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    18 June 2015, Volume 19 Issue 25 Previous Issue    Next Issue
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    Bone cement combined with zoledronic acid to repair osteoporotic vertebral compression fractures 
    Xue Feng, Ye Yu-song
    2015, 19 (25):  3937-3941.  doi: 10.3969/j.issn.2095-4344.2015.25.001
    Abstract ( 296 )   PDF (3146KB) ( 389 )   Save

    BACKGROUND: Percutaneous vertebroplasty with bone cement injection for osteoporotic vertebral compression fractures can quickly relieve pain and increase vertebral strength, but vertebral re-fractures often occur because of osteoporosis.
    OBJECTIVE: To investigate the therapeutic effect of percutaneous vertebroplasty with bone cement injection combined with zoledronic acid in the treatment of osteoporotic vertebral compression fractures.
    METHODS: Six patients with osteoporotic vertebral compression fractures were enrolled, including two males and four females, aged 60-86 years. These patients with T12-L4 vertebral fractures underwent percutaneous vertebroplasty with polymethyl methacrylate acrylate bone cement treatment. At 4 weeks after bone cement injection, all patients were administrated with intravenous injection of zoledronic acid (100 mL: 5 mg) as anti-osteoporosis treatment, 30 drops per minute, once a year, for consecutive 2 years. The 2-year periodic imaging was performed to observe the clinical efficacy on vertebral compression fractures, bone density and adjacent vertebral fractures.
    RESULTS AND CONCLUSION: At 48 hours after bone cement injection, pain symptoms were relieved in the six cases. At the end of 2-year follow-up, fractures healed in all the six cases without delayed union or nonunion, and 
    there was no bone cement leakage, nerve root compression, dural involvement, needle opening or wound infection and pulmonary embolism; the bone density was significantly higher than that before treatment (P < 0.05), and no adjacent vertebral fractures occurred. These findings indicate that the percutaneous vertebroplasty with bone cement injection combined with zoledronic acid can significantly relieve pain, improve vertebral stability and bone density, and reduce the incidence of adjacent vertebral fractures in patients with osteoporotic vertebral compression fractures.

    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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    Post-osteomyelitis posterior tibial bone defects repaired with antibiotic bone cement combined with autologous bone graft and Ilizarov external fixator 
    Zhu Yong-gang, Zhang Da-wei, Zhao Guang-yue, Qi Wei, Sun Qiang, Zuo Ji-wei, Yang Yong-li
    2015, 19 (25):  3942-3946.  doi: 10.3969/j.issn.2095-4344.2015.25.002
    Abstract ( 389 )   PDF (2288KB) ( 300 )   Save

    BACKGROUND: Bone cement containing antibiotics for repair of bone defects can achieve sustained release of a higher concentration of sensitive drugs, which will help kill bacteria and provide the necessary bone grafting bed and space to reduce massive bleeding due to removal of the granulation at bone defects during the second phase.
    OBJECTIVE: To analyze the clinical efficacy of antibiotic bone cement combined with autologous bone transplantation and Ilizarov external fixator on tibial bone defects after traumatic osteomyelitis.
    METHODS: A total of 31 patients with tibial bone defects after chronic osteomyelitis, including 19 males and 12 females, aged 17-40 years old. After positive debridement of necrotic tissues at bone stump, Ilizarov external fixator was used for fracture fixation, and autogenous iliac bone grafting combined with bone cement containing antibiotics was performed to repair bone defects. Fracture healing time, knee and ankle scoring were followed up.
    RESULTS AND CONCLUSION: The 31 patients were followed up for 6 months to 3.5 years. Tibial fractures were healed without infection recurrence in all patients. The bony union time was 3-6 months, the fixation time was 3-6 months, and the limb extended length was (7.50±1.01) cm. No adverse reactions related to bone cement and bone graft occurred. At 3 months after bone grafting, the scores on the knee and ankle joints were improve significantly. These findings indicate that the antibiotic bone cement combined with autologous bone transplantation and Ilizarov external fixator for repair of post-osteomyelitis posterior tibial bone defects can control infection, promote fracture healing, and restore joint functions.

    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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    Preparation and performance of psoralen antibiotic biphasic ceramic bone
    Xiu Xiao-guang, Zhang Shou-ping, Zhang Shu-hua, Wang Xiang-li
    2015, 19 (25):  3947-3951.  doi: 10.3969/j.issn.2095-4344.2015.25.003
    Abstract ( 355 )   PDF (5537KB) ( 224 )   Save

    BACKGROUND: In recent years, studies on the application of traditional Chinese medicine in bone tissue engineering are still at the initial stage in China. Reports about psoralen antibiotic biphasic ceramic bone have not been seen in bone tissue engineering research.
    OBJECTIVE: To fabricate the psoralen antibiotic biphasic ceramic bone by vacuum evaporator and to observe the physicochemical properties, antibiotic activity and biocompatibility of the material.
    METHODS: Biphasic ceramic bone was prepared by twice low-temperature calcining pig vertebrae combined with sodium pyrophosphate, and then the ceramic bone was immersed in chitosan/psoralen compound solution to prepare psoralen antibiotic biphasic ceramic bone. The surface morphology was observed by scanning electron microscope, and the compressive strength was tested. Antibiotic activity of the psoralen antibiotic biphasic ceramic bone on Escherichia coli and Staphylococcus aureus was tested by microbiological methods. Mouse osteoblasts MC3T3-E1 were co-cultured with the psoralen antibiotic biphasic ceramic bone for 4 and 8 days, and the cell adhesion and proliferation on the scaffold surface were observed under the scanning electron microscope.
    RESULTS AND CONCLUSION: Psoralen antibiotic biphasic ceramic bone had natural pore structure with the trabecular bone, trabecular space and lumen system and exerted great antibiotic effect on Escherichia coli and Staphylococcus aureus. The compressive strength was (4.69±0.50) MPa. Mouse osteoblasts MC3T3-E1M could be adherent to the psoralen antibiotic biphasic ceramic bone and proliferate rapidly, suggesting the psoralen 
    antibiotic biphasic ceramic bone has good cytocompatibility. 

    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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    Bionic biphasic ceramic bioactive bone for segmental bone defects 
    Duan Ning, Zhang Wen-tao, Cheng Hui-guang, Jiao Ning, Han Shao-feng
    2015, 19 (25):  3952-3956.  doi: 10.3969/j.issn.2095-4344.2015.25.004
    Abstract ( 376 )   PDF (5586KB) ( 572 )   Save

    BACKGROUND: The bioceramics has the ideal pore size, high porosity and the through-hole rate, can provide the ideal physiological activity space for the bone cell repair, and can obviously improve bone conduction.
    OBJECTIVE: To explore the bone conduction and bone induction in the repair of bone defects in the stage of bone defect of bionic biphasic ceramic bioactive bone.
    METHODS: A total of 20 New Zealand white rabbits were randomly divided into bioactive glass and biomimetic biphasic ceramic bioactive bone groups, and were used to construct the animal bone damage model. They were given the repair with bioactive glass and biomimetic biphasic ceramic bioactive bone.
    RESULTS AND CONCLUSION: At 4 weeks after model establishment, scanning electron microscopy demonstrated that dense periosteal tissue was observed in the biomimetic biphasic ceramic bioactive bone group. At 8 weeks, dense combination was found, and no obvious fissure existed. At 12 weeks, complete bone demarcation blurred, showing a natural transition. Moreover, the binding site was very dense. There were a large number of new bone tissues, bone trabecula was regular and connected to a piece. The bone material has been largely degraded. Bone defects were repaired completely. The bone density was close to normal bone. At 8 weeks, in the bioactive glass group, the binding site presented obvious fissure. At 12 weeks, the fissure had been connected, but the binding was not tight as compared with the bionic biphasic ceramic biologic active bone group. The bone defect got preliminary repair. A small number of new bone formed trabecular bone, but could not connect or traverse. There was no recanalization of the marrow cavity. A few continuous bone callus traversed the broken end. These data demonstrate that bionic biphasic ceramic bioactive bone has good bone conduction,  bone induction and biocompatibility in the repair of segmental bone defects. 


    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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    Recombinant human bone morphogenetic protein 2 composite bone in the lumbar spine fusion  
    Wang Zhan, Zhang Jun, Wang Deng-feng, Shao Yu-xiong, Wei Wei, Zhu Yang-jun, Wang Wei
    2015, 19 (25):  3957-3961.  doi: 10.3969/j.issn.2095-4344.2015.25.005
    Abstract ( 339 )   PDF (4319KB) ( 235 )   Save

    BACKGROUND: Many studies have confirmed that recombinant human bone morphogenetic protein 2 plays a very important role in bone formation and fracture healing, but recombinant human bone morphogenetic protein 2 alone implanted is prone to diffusion and degradation, which is unable to play a persistent role in new bone formation.
    OBJECTIVE: To explore the effect of recombinant human bone morphogenetic protein 2 composite bone in the rabbit lumbar fusion.
    METHODS: Thirty New Zealand white rabbits were selected to make posterior lumbar intertransverse fusion models, and then were randomly divided into three groups, in which, L5-6 intertransverse implantation of autologous iliac bone, allogeneic bone and recombinant human bone morphogenetic protein 2 composite bone 
    (recombinant human bone morphogenetic protein 2 and allogeneic bone complex) was done respectively. At 6 weeks after implantation, gross observation, X-ray examination and histological observation were performed.
    RESULTS AND CONCLUSION: Fusion rate and percentage of new bone area were higher in the composite bone group than the autologous iliac bone and allogeneic bone groups (P < 0.05); the tensile strength was lower in the allogeneic bone group than the other two groups (P < 0.05), but there was no difference between these two groups except the allogeneic bone group. X-ray films showed callus formation in the implanted region of the three groups. In the autologous iliac bone group, a large amount of cartilage tissues formed along with a small amount of bone trabeculae and a certain amount of woven bones. In the allogeneic bone group, the implant was covered with a large amount of fibrous tissues, bone island was seen and there was also a small amount of bone trabeculae and cartilage tissues. In the composite bone group, a great amount of bone trabeculae and cartilage tissues were visible to form woven bone and cortical bone. These findings indicate that the recombinant human bone morphogenetic protein 2 composite bone can obtain good effect in the rabbit lumbar fusion.

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    Acrylic resin bone cement composite as a bone substitute for subchondral bone induces knee joint osteoarthritis  
    Jiang Hua, Yan Yu, Ma Hong-bing, Xu Bing, Wang Jun-rui, Jiang Dian-ming
    2015, 19 (25):  3962-3966.  doi: 10.3969/j.issn.2095-4344.2015.25.006
    Abstract ( 238 )   PDF (1008KB) ( 263 )   Save

    BACKGROUND: The hardened acrylic resin bone cement composite after implantation into human body can resist an intensity of 78-93 MPa. But a large amount of heat energy is released by bone cement during the process of solidification and it will kill normal cells, leading to peripheral tissue necrosis.
    OBJECTIVE: To investigate the characteristics of induced knee joint osteoarthritis after application of acrylic resin bone cement composite as a bone substitute for subchondral bone.
    METHODS: Thirty male Japanese big ear rabbits were randomly and equally divided into four experimental groups (A, B, C, D) and a blank control group. After removal of subchondral bone on the right medial tibial plateau, polymethyl methacrylate powder/hydroxyapatite composite materials were implanted in rabbits in the experimental groups A, B, C, and D. Rabbits in the blank control group were only subjected to exposure of periosteum on the left medial tibial plateau. At 3, 6, 9 and 12 weeks after removal of subchondral bone, rabbits in the experimental groups A, B, C and D were sacrificed, and subchondral bone specimens were taken for hematoxylin-eosin staining and matrix metalloproteinase expression analysis. At the same time, interleukin-1β and tumor necrosis factor-ɑ levels in the synovial fluid were determined.
    RESULTS AND CONCLUSION: Mankin score in the experimental group C was significantly higher than in the blank control group and experimental group A (P < 0.05). Mankin score in the experimental group D was significantly higher than in the experimental group B (P < 0.05). The gray scale of matrix metalloproteinase-1 was highest in the blank control group, followed by experimental groups A, B, C, and the last in the experimental group D  (P < 0.05). Interleukin-1β and tumor necrosis factor-ɑ levels in the synovial fluid were highest in the experimental group D, followed by experimental groups C, B, A and the last in the blank control group (P < 0.05). These findings suggest that acrylic resin bone cement composite as a bone substitute for subchondral bone induces knee joint osteoarthritis and leads to increases in matrix metalloproteinase-1 and tumor necrosis factor-ɑ levels in the synovial fluid. 

    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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    Changes in serum C-reactive protein level and erythrocyte sedimentation rate in patients after use of orthopedic metal implants
    Li Guo-dong
    2015, 19 (25):  3967-3971.  doi: 10.3969/j.issn.2095-4344.2015.25.007
    Abstract ( 272 )   PDF (875KB) ( 302 )   Save

    BACKGROUND: Most orthopedic surgeries use metal implants. Although this approach will benefit for patients, it simultaneously makes patients infected by some bacteria. Serum C-reactive protein level and erythrocyte sedimentation rate are two indices for clinically determining the inflammation.
    OBJECTIVE: To investigate the changes in serum C-reactive protein level and erythrocyte sedimentation rate in patients after use of orthopedic metal implants.
    METHODS: The clinical data of 100 patients who used metal implants between October 2012 and October 2014 at the Department of Orthopedics, Linqu People’s Hospital of Shandong Province of China were retrospectively analyzed. Among these patients, 36 patients received implantation of intramedullary nails, 34 patients artificial joint, and 30 patients steel plates. At 1, 3, 7, 14, and 21 days after implantation, infection was determined according to serum C-reactive protein level and erythrocyte sedimentation rate, as well as other laboratory indices, wound healing, and body temperature. According to these indices, the patients were assigned to two 
    groups: no infection (n=52) and infection (n=48). Disease progression was analyzed for providing reliable evidence for rational use of antibiotics.
    RESULTS AND CONCLUSION: There were significant differences in serum C-reactive protein level and erythrocyte sedimentation rate in patients between infection and non-infection groups at 1 (t=3.43, P < 0.05; t=3.78, P < 0.05), 3 (t= 3.35, P < 0.05; t=3.68, P < 0.05), 7 (t=3.28, P < 0.05; t=3.54, P < 0.05), and 14 days after use of orthopedic metal implants (t=2.56, P < 0.05; t=3.02, P < 0.05). No significant differences in these two indices were observed between infection and non-infection groups at 21 days after use of orthopedic metal implants (t=1.76, P > 0.05; t=1.98, P > 0.05). These findings suggest that after use of orthopedic metal implants, serum C-reactive protein level and erythrocyte sedimentation rate in patients should be closely monitored and simultaneously other indices like wound healing and body temperature should be determined to determine whether infection occurs after use of orthopedic metal implants so as to develop effective repair strategies. This will provide reliable clinical evidence for rational treatment and prevention of orthopedics-related diseases.

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    Calcium sulfate bone substitute combined with pedicle screw fixation for the recovery of vertebral height following thoracolumbar vertebral compression fractures 
    Feng Jie-rong, Du Qing-jun
    2015, 19 (25):  3972-3976.  doi: 10.3969/j.issn.2095-4344.2015.25.008
    Abstract ( 315 )   PDF (944KB) ( 233 )   Save

    BACKGROUND: Calcium sulfate bone substitute material has a good safety and biocompatibility, and possesses good strength after implantation to restore thoracolumbar mechanical strength and reduce vertebral height loss, and moreover, it may gradually be degraded and absorbed.
    OBJECTIVE: To explore the influence of posterior pedicle screw fixation combined with calcium sulfate bone substitute material on the recovery of vertebral height after thoracolumbar vertebral compression fractures.
    METHODS: Forty-two patients with thoracolumbar vertebral compression fractures (T12-L3) were enrolled to receive posterior pedicle screw fixation combined with calcium sulfate bone substitute, including 27 males and 15 females, aged 21-57 years. All patients were followed-up for 12 months, and then anterior vertebral height, kyphosis Cobb angle, Oswestry disability index score and visual analog scale score before and after treatment were determined and compared.
    RESULTS AND CONCLUSION: At the end of follow-up, no local complications, no coagulation, no immune response and no screw breakage occurred; the anterior vertebral height, kyphosis Cobb angle, Oswestry  disability index score and visual analog scale score were significantly improved (P < 0.05). These findings indicate that the posterior pedicle screw fixation combined with calcium sulfate bone substitute can restore the vertebral height and promote functional recovery of patients with thoracolumbar vertebral compression fractures.

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    Lyophilizing canine allogeneic mandible: meeting the requirements for rebuilding strength, shape and support capabilities  
    Jing Cai-xia, Liu Chang-kui, Tan Xin-ying, Hu Min
    2015, 19 (25):  3977-3982.  doi: 10.3969/j.issn.2095-4344.2015.25.009
    Abstract ( 336 )   PDF (1125KB) ( 249 )   Save

     

    BACKGROUND: The favorable structure and biological characteristics of allogeneic temporomandibular joint become an effective solution for condylar defect, but immunologic rejection and slow ossification are the main problem for the presence of bone allograft.
    OBJECTIVE: To meet the requirements of rebuilding mandible defect by lyophilizing canine mandible.
    METHODS: The periosteum, soft tissue, and cartilage of 12 canine mandibles were removed. 1 mm diameter hole was drilled with 1 to 2 cm intervals in their cortical bones with a fissure bur. After washing, they were placed into a -4 ℃ refrigerator for 12 hours, and then stored at -80 ℃ gradually for 1 week. The mandibles were put in a drier. When the moisture content of osseous tissue decreased to 5%, the bones were packed in aseptic environment, radio pasteurized, and stored in vacuum container at atmosphere temperature. A biomechanical test was conducted after the lyophilization.

    RESULTS AND CONCLUSION: The maximum shifts of lyophilized mandibles in compression and bending tests were slight according to the steep load-shift curve. The plastic zone was insignificant and fractures appeared immediately when the pressure exceeded the plastic zone. The maximum load, maximum shift, and rigidity in the compression test were (5 163.10±730.16) N, (0.78±0.19) mm and (11 069.17±1 758.12) N/mm, respectively. The data in bending test were (486.67±134.12) N, (0.67±0.15) mm and (1 151.67±256.46) N/mm, respectively. It is concluded that the dehydrated and lyophilized canine mandibles have good shape and support ability and can meet the mechanical requirements in repairing and reconstructing mandibular defect. 

    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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    Fabrication and properties of nano-hydroxyapatite/poly(3-hydroxybutyrate) ultrafine-fibrous scaffolds for bone tissue engineering  
    Guan Dong-hua, Lin Ying-he, Huang Jian-sheng, Chen Zhi-qing
    2015, 19 (25):  3983-3989.  doi: 10.3969/j.issn.2095-4344.2015.25.010
    Abstract ( 349 )   PDF (4919KB) ( 273 )   Save

    BACKGROUND: Poly(3-hydroxybutyrate) is approved as its excellent biocompatibility, biodegradability and piezoelectric properties, but there are also some deficiencies, such as high breakability and poor hydrophilicity.
    METHODS: Poly(3-hydroxybutyrate) was mixed with different mass percentages of nanohydroxyapatite (0, 10%, 20% and 30%) to prepare new composite fibrous scaffolds through electrospinning process. The microstructure, group composition, crystalline phase distribution, thermal properties and surface wettability of the scaffolds were detected.
    RESULTS AND CONCLUSION: Under the scanning electron microscope, with the increase of nano-hydroxyapatite content, more and more nano-hydroxyapatite particles were distributed evenly on the composite fiber surface; the fiber surface was basically covered with nano-hydroxyapatite particles at the content of 30%, and the roughness of the fiber surface also increased. Results from differential scanning calorimetry and 
    X-ray diffraction showed that the nano-hydroxyapatite reduced the crystallinity of poly(3-hydroxybutyrate) and the crystal tacticity, and this phenomenon became more evident with the increase of nano-hydroxyapatite content. Additionally, the higher the content of nano-hydroxyapatite content, the lower the contact angle and the higher the hydrophily. These findings indicate that the nano-hydroxyapatite/poly(3-hydroxybutyrate) ultrafine-fibrous scaffold using electrospinning technology can effectively improve the surface wettability and crystallinity of the material as well as the material hydrophily and brittleness, and the higher the content of nano-hydroxyapatite, the more obvious the effect.

    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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    Accumulation of intravenously injected carboxylated single-walled carbon nanotubes in rat axillary lymph nodes 
    Li Su-ning, Qin Yue, Cheng Xiao-jing, Fu Xuan-hao, Feng Jian-hai, Lai Ze-feng, Liu Hua-gang
    2015, 19 (25):  3990-3995.  doi: 10.3969/j.issn.2095-4344.2015.25.011
    Abstract ( 304 )   PDF (5750KB) ( 770 )   Save

    BACKGROUND: Lymph-targeted tracing and therapy based on carbon nanotubes have been one of the hottest researches on targeting tumor diagnosis and treatment. To evaluate the accumulation of carbon nanotubes in axillary lymph node can provide experimental evidences for developing nano-tracers and drug carriers which are more lymph-specific and more biocompatible.       
    OBJECTIVE: To study the accumulation of the intravenously injected carboxylated single-walled carbon nanotubes in axillary lymph nodes of Sprague-Dawley rats, and to evaluate their effect on blood cells.
    METHODS: Sixty-four Sprague-Dawley rats were randomly divided into two groups. Rats in testing group were injected with carboxylated single-walled carbon nanotubes suspension (2 mg/kg), while those in control group were injected with 5% glucose solution (1 mL/kg), both through the tail vein, three times per week. Four periods of 7, 60, 90 and 120 days were set (the 120-day period referred to 90 days of administration followed by 30 days of 
    drug withdrawal). At the end of each period, eight rats from each group were randomly picked out, to collect blood samples via the abdominal aorta for blood routine test. Finally the axillary lymph nodes were observed, and the lymph node samples of rats in the testing group were collected and analyzed at 120 days by transmission electron microscope.
    RESULTS AND CONCLUSION: Compared with the control group, black staining of axillary lymph nodes of rats in testing group was not obvious at the end of the 7-day period. However, with the increase of the dosing periods, the lymph nodes of the rats in the testing group became enlarged, firm and black stained, coupled with a significant rising in the percentage of blood neutrophils. After 30 days of drug withdrawal, the size of the rat axillary lymph nodes was reduced and black staining partly faded, with the decreasing of blood neutrophil percentage. Under the transmission electron microscope, abundant carboxylated single-walled carbon nanotubes were uptaken by lymphocytes to form a large number of phagocytic vacuoles after drug withdrawal for 30 days. It indicates that the short-term tracing of rat axillary lymph nodes by carboxylated single-walled carbon nanotubes injected through the tail vein is relatively weak, while the long-term intravenous injection can cause their accumulation in rat axillary lymph nodes, coupled with the increase of neutrophils; after drug withdrawal, the carboxylated single-walled carbon nanotubes can be slowly cleared by the lymph nodes.

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    Liu Min, Master, Associate chief physician, Department of Urology, Qingpu Branch of Zhongshan Hospital Affiliated to Fudan University, Shanghai 201700, China
    Liu Min, Yan Wei, Li Hui-feng, Zhu Tong-yu
    2015, 19 (25):  3996-4001.  doi: 10.3969/j.issn.2095-4344.2015.25.012
    Abstract ( 400 )   PDF (4339KB) ( 307 )   Save

    BACKGROUND: Studies have shown that polyethylene polymer-synthesized ureteral stents have good biocompatibility in vivo, but the side effects are found to induce the body to produce inflammatory, pyrogenic, and allergic reactions. Therefore, studies have mainly aimed to explore the biocompatibility, toxic and side effects, inflammation of newly developed ureteral stents synthesized by L-lactic acid, glycolide, and barium sulfate.
    OBJECTIVE: Based on the biocompatibility comparisons on cell toxicity test, inflammatory reaction, allergic reaction, pyrogen reaction and mortality after implantation between the usage of polyethylene material and L-lactic acid, glycolide, barium sulphate syntheses, to provide a better reference to introduce a new clinical ureteral stent material.
    METHODS: There were three groups in the experiment: blank control group, new material group, polyethylene group. Cells were cultured in normal medium, leach liquid of L-lactic acid, glycolide, barium sulphate syntheses and leach liquid of polyethylene, respectively.
    RESULTS AND CONCLUSION: The toxic effects were significantly enhanced in the urethral epithelial cells that grew in the leach liquids of two materials compared with the blank control group (P < 0.05), but the two kinds of materials had no significant statistical difference in the toxicity test (P > 0.05). Hematoxylin-eosin staining results showed that there were obvious inflammatory infiltrations in muscle tissue and the number of neutrophils and eosinophils were increased when the two kinds of materials were implanted in the rats for 2 and 6 weeks (P < 0.05), but the inflammatory infiltration and tissue damage in the new material group was less than that in the polyethylene group (P < 0.05). ELISA results showed that the serum concentrations of interleukin-10 and interleukin-23 were significantly increased when the two kinds of materials were implanted in the rats for 6 weeks (P < 0.05), but the content of inflammatory cytokines in the new material group was less than that in the polyethylene group (P < 0.05). In the new material group, there was only one rat that developed allergic reaction and there was no pyrogen reaction or death; however, in the polyethylene group, there were three rats with presence of allergic reaction and one rat with pyrogen reaction but no death. These findings indicate that the new ureteral stent material synthesized with L-lactic acid, glycolide and barium sulphate can reduce inflammation reactions, allergic reactions and pyrogen reactions to the body, and has better biocompatibility than polyethylene composite material. 

    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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    Biodegradability and biocompatibility of polylactide/glycolide biliary stent
    Shi Chun-chao, Zhao Xiao-fei, Wu Xiao-feng
    2015, 19 (25):  4002-4006.  doi: 10.3969/j.issn.2095-4344.2015.25.013
    Abstract ( 292 )   PDF (1955KB) ( 472 )   Save

    BACKGROUND: Biliary stent is widely used in different biliary tract surgeries, and there are some defects in the use of biliary stent.
    OBJECTIVE: To explore the biodegradability and compatibility of polylactide/glycolide biliary stent.
    METHODS: The polylactide/glycolide biliary stent was prepared, and immersed in the bile. At 1, 2, 3, 4 and 5 weeks after soaking, eight experimental stents were dried and placed under the scanning electron microscope. In the sterile condition, the stent was implanted under the rat skin. At 1, 2, 3, 4, and 5 weeks after implantation, two rats were sacrificed. The stent was taken out. The appearance of the stent and muscle structure of experimental animals was observed. The gross appearance of stent was observed at different time by scanning electron microscopy. The rate of degradation was calculated. The muscle structure of experimental animal and the stent were understood.
    RESULTS AND CONCLUSION: At 1 week, stent shape remained almost intact, but the texture became soft; surface roughness and cracks gradually appeared; stent wall collapse was visible. The stent was completely degraded at 5 weeks. Before degradation, the stent presented clear three-dimensional reticular structure observed by scanning electron microscopy. With the time extended, the stent surface and section corrosion became worsened. By gel permeation chromatography detection, at 1 week of implantation, the molecular mass of the stent declined rapidly, and then gradually declined. At 2 weeks, the relative molecular mass decreased to 
    15 000. At 4 weeks, stent mass loss was approximately 40%. All the experimental animals were survived, no poisoning, allergy or heat source response. The operative wound was healed well, and no infection occurred. By histological observation, at 5 weeks, the stent was completely degraded, with a degradation rate of 100%. Surrounding muscles recovered to a normal state. These results indicate that the polylactide/glycolide biliary stent has good degradation in vitro and biocompatibility.

    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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    Effects of recombinant human epidermal growth factor gel combined with nano-silver dressing for burn scar
    Jiao Jian-qiang, Li Ye, Huang Zhe, Hu Wei-guang
    2015, 19 (25):  4007-4011.  doi: 10.3969/j.issn.2095-4344.2015.25.014
    Abstract ( 304 )   PDF (816KB) ( 436 )   Save

    BACKGROUND: Recombinant human epidermal growth factor has been shown to promote granulation tissue formation and to accelerate the healing of burn wounds, but the antibacterial effect of recombinant human epidermal growth factor is limited.
    OBJECTIVE: To investigate the effect of nano-silver dressing combined with recombinant human epidermal growth factor gel in treatment of burns and the influence on the scar.
    METHODS: A total of 76 cases of shallow II and depth II degree were randomly enrolled and assigned to two groups. In the study group, recombinant human epidermal growth factor was coated on the surface of the wound, and then covered by nano-silver dressing. In the control group, recombinant human epidermal growth factor was coated on the surface of the wound, and covered by ordinary sterile gauze. The healing time, the positive rate of bacteria, scarring and adverse reactions were compared between the two groups.
    RESULTS AND CONCLUSION: The wound healing time and the rate of hypertrophic scars after healing were 
    lower in the study group than in the control group (P < 0.01). The rate of flat scar was greater in the study group than in the control group after healing (P < 0.01). The bacterial positive rate was significantly lower in the study group than in the control group at 7, 14 and 21 days after treatment (P < 0.05). No significant difference in incidence of allergies and local burning sensation was detected between the two groups (P > 0.05). These data confirmed that recombinant human epidermal growth factor gel combined with nano-silver dressing in the treatment of burn has good efficacy and accelerates the wound healing, reduces scar formation, and improves aesthetics.

    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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    Effect and safety of titanium zirconium niobium tin alloy and nichrome for dental defects 
    Yan Ling, Wang Xue-ling
    2015, 19 (25):  4012-4016.  doi: 10.3969/j.issn.2095-4344.2015.25.015
    Abstract ( 322 )   PDF (865KB) ( 313 )   Save

    BACKGROUND: Titanium zirconium niobium tin alloy (Ti-Zr-NB-Sn alloy) has good tissue structure, mechanical properties, corrosion resistance and biocompatibility, which is an ideal dental material.
    OBJECTIVE: To explore the efficacy and safety of Ti-Zr-NB-Sn alloy in dental restoration.
    METHODS: A retrospective analysis was performed on clinical data of 87 cases of dental defects, including 43 males and 44 females, aged 22-41 years. Of the 87 cases, 43 cases were repaired with Ti-Zr-NB-Sn alloy as observation group, and the other 44 cases were treated with nichrome as control group. After 36 months of follow-up, the therapeutic efficacy, dental restoration conditions, dental prosthesis conditions and patient satisfaction were observed and compared.
    RESULTS AND CONCLUSION: All the 87 patients were followed up for 36 months. After the follow-up, the total effective rate and patient satisfaction were higher in the observation group than the control group (P < 0.05). In the control group, there were four cases of swollen gums, four cases of bleeding gums, four cases of allergies, three cases of gum gray line, and six cases of mucosal pain; in the observation group, there was only one case of swollen gums, and the dental restoration was better in the observation group than the control group (P < 0.05). For the dental prosthesis, there were 10 cases of dental stent damage and 20 cases of dental stent loosening in the control group; and only one case of dental stent damage and one case of dental stent loosening in the observation, and the observation group was superior to the control group in the dental prosthesis (P < 0.05). Experimental findings suggest that Ti-Zr-NB-Sn alloy for repair of dental defects has good biocompatibility and security. 

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    IPS e. max Press porcelain crown in esthetic restoration of anterior teeth: a follow-up of marginal adaptation and color match 
    Luo Yuan, Luo Juan, Zhou Jun, Liu Xue-heng, Hao Yan-hong, Fang Zhen
    2015, 19 (25):  4017-4021.  doi: 10.3969/j.issn.2095-4344.2015.25.016
    Abstract ( 697 )   PDF (819KB) ( 302 )   Save

    BACKGROUND: IPS e. max Press porcelain crown has been widely used in clinical restoration because of its aesthetic effect and biological properties.
    OBJECTIVE: To explore the effect of IPS e. max Press porcelain crown in esthetic restoration of anterior teeth in terms of marginal adaptation and color match. 
    METHODS: Totally 52 patients with 138 defective anterior teeth (20 males and 32 females, 18-45 years old, including 62 anterior tooth defects, 46 tooth traumas, 30 denticles) were divided into two groups randomly: treatment group (26 cases) and control group (26 cases) were given IPS e.max Press porcelain crown and conditional Co-Cr alloy handcuffed ceramic crowns, respectively. All the cases were asked for a second visit in  1 week after restoration, and the integrity of ceramic veneer, marginal adaptation, gingival health and color match were evaluated during 6-month and 2-year follow-ups. 
    RESULTS AND CONCLUSION: The degrees of satisfaction on the color, shape and adaptation in the treatment group were all higher than those in the control group (P < 0.05). At 6 months after restoration, the marginal adaptation, gingival health and color match in the treatment group were all better than those in the control group (P < 0.05). At 2 years after restoration, there was also a significant difference in the marginal adaptation, gingival health and color match between the two groups (P < 0.05). IPS e.max Press porcelain crown has the advantages of aesthetics and biological characteristics, so it can be used as an ideal restoration method for esthetic restoration of anterior teeth.

     

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    Brushing abrasion of eroded enamel using bioactive glass toothpaste in different time after acid etching 
    Zhao Yu-long, Yang De-sheng
    2015, 19 (25):  4022-4026.  doi: 10.3969/j.issn.2095-4344.2015.25.017
    Abstract ( 456 )   PDF (1029KB) ( 411 )   Save

    BACKGROUND: Bioactive glass has good biocompatibility, which can promote the remineralization effects of demineralized enamel and enhance the resistance of enamel to erosion.
    OBJECTIVE: To evaluate the effect of bioactive glass toothpaste versus fluoride toothpaste on brushing abrasion of enamel after acid etching.
    METHODS:Fifty-six enamel specimens were prepared from bovine incisors, and were embedded in acrylic resin with exposed buccal surface. The exposed area was 6 mm×6 mm and two amalgam fillings were placed into the enamel and polished. All specimens were divided into seven groups with eight specimens each. In six groups, specimens were brushed with ordinary toothpaste, fluoride toothpaste, bioactive glass toothpaste immediately and 30 minutes after being eroded by the Sprite. The last one group was brushed with ordinary toothpaste without acid etching as control. The treatment course was cycled 60 times. The surface abrasion loss of the specimens between two amalgam fillings compared with respective amalgam reference surfaces was finally observed and calculated under laser scanning confocal microscope.
    RESULTS AND CONCLUSION: The abrasion loss amount of teeth with no acid etching was significantly lower than that with acid etching (P < 0.05). The abrasion loss amount of teeth brushed with bioactive glass toothpaste 
    was less than that with fluoride toothpaste at the same brushing time (P < 0.05). For the same toothpaste, the abrasion loss amount of teeth brushed 30 minutes after eroded was less than that bushed instantly after eroded (P < 0.05). Use of bioactive glass toothpaste can effectively reduce enamel loss caused by acid etching and brushing. The loss amount can also be reduced by brushing teeth 30 minutes after acid etching.

     

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    Antibacterial activity of Cu ions released from 316L-Cu antibacterial stainless steel
    Zhang Dan, Ren Ling, Yang Ke, Zhang Yang, Xue Nan, Guo Yan
    2015, 19 (25):  4027-4032.  doi: 10.3969/j.issn.2095-4344.2015.25.018
    Abstract ( 422 )   PDF (1556KB) ( 386 )   Save

    BACKGROUND: 316L-Cu antibacterial stainless steel is made by adding a certain amount of copper into the stainless steel followed by a special heat treatment to uniformly disperse copper-rich precipitates in stainless steel substrate, thereby harvesting the antibacterial properties.
    OBJECTIVE: To evaluate the antibacterial activity of the Cu ions released from 316L type Cu-bearing antibacterial stainless steels against Porphyromonas gingivalis, thereby providing biomedical evidence for its clinical application.
    METHODS: The medical 316L stainless steel samples at a surface area to volume ratio of 0.1 cm2/L were soaked in simulated body fluids at 37 ℃ for 1-10 days. A graphite furnace atomic absorption spectrophotometer was 
    employed to detect the amount of Cu release in the simulated body fluids each day and then the rate of Cu release per day could be determined. The antibacterial activities of the steel samples were evaluated by a standard film-covered method under a scanning electron microscope.
    RESULTS AND CONCLUSION: The daily Cu releasing amount from the 316L-Cu stainless steel within 10 days was significantly higher than that of 316L stainless steel, and all the values remained nearly constant. With time, the sterilizing rate of 316L-Cu stainless steel was gradually increased, and reached 100% until the 10th hour. Porphyromonas gingivalis showed some morphological changes at 3 hours after treated with 316L-Cu stainless steel, appeared with cleavage at 6 hours, and mostly disintegrated into pieces at 9 hours. The results indicated that the 316L-Cu antibacterial stainless steel showed excellent antibacterial property against Porphyromonas gingivalis, slowly release Cu irons, and alter the surrounding microenvironment, which is a highly promising biomaterial and has good clinical value.

     

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    Cobalt-chromium alloy with zirconium nitride coating influences adhesion properties of bacteria 
    Sang Zhuo, Fu Yu, Chen Dong, Gu Yu-di, Chen Xiang-tao
    2015, 19 (25):  4033-4037.  doi: 10.3969/j.issn.2095-4344.2015.25.019
    Abstract ( 395 )   PDF (1116KB) ( 370 )   Save

    BACKGROUND: Bacterial adhesion is closely related to the surface properties of cobalt-chromium alloys, and therefore, the surface modification technology has become the focus of research in this area.
    OBJECTIVE: To verify whether the cobalt-chromium alloy with zirconium nitride coating can improve the bacterial adhesion of metal denture materials.
    METHODS: Magnetron sputtering deposition method was used to plate zirconium nitride film on the surface of cobalt-chromium alloys (experimental group), and cobalt-chromium alloy specimens uncoated served as control group. Streptococcus mutans, Candida albicans, and Actinomyces viscosus were respectively inoculated on the two kinds of test specimen, and at end of culture, the colony counting was done.
    RESULTS AND CONCLUSION: In the bacterial adhesion test, the number of colonies of three kinds of bacteria in the experimental group was significantly lower than that in the control group (P < 0.05). The number of bacterial adhesion in the control group was significantly higher than that in the experimental group. These findings indicate that the cobalt-chromium alloy covered with zirconium nitride coating can significantly reduce the adhesion amount of Streptococcus mutans, Candida albicans and Actinomyces viscosus, and thus improve bacterial adhesion properties of cobalt-chromium alloys.

     

     

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    Relationship between mechanical properties of fiber resin post-core system and different dental remaining tissues  
    Nulipa•Abulai, Tuerhongayi•Taxifulati, Gu Min, Dilinuer•Aji
    2015, 19 (25):  4038-4042.  doi: 10.3969/j.issn.2095-4344.2015.25.020
    Abstract ( 479 )   PDF (926KB) ( 248 )   Save

    BACKGROUND: The dental remaining tissue is closely related to fracture resistance ability of the fiber resin post.
    OBJECTIVE: To compare the effect of different dental remaining tissues on fatigue resistance of the fiber resin post using in vitro stress analysis method.
    METHODS: A total of 36 single rooted mandibular premolars were randomly divided into four groups. Upon finishing standardized root canal therapy, tooth preparation was performed on all four groups. Group A: transverse grinding of the crown on datum plane. Group B: coronal oblique distal, middle and proximal defects with the dentin collar height of 2 mm at the distal end, and dentin collar height of 0 mm when gradually reduced to the proximal end. Group C: transverse missing of dental crown, leaving healthy dentin with 2 mm. Group D: retention of complete dental tissues on the dental crown. Routine bonding treatment was performed after the preparation in each group, and the Para post fiber lux glass fiber post was then implanted. Dynamic mechanical loading equipment was used to analyze the fracture resistance value of the four groups.
    RESULTS AND CONCLUSION: The loading value was as follows: Group D > Group C > Group B > Group A, and significant differences were found between two groups (P < 0.05). The four model fracture forms were as follows: coronal oblique fracture, dental cervix transverse fracture, tooth cervical oblique fracture and root fracture. In the Group A, there were seven cases of dental cervix transverse fracture and two cases of oblique fracture. In the Group B, there were four cases of coronal oblique fracture and five cases of oblique fracture of dental cervix. In the Group C, there were six cases of oblique fracture of dental cervix and three cases of root fracture. In the Group D, there were seven cases of oblique fracture of dental cervix and two cases of root fracture. The result explains that the occlusal stress will be transferred from cervix to the root when there are enough remaining dental tissues; overall levels reduce, and the strength of fiber post increases. Therefore, it is suggested clinically to save as much dental tissues as possible. 

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    3M self-locking bracket versus straight wire bracket during orthodontic treatment
    Li Qing-zhu
    2015, 19 (25):  4043-4047.  doi: 10.3969/j.issn.2095-4344.2015.25.021
    Abstract ( 1071 )   PDF (666KB) ( 589 )   Save

    BACKGROUND: Self-locking brackets changed the traditional ligation mode and obviously elevated the sliding mechanism of the teeth and the effect of its spreading during orthodontic treatment, and effectively decreased friction force.
    OBJECTIVE: To explore the differences of the application of 3M self-locking bracket and traditional straight wire bracket during orthodontic treatment.
    METHODS: A total of 796 patients receiving orthodontic correction of mild and moderate misaligned teeth, including 398 males and 400 females, at the age of 11-19 years old. 398 patients received 3M SmartClipTM self-ligating bracket braces as observation group. The remaining 398 patients received MBT straight wire appliance. The width of molars, intercanine width, superior anterior tooth convexity and correction were compared between the two groups.
    RESULTS AND CONCLUSION: The width of premolars and superior anterior tooth convexity were significantly better after correction than that before correction in both groups (P < 0.05). Moreover, the correction outcomes were significantly better in the observation group than in the control group (P < 0.05). No significant difference in the width of first molar and intercanine width was detected before and after treatment in either group, as well as between the two groups. Aligned dentition time and the total therapeutic duration were shorter in the observation group than in the control group (P < 0.05). These findings indicate that compared with the traditional MBT straight wire bracket braces, expansion arch effect of the 3M SmartClipTM self-ligating bracket braces is obvious; clinical treatment can reduce the rate of extraction cases, and shorten the course of correction.

     

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    Biocompatibility in vitro between fascia fibroblasts and fibrin glue 
    Xin Pei-cheng, Guo Qi-yong, Li Jie, Zhao De-wei, Yang Sheng
    2015, 19 (25):  4048-4053.  doi: 10.3969/j.issn.2095-4344.2015.25.022
    Abstract ( 394 )   PDF (1076KB) ( 287 )   Save

    BACKGROUND: Fibrin glue is a natural biodegradable scaffold, which can be used for tissue-engineered scaffolds, and is increasingly used as seed cell carrier for tissue engineering repair.
    OBJECTIVE: To investigate the biocompatibility in vitro of rabbit fascia fibroblasts and fibrin glue.
    METHODS: Tissue explants adherent method was used to culture fibroblasts from subcutaneous deep fascia tissue of New Zealand white rabbits. The fibroblasts could be passaged with trypsin digestion method. Suspension of passage four fibroblasts was co-cultured with fibrin glue. Morphology and proliferation of fibroblasts on the surface of fibrin glue were dynamically observed under the inverted phase contrast microscope. At 5 days after co-culture, fibroblasts were identified by immunofluorescence staining under the laser scanning confocal microscope. The fibroblast growth and adhesion were observed under the scanning electron microscope.
    RESULTS AND CONCLUSION: There was no significant difference in fibroblast morphology between co-culture fibroblasts and pure culture fibroblasts with inverted phase contrast microscope. Scanning electron microscope demonstrated that fibroblasts fully extended in fibrin glue surface, and showed a good adhesion between the “pseudopodium” and fibrin glue, and secreted matrix material. It is clear that the fibrin glue did not alter the morphologic features of fibroblasts. Laser scanning confocal microscope revealed that fibroblasts were positive for vimentin. These verified that properties of fibroblasts did not change after they were seeded in fibrin glue surface and did not be induced to differentiate. There is a very good biocompatibility between fascia fibroblasts and fibrin glue in vitro.

     

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    Synthetic biodegradable nerve conduits for repair of injured peripheral nerve: good biocompatibility  
    Zhang Sun-fu, Wang Bin
    2015, 19 (25):  4054-4058.  doi: 10.3969/j.issn.2095-4344.2015.25.023
    Abstract ( 297 )   PDF (897KB) ( 268 )   Save

    BACKGROUND: In the treatment of peripheral nerve injury, we can use autologous nerve or the nerve conduit of different materials.
    OBJECTIVE: To explore the effects of biodegradable nerve conduit in repairing peripheral nerve injury.
    METHODS: A total of 48 New Zealand white rabbits were randomly divided into autologous nerve graft group, silicone catheter group and biodegradable nerve conduit group. 10-mm sciatic nerve was obtained from each group to construct animal models of sciatic nerve defect, which was repaired with autologous nerve, silicone catheter and biodegradable nerve conduit.
    RESULTS AND CONCLUSION: At 3 weeks after transplantation, motor nerve conduction and recovery rate of triceps muscle wet weight were poorer in the silicone catheter group than in the autologous nerve graft group. Motor nerve conduction and recovery rate of triceps muscle wet weight were similar between the biodegradable nerve conduit group and autologous nerve graft group. At 12 weeks, a large number of uniform myelinated nerve fiber was visible in the autologous nerve graft group. A large number of uneven myelinated nerve fiber was found in the biodegradable nerve conduit group. A small number of uneven myelinated nerve fiber was seen in the silicone catheter group. These data suggest that the synthetic biodegradable materials of nerve conduit can obtain good effect, which is close to the autologous nerve graft.

     

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    Chitosan/polylactic acid complex for repair of peripheral nerve defects
    Huang Yong-wang, Fan Xue-zheng
    2015, 19 (25):  4059-4063.  doi: 10.3969/j.issn.2095-4344.2015.25.024
    Abstract ( 366 )   PDF (1020KB) ( 254 )   Save

    BACKGROUND: The mechanical strength of nerve conduits made by chitosan is poor and easy to collapse, which is not conducive to the nerve regeneration.
    OBJECTIVE: To explore the feasibility of chitosan/polylactic acid complex in the repair of peripheral nerve defects in rats.
    METHODS: Thirty Sprague-Dawley rats were enrolled to establish models of unilateral sciatic nerve defects, and then randomly divided into three groups: autologous nerve, silicone catheter and chitosan/polylactic acid complex were used for defect repair in the three groups, respectively. At 12 weeks after operation, appearance of bridged nerves, surface adhesion, formation of neuroma were observed; nerve conduction velocity, action potential amplitude and latent period were determined; hematoxylin-eosin staining was performed to observe the number of regenerated axons and area of regenerated nerves; wet weight of the complete triceps surae was measured.
    RESULTS AND CONCLUSION: At 12 weeks after repair, the regenerated nerves in the three groups all passed 
    through the 5 mm nerve defect gaps, and neuroma only formed in the silicone catheter group. The diameter of regenerated nerves in the three groups was ranked as follows: autologous nerve group > chitosan/polylactic acid group > silicone catheter group (P < 0.05). High-density regenerated axons neatly arranged in the autologous nerve and chitosan/polylactic acid groups, and the number of regenerated axons was higher than that in the silicone catheter group (P < 0.05). Moreover, the nerve conduction velocity, action potential amplitude and wet weight of the complete triceps surae were significantly higher in the autologous nerve and chitosan/polylactic acid groups than in the silicone catheter group (P < 0.05), but the latent period was lower than that in the silicone catheter group (P < 0.05). These findings indicate that the chitosan/polylactic acid conduits can promote peripheral nerve regeneration.

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    Vacuum sealing drainage with biological foam dressing accelerates the healing of chronic wounds: changes in gelatinase activity 
    Yang Ping, Yan Hong-wei, Gong Hui, Liu Hua, Ni Zhi-min, Tian Shi-zheng
    2015, 19 (25):  4064-6068.  doi: 10.3969/j.issn.2095-4344.2015.25.025
    Abstract ( 284 )   PDF (926KB) ( 295 )   Save
    BACKGROUND: Studies have shown that vacuum sealing drainage can accelerate wound healing through increasing the wound blood flow, but its influence on activated gelatinases in human chronic wound still lacks corresponding research.
    OBJECTIVE: To observe the effect of vacuum sealing drainage on the activity of gelatinase during the healing of chronic wounds.
    METHODS: Totally 96 trauma patients admitted at the People’s Hospital of Hubei University of Medicine from April 2013 to January 2014 were divided into two groups: 52 patients in chronic wound group were treated with vacuum sealing drainage and 44 in control group treated with wound drainage at 3 days after removal of breast cancer. In the chronic wound group, exudates from pressure sores and skin necrosis after removal of breast cancer were collected as samples A and B; exudates from two cases of venous stasis ulcer were collected as samples C and D; exudates from traumatic skin wounds collected as sample E.
    RESULTS AND CONCLUSION: TLC analyzer showed that: after 15-day negative pressure therapy, activities of matrix metalloproteinase 2 in sample A with low activity of gelatinase, matrix metalloproteinase 9 in sample B, matrix metalloproteinase 2 and 9 in samples C, D, E were all increased significantly (P < 0.05); however, the activities of matrix metalloproteinase 9 in sample A with high activity of gelatinases and matrix metalloproteinase 2 in sample B were reduced significantly after treatment (P < 0.05). In addition, no significant difference was found in the activity of matrix metalloproteinase 2, matrix metalloproteinase 9 and activated gelatinase between 
    the chronic wound group and control group (P > 0.05). These findings indicate that the variation of activated gelatinases activity in human chronic wounds may be the reason why the chronic wounds cannot be healed for a long time, but vacuum sealing drainage can regulate the activity of activated gelatinases in chronic wounds.
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    Titanium surface covered with antimicrobial coating: antibacterial ability and biocompatibility
    Wang Jia-qi, Shang Jian, Sun Ye, Han Xin-guang
    2015, 19 (25):  4069-4075.  doi: 10.3969/j.issn.2095-4344.2015.25.026
    Abstract ( 791 )   PDF (1089KB) ( 606 )   Save

    BACKGROUND: Titanium alloy with good biocompatibility, corrosion resistance and mechanical properties have been widely used in clinic. How to give its excellent antibacterial properties so as to cope with plant-associated infections has become a research focus in recent years.
    OBJECTIVE: To review the principle, techniques, classification and relative merits of antimicrobial coating.
    METHODS: A computer-based search of Scopus database and VIP database was performed by the first author to retrieve relevant articles published from January 1990 to January 2014 using the keywords of “titanium alloy, plant, antibacterial, coating”.
    RESULTS AND CONCLUSION: Coatings can be classified into antibiotic coating, non-antibiotic organic antimicrobial coating, inorganic antibacterial coating, anti-adhesion coating, antibacterial bioactive polymer coating, all of which have better biocompatibility, but also have their limitations. Current studies concerning antimicrobial coatings mainly focus on how to enhance the binding force between antimicrobial coating and the substrate as well as how to get a good anti-bacterial ability, biocompatibility, high wear resistance and persistence; antibacterial phase structure and distribution effects on the bacterial colonization. The antibacterial phase structure and distribution is the key factor for the antimicrobial properties of titanium alloys with either entirely added anti-bacterial elements or surface coating.

     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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    3D printing of bone tissue engineering scaffolds 
    Cao Xue-fei, Song Peng-jie, Qiao Yong-jie, Zhen Ping
    2015, 19 (25):  4076-4080.  doi: 10.3969/j.issn.2095-4344.2015.25.027
    Abstract ( 369 )   PDF (775KB) ( 482 )   Save

    BACKGROUND: Although bone tissue engineering scaffolds made of traditional methods have made certain achievements, the three-dimensional structure, mechanical strength and personalized property of the scaffolds are unsatisfied. 3D printing technology is expected to change these shortcomings.
    OBJECTIVE: To review the 3D printing of bone tissue engineering scaffolds and to prospect the optimization of the scaffolds.
    METHODS: A computer-based search of PubMed and Google academic database was performed for articles addressing the 3D printing of bone tissue engineering scaffolds published from 2008 to 2015. Articles concerning the structure design and materials of bone tissue engineering scaffolds and different 3D printing technologies for scaffold preparation were included, and repetitive and old articles were excluded. Finally, 37 articles were summarized.
    RESULTS AND CONCLUSION: Currently, 3D printing technologies used for preparation of bone tissue engineering scaffolds include melt laminated molding, stereolithography, selective laser sintering and 3DP technology. 3D printing technologies have unique advantages in mechanics, structure and personalized aspects, but there are still many problems to be solved, such as raw materials, insufficiency of different 3D technologies, and improvement of 3D printer. Under the multi-disciplinary co-operation, 3D printing technology is expected to prepare suitable bone tissue engineering scaffolds and bring benefit to the mankind.

     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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    Application of chitosan and its derivatives in cartilage tissue engineering 
    Xu Jing, Zhao Jian-ning, Xu Hai-dong, Zhang Lei
    2015, 19 (25):  4081-4085.  doi: 10.3969/j.issn.2095-4344.2015.25.028
    Abstract ( 238 )   PDF (559KB) ( 472 )   Save

    BACKGROUND: Chitosan and its derivatives have become one of the most active research topics in the field of tissue-engineered scaffold material substitute for cartilage owing to their porous structure, ease of chemical modification, and high affinity to in vivo macromolecules.
    OBJECTIVE: To summarize chitosan and its derivatives in terms of design, modification and its application in tissue engineering.
    METHODS: A computer-based search of CNKI and PubMed databases was performed for papers on application of chitosan and its derivatives in cartilage tissue engineering published from January 1990 to January 2015 with the key words “chitosan; chitosan derivatives; scaffold; tissue engineering; cartilage” in Chinese and English.
    RESULTS AND CONCLUSION: Chitosan is a natural polymer from renewable resources, modification of chitosan has been found to be necessary for its advanced tissue engineering applications. The modification of chitosan can be divided into two categories including chemical modification and physical blending, which improve its biological properties such as biocompatibility and biodegradability. Recent studies have suggested that chondrocytes maintained round morphology and preserved synthesis of cell-specific extracellular matrix molecules on chitosan substrates in vitro and chitosan scaffolds seeded with chondrocytes showed partial repair of cartilage defects in vitro. Chitosan and its derivatives are promising candidates as a supporting material for tissue engineering applications.

     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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    Chinese patent of anti-infective urinary catheter
    Xiong Guo-bing, Wang Yu, Qiu Ming-xing
    2015, 19 (25):  4086-4090.  doi: 10.3969/j.issn.2095-4344.2015.25.029
    Abstract ( 357 )   PDF (942KB) ( 351 )   Save

    BACKGROUND: Catheter associated urinary tract infection is a difficult problem for clinical practice management, and its key pathogenesis is the bacterial biofilm formation on the surface of the catheter material. Therefore, developing a new anti-infective urinary catheter has become an area of interest in the current studies of anti-infective biological materials. 

    OBJECTIVE: To review the research literatures on anti-infective urinary catheter, and provide a direction for further study and clinical application.
    METHODS: All related Chinese patent papers of anti-infective urinary catheters were retrieved by Google’s proprietary search platform (http://www.google.com/advanced_patent_search) until the deadline of March 26, 2014, with the search strategy of ‘Return the patents with the following proprietary name: urinary catheter’.
    RESULTS AND CONCLUSION: According to the predefined search strategy, 949 potentially relevant patent papers were screened out for further identification, and 23 papers referred to anti-infective catheters that were obviously eligible were included. The analyses showed that: (1) The antibacterial coating agents of the majority of papers were antibacterial agents of nano-inorganic metal cations, only four papers used antibiotic coated. (2) The drug-eluting catheters were mainly composite-coated. (3) The drug release modes from coating were mainly extended-release but release mechanism was not clarified. (4) The preparation process was chemical bond or ionic bond in one paper, blending methods in one paper, repeated electroplating in one paper, electrospinning technology in one paper, and physical impregnation methods in 12 papers (52.17%). (5) The antimicrobial mode was ultrasonic-antibacterial method in two patent papers, sterile sleeve in one paper, hydrophilic coating in one paper, catheter made by blending polymer material and anti-infective agents in one paper, drug coated films made by coating with antimicrobial drug liquid and drying process in 20 papers (82.61%). In conclusion, there have been no translational and applied clinical researches about the anti-infective urinary catheter, and the relevant researches were only at the laboratory level. The research methods of Chinese patent for anti-infective urinary catheter were limited, and need to be further improved.

    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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    Polypeptide drugs for oral administration with nanoparticles as carriers: current situation, existing problems and developmental prospects
    Lu Mei-jiao, Fan Hua-ying
    2015, 19 (25):  4091-4095.  doi: 10.3969/j.issn.2095-4344.2015.25.030
    Abstract ( 734 )   PDF (751KB) ( 407 )   Save

    BACKGROUND: The new formulation and preparation technology of new drugs have become a hot spot for improving the utilization of polypeptides. In particular, the development of nanotechnology in recent years has promoted the clinical application of polypeptide drugs.
    OBJECTIVE: To review the current research of nanoparticles as carriers of polypeptide drugs for oral administration.
    METHODS: A computer-based search of CNKI database and SCI database was performed for relevant articles published from 1996 to 2014 by using the keywords of “protein, peptide drugs, nanoparticles, oral administration” in Chinese and English, respectively.
    RESULTS AND CONCLUSION: The encapsulation efficiency, release rate of drug delivery, stability of nanoparticles in the gastrointestinal tract and penetrability of the intestinal mucosa are determined by many factors, such as the kind, size, surface charge and modification of nanoparticles. The nanoparticles can increase the stability of protein drugs and improve the bioavailability of drugs. The targeting property of the nanoparticles can decrease the adverse reactions of some drugs. The release effect of the nanoparticles can decrease the dosage of drugs and increase the drug circulating time. However, there are still many problems to be solved in nanotechnology: the activities of some protein drugs are lost in the preparation process; theencapsulation efficiency and drug loading need to be improved; protein burst release cannot be solved completely; the mass production of nanoparticles is still difficult.

     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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    Materials biocompatibility in the internal fixation of pelvic fracture combined with acetabular fracture
    Gao Ming-jie, Tao Jie, Zhou Zi-hui, Du Lin
    2015, 19 (25):  4096-4100.  doi: 10.3969/j.issn.2095-4344.2015.25.031
    Abstract ( 193 )   PDF (980KB) ( 266 )   Save

    BACKGROUND: Pelvic fractures combined with acetabular fractures are mostly caused by high-energy violence, often accompanied by severe complications and high mortality, and surgical fixation is preferred in most cases.
    OBJECTIVE: To investigate the internal fixation of pelvic fracture combined with acetabular fracture and to analyze the material biocompatibility.
    METHODS: A computer-based search of Wanfang, CNKI and PubMed databases was performed for articles related to the internal fixation of pelvic fracture combined with acetabular fracture and material biocompatibility published from 2005 to 2014. The keywords were “pelvis fractures, acetabulum fractures, internal fixators, materials” in Chinese and English, respectively. Articles published in authoritative journals or recently were preferred, and finally 29 articles were enrolled in result analysis.
    RESULTS AND CONCLUSION: Steel plate reconstruction or screw internal fixation is often used for clinical treatment of pelvic fracture combined with acetabular fracture. Titanium plate is often chosen with similar elastic modulus to the bone and good biocompatibility. The titanium plate is pre-bended before implantation to match the bone surface of the fracture site. Absorbable screws have good histocompatibility and non-toxic side effects, which can avoid the electrolysis and corrosion of metal screws and maintain certain strength in early period of internal fixation; over time, the fracture is gradually healed, the material strength gradually decreases, and the material is finally degraded into water and carbon dioxide to achieve good clinical outcomes. It is difficult and high-risk for treatment of pelvic fracture combined with acetabular fractures, and active treatment and damage control are recommended as soon as possible. A reasonable treatment plan can be developed based on the type of fracture. Plate internal fixation and minimally invasive fixation developed by the three-dimensional reconstruction techniques show a great progress in fracture treatment, which have broad clinical application prospects.

     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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