Healing of segmental bone defects in rats induced by a ?-TCP-MCPM cement combined with rhBMP-2
✍ Scribed by Ohura, Kouichiro ;Hamanishi, Chiaki ;Tanaka, Seisuke ;Matsuda, Nobuyuki
- Publisher
- John Wiley and Sons
- Year
- 1999
- Tongue
- English
- Weight
- 766 KB
- Volume
- 44
- Category
- Article
- ISSN
- 0021-9304
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✦ Synopsis
A -tricalcium phosphate-monocalcium phosphate monohydrate (-TCP-MCPM) cement was evaluated as an effective carrier of recombinant human bone morphogenetic protein-2 (rhBMP-2) in rat femoral critical-size defects. Hard cement cylinders (4 × 5 mm) impregnated with two different doses of rhBMP-2 (1.26 or 6.28 g) were implanted into each defect, and the results were compared with those in rats that had implantations of cylinders only. Implantation of the 6.28 g dose of rhBMP-2 caused a large bone shell to form around the defect, resulting in osseous union in all cases within 3 weeks. Except for -TCP granules, the cement was resorbed and replaced by bone tissue at 6 weeks. A torsion test at 9 weeks showed that the failure torque and bone stiffness had recovered 99% and 141%, respectively, compared with the intact contralateral femur. The defects that received 1.26 g of rhBMP-2 resulted in 40% union and 41% of the failure torque at 9 weeks. However, no instances of union were observed in the defects implanted with cylinders only. In conclusion, the -TCP-MCPM cement was shown to be effective as a rhBMP-2 carrier. Combined with rhBMP-2, this cement was rapidly resorbed and completely healed the defects.