論文

査読有り 招待有り
2014年8月

Novel Intramedullary-Fixation Technique for Long Bone Fragility Fractures Using Bioresorbable Materials

PLOS ONE
  • Takanobu Nishizuka
  • ,
  • Toshikazu Kurahashi
  • ,
  • Tatsuya Hara
  • ,
  • Hitoshi Hirata
  • ,
  • Toshihiro Kasuga

9
8
開始ページ
e104603
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1371/journal.pone.0104603
出版者・発行元
PUBLIC LIBRARY SCIENCE

Almost all of the currently available fracture fixation devices for metaphyseal fragility fractures are made of hard metals, which carry a high risk of implant-related complications such as implant cutout in severely osteoporotic patients. We developed a novel fracture fixation technique (intramedullary-fixation with biodegradable materials; IM-BM) for severely weakened long bones using three different non-metallic biomaterials, a poly(L-lactide) (PLLA) woven tube, a nonwoven polyhydroxyalkanoates (PHA) fiber mat, and an injectable calcium phosphate cement (CPC). The purpose of this work was to evaluate the feasibility of IM-BM with mechanical testing as well as with an animal experiment. To perform mechanical testing, we fixed two longitudinal acrylic pipes with four different methods, and used them for a three-point bending test (N = 5). The three-point bending test revealed that the average fracture energy for the IM-BM group (PLLA + CPC + PHA) was 3 times greater than that of PLLA + CPC group, and 60 to 200 times greater than that of CPC + PHA group and CPC group. Using an osteoporotic rabbit distal femur incomplete fracture model, sixteen rabbits were randomly allocated into four experimental groups (IM-BM group, PLLA + CPC group, CPC group, Kirschner wire (K-wire) group). No rabbit in the IM-BM group suffered fracture displacement even under full weight bearing. In contrast, two rabbits in the PLLA + CPC group, three rabbits in the CPC group, and three rabbits in the K-wire group suffered fracture displacement within the first postoperative week. The present work demonstrated that IM-BM was strong enough to reinforce and stabilize incomplete fractures with both mechanical testing and an animal experiment even in the distal thigh, where bone is exposed to the highest bending and torsional stresses in the body. IM-BM can be one treatment option for those with severe osteoporosis.

リンク情報
DOI
https://doi.org/10.1371/journal.pone.0104603
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/25111138
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000341105100080&DestApp=WOS_CPL
ID情報
  • DOI : 10.1371/journal.pone.0104603
  • ISSN : 1932-6203
  • PubMed ID : 25111138
  • Web of Science ID : WOS:000341105100080

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