The effect of bone morphogenetic proteins BMP in comparison with A Xenograft in the management of bone defects

Alhalabi Lutfallah, Zenati Mazen
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Abstract

Background: The aim of this study is to compare the effect of Bone Morphogenetic Proteins (rhBMP), carried on a gelatin sponge scaffold in comparison with the Xenograft BioOss® in the management of bone defects. Case presentation: The case is a one-year-old rabbit that had 4 identical holes 5*5 mm within the femur bone, BMP2 was placed within the first hole with a gelatin sponge, and the second defect was left empty. A gelatin sponge was placed alone within the third hole, and a BioOss® graft was placed within the last defect. The radiographic evaluation was conducted (1 and 2) months after the surgical work, and the histological assessment was conducted two months after the surgical work. Results: The results of the radiographic evaluation found that healing the BMP2 hole was better than healing in the empty and the gelatin sponge group holes. There was no big difference between the healing in the holes filled with rhBMP2 with gelatin sponge and the healing in the holes filled with BioOss®. Conclusion: The use of a gelatin sponge impregnated with Bone Morphogenetic Proteins improves and accelerates the healing of bone defects and is comparable to the effectiveness of using a BioOss® graft.
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骨形态发生蛋白 BMP 与 A 型异种移植在骨缺损治疗中的效果比较
背景:本研究旨在比较骨形态发生蛋白(rhBMP)在明胶海绵支架上与 Xenograft BioOss® 在骨缺损治疗中的效果。病例介绍:病例是一只一岁大的兔子,其股骨上有 4 个 5*5 毫米的相同孔洞,在第一个孔洞中放置了 BMP2 和明胶海绵,第二个缺损处则空着。在第三个孔内单独放置明胶海绵,在最后一个缺损处放置 BioOss® 移植体。手术后 1 个月和 2 个月进行了放射学评估,手术后两个月进行了组织学评估。结果:放射学评估结果表明,BMP2 孔的愈合情况优于空孔和明胶海绵组孔的愈合情况。用明胶海绵填充 rhBMP2 的孔与用 BioOss® 填充的孔的愈合情况差异不大。结论使用浸渍了骨形态发生蛋白的明胶海绵可改善并加速骨缺损的愈合,其效果与使用 BioOss® 移植材料相当。
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