and interleukin-6 and total antioxidant capacity were significantly higher in the atrial fibrillation group (P < 0.05). Correlation analysis showed that the serum level of Apelin-12 was negatively correlated with high-sensitivity C-reactive protein level and total antioxidant capacity (r=-0.265, P=0.045; r=-0.960, P < 0.001), but not correlated with the interleukin-6 level (r=-0.155,P=0.230). Compared with the non-POAF group, the serum level of Apelin-12 was significantly lower in the POAF group (P < 0.05), but the left atrial diameter, high-sensitivity C-reactive protein level were higher in the POAF group (P < 0.05). Apelin-12 may take part in the occurrence and maintenance of atrial fibrillation through the regulation of inflammations and oxidative stresses. The testing of serum Apelin-12 has a certain value in predicting the occurrence of postoperative atrial fibrillation.


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    Packing effects of different hemostatic materials during functional endoscopic sinus surgery: histocompatibility comparison
    Guo Li-ping, Wang Dong, Li Tong-li
    2015, 19 (16):  2588-2592.  doi: 10.3969/j.issn.2095-4344.2015.16.024
    Abstract ( 410 )   PDF (711KB) ( 660 )   Save

    BACKGROUND: At present, the most common materials for clinical hemostasis are absorbable tampons and Vaseline gauze.
    OBJECTIVE: To compare the packing effects of absorbable tampons and Vaseline gauze in functional endoscopic sinus surgery.  
    METHODS: Totally 100 sinusitis patients, 57 males and 43 females, aged 16-61 years, with a history of 5 months to 23 years, were randomized into two groups: patients in the observation group were treated with absorbable tampons and patients in the control group treated with Vaseline gauze during functional endoscopic sinus surgery. Patient’s discomfort, bleeding when the filler was extracted at 48 hours, and nasal bleeding within postoperative 24 hours were compared between the two groups.  
    RESULTS AND CONCLUSION: No adverse reaction related to absorbable tampons occurred in the observation group, indicating that the absorbable tampon has better histocompatibility. Patient’s discomfort, bleeding when the filler was extracted at 48 hours after operation, and nasal bleeding within postoperative 24 hours were significantly improved in the observation group compared with the control group (P < 0.05). These findings suggest that the absorbable tampons has a better hemostatic function, which can effectively reduce postoperative nasal bleeding and relieve postoperative discomfort in patients with sinusitis.


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    Different removable partial dentures for dentition defects: denture inplace rate and biocompatibility
    Xie Yu-ting, Qiao Zhi-ping
    2015, 19 (16):  2593-2597.  doi: 10.3969/j.issn.2095-4344.2015.16.025
    Abstract ( 493 )   PDF (645KB) ( 935 )   Save

    BACKGROUND: In recent years, commonly used removable partial denture materials include Vitallium200 material, cobalt-chromium alloys and titanium materials.
    OBJECTIVE: To explore the value of different removable partial dentures in the repair of dentition defects.
    METHODS: Ninety cases of dentition defects, including 45 males and 45 females, aged 20-57 years old, were subject to removable partial denture repair. Among them, 30 cases were treated with Vitallium2000 removable partial dentures, 30 cases with titanium removable partial dentures, and 30 cases with cobalt-chromium removable partial denture. Denture inplace rate, incidence rates of denture stomatitis, periodontal disease and secondary caries, patient satisfaction self-evaluation were compared between three groups within 2 years after implantation.
    RESULTS AND CONCLUSION: Vitallium2000 material group was superior to pure titanium and cobalt-chromium alloy groups in the denture inplace rate, incidence rates of denture stomatitis, periodontal disease and secondary caries (P < 0.05). Patients in the Vitallium2000 material group were more satisfied with lightweight and comfort, aesthetics, chewing ability, odor degree of removable partial dentures than those in the other two groups (P < 0.05). These findings suggest that Vitallium2000 removable partial dentures can better improve the denture in place rate, reduce the incidence of denture stomatitis, periodontal disease and secondary caries, ensuring the comfort level and aesthetics of dentures.


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    Toxicity of blastula culture medium to mouse embryos: a safety evaluation of in vitro assisted reproduction devices
    Han Qian-qian, Yin Yan-yun, Wang Han, Feng Xiao-ming, Wang Chun-ren, Yang Zhao-peng
    2015, 19 (16):  2598-5602.  doi: 10.3969/j.issn.2095-4344.2015.16.026
    Abstract ( 455 )   PDF (726KB) ( 896 )   Save

    BACKGROUND: The blastula culture medium can assist the development of zygote from the fertilized egg to the blast blastula. The safety and quality of blastula culture medium directly influences the quality of blastula.
    OBJECTIVE: To evaluate the effect of blastula culture medium on the development of mouse embryos.
    METHODS: In this study, B6D2F1 mice were used. The female mice were superovulated and mated with male B6D2F1 mice. One day later, the zygotes were collected and cultured in the M16 medium to 4-cell stage. Then, 4-cell stage embryos were transferred into the tested blastula culture medium (experimental group). After 5 days of culture, the forming rate of blastula was examined. Meanwhile, the M16 medium containing endotoxin was used to culture 1-cell mouse zygote (positive control group). The M16 medium with no embryo toxicity was used to culture 1-cell zygote (negative control group).
    RESULTS AND CONCLUSION: The formation rate of blastula was 0 in the positive group, 87.1% in the negative control group, and 87.3% in the experimental group. From the results, the tested blastula culture medium could assist the 1-cell zygote growing to the stage of blastula, and the formation rate of blastula was above 80%. The tested blastula culture medium had no toxicity to the mouse embryo.


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    Three kinds of double-J ureteral stents: a comparison of biocompatibility
    Yu Yin-hua
    2015, 19 (16):  2603-2607.  doi: 10.3969/j.issn.2095-4344.2015.16.027
    Abstract ( 1131 )   PDF (640KB) ( 786 )   Save

    BACKGROUND: Ureteral stents used in clinical treatment are mostly made of silicone or polyurethane polymer materials, but these materials cannot be degraded and absorbed in the human body. Therefore, to develop a new type of double-J biodegradable ureteral stent has become a research focus.
    OBJECTIVE: To summarize the clinical application and development of different kinds of double-J ureteral stents.
    METHODS: Related literatures were retrieved from Wanfang, CNKI and PubMed databases using the keywords of “double-J ureteral, stent, clinical” in Chinese and English, respectively. The retrieval time ranged from 2010 to 2015.
    RESULTS AND CONCLUSION: Traditional double-J Ureteral stents can be divided into polymer stents and metal stents, both of which have poor biocompatibility and easily cause various complications. With the in-depth studies of ureteral stents, biodegradable ureteral stents have been developed, which have good mechanical properties, biological inertness and in vivo degradation that can ensure drainage of urine after implantation in the human body without affecting the dynamics of the upper urinary tract; have good histocompatibility, little reactions between tissues, and can disappear after absorption; can avoid the impact on the anti-reflux function at the junction between the ureter and urinary bladder; and can be degraded and excreted via the urine after completion of drainage and support to avoid the secondary use of cystoscopy, and also to avoid urinary tract infections, renal dysfunction and other complications.


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    Lumbar spinal implants for degenerative lumbar spondylolisthesis: biocompatibility evaluation
    Zhang Zhi-min, Huo Jian-zhong
    2015, 19 (16):  2608-2612.  doi: 10.3969/j.issn.2095-4344.2015.16.028
    Abstract ( 278 )   PDF (652KB) ( 567 )   Save

    BACKGROUND: Spinal internal fixation is widely used in the treatment of lumbar spondylolisthesis, with the purpose of lumbar fusion, reconstruction of lumbar sagittal sequences, relieving spinal cord or nerve root compression.
    OBJECTIVE: To review the biocompatibility of lumbar spinal implants applied in the treatment of degenerative lumbar spondylolisthesis.
    METHODS: A computer-based retrieval of PubMed and CNKI was performed for relevant articles published from January 2000 to January 2015. The keywords were “biocompatibility, degenerative lumbar spondylolisthesis, implant” in English and Chinese, respectively, which appeared in the title and abstract.
    RESULTS AND CONCLUSION: Lumbar spinal implants commonly used include pedicle screws and interbody fusion cages. The fusion cages are mainly classified as biological fusion cage, metal fusion cage, composite fusion cage and absorbable fusion cage. Internal fixation implants made of different materials have different biocompatibilities, but also develop different stabilities. With the development of bionics, 3D printing technology, biomechanics and materials science, lumbar spinal implants will have better biocompatibility, bone substitute capability and biomechanical properties.


    中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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    Minimally invasive treatments of spinal metastases: vertebroplasty, radiofrequency ablation and radiation therapy
    Guan Kai, Liu Chuan, Li Fang
    2015, 19 (16):  2613-2618.  doi: 10.3969/j.issn.2095-4344.2015.16.029
    Abstract ( 327 )   PDF (633KB) ( 640 )   Save

    BACKGROUND: The development of minimally invasive technology significantly reduces the occurrence of surgical complications due to spinal metastases. Currently, the minimally invasive treatment basically has three broad categories: vertebral cement augmentation, radiofrequency ablation combined with vertebroplasty, intraoperative radiotherapy combined with vertebroplasty.
    OBJECTIVE: To summarize the research progress of three kinds of minimally invasive treatments for spinal metastases.
    METHODS: PubMed and Wanfang databases were searched using the keywords of “spinal metastases, vertebroplasty, radiofrequency ablation, radiotherapy” in English and Chinese, respectively.
    RESULTS AND CONCLUSION: Vertebral cement augmentation with good analgesic effect has been used widely, and the efficiency is up to 80%-90%. But its effect to kill tumors is very limited that is unable to control tumor growth. Radiofrequency ablation and radiation can kill the tumor, but cannot rebuild the vertebral stability. Therefore, the combination of different technologies can improve the therapeutic effect on spinal tumors. In recent years, intraoperative radiation and implantation of radioactive particles or radioactive bone cement have been developed as new technologies. However, there is no conclusion that these new technologies have better outcomes than the vertebral cement augmentation because of less reports and lack of long-term follow-up. Especially in the metastatic patients with damaged vertebral posterior wall and tumors invaded into vertebral canal, the risk of nerve function damage caused by bone cement leakage is still very high, even after many attempts. Above all, there is no a perfect minimally invasive treatment for spinal metastases.


    中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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    Degradation and clinical application of absorbable suture materials
    Wang Lian-lian, Li Jing-xi, Shi Zhan
    2015, 19 (16):  2619-2623.  doi: 10.3969/j.issn.2095-4344.2015.16.030
    Abstract ( 629 )   PDF (661KB) ( 1015 )   Save

    BACKGROUND: Absorbable suture with good biocompatibility and mechanical strength has been extensively used in the clinic.
    OBJECTIVE: To explore in vitro degradation of different absorbable sutures, to analyze the clinical superiority of absorbable sutures and the influential factors for its in vitro degradation.
    METHODS: After retrieval of related literatures concerning degradation and application of absorbable suture material, we retrospectively analyzed relevant articles addressing influential factors for performance and degradation of absorbable suture materials, and comparison of clinical absorbable and nonabsorbable sutures, thereby providing theoretical evidence for clinical application.
    RESULTS AND CONCLUSION: Absorbable sutures can be completely degraded and absorbed by the body, with no adverse reaction and no scars after wound healing. Absorbable sutures overcome the shortcomings of nonabsorbable sutures that cannot break down in the body. The absorption of its degradation products in vivo has two pathways: one is the phagocytosis of giant cells and phagocytes in the body, and the other is that the degradation products enter the body fluids and blood. For example, lactic acid is absorbed and excreted via the systemic circulation. There is a very complicated physiological environment in the human body, and various factors can affect material properties. In addition, the different kinds of materials have different degradation manners in vivo. Therefore, it is necessary to design, synthesize and process biodegradable polymer materials with special properties within a certain range to meet the clinical needs.


    中国组织工程研究杂志出版内容重点:生物材料;骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性;组织工程


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