Carbon-carbon composite nail for intramedullary osteosynthesis in rats with experimental osteoporosis

O. Hryhorieva, Y. Abrosimov, V. Chornyi
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Abstract

Background. In Ukraine, there has recently been an increase in the number of limb bone fractures among the population, in particular, due to increase in the number of elderly people, which is associated with the development of age-related osteoporosis and fragility of bones. Therefore, the use of artificial implants in traumatology is becoming increasingly important. The search for new bioinert and biodegradable materials, that are capable of providing rapid fracture consolidation and do not require repeated surgical intervention, continues. Objective. To elaborate a model for the research of using carbon-carbon composite nail for intramedullary osteosynthesis in laboratory rats with fractures of femur and tibia in norm and with experimental osteoporosis. Methods. The work investigated the lower limbs of 6 groups of Wistar rats. The first part of the study involved 4 groups of rats with modeled tibial fracture with subsequent osteosynthesis in norm and with experimental osteoporosis. The second part of the research included two groups of laboratory rats with modeled femur fracture. In both parts we used metal injection needle, as well as carbon-carbon composite nail for osteosynthesis. Results. All animals underwent surgery well, stepped on the injured limb. X-ray examination after the osteosynthesis demonstrated satisfactory reposition of the fragments. One month after modeled fracture in rats with experimental osteoporosis a violation of the normal consolidation of the fracture was observed, especially in the group where carbon-carbon composite nails were used for osteosynthesis. Further, until the 180th day after the surgery there were no peculiarities, function of the limbs was restored, mainly without expressed angular deformities. Conclusion. The above mentioned model was successfully elaborated for the research of using carbon-carbon composite nail for intramedullary osteosynthesis in laboratory rats with fractures of femur and tibia in norm and with experimental osteoporosis.
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碳-碳复合钉用于实验性骨质疏松大鼠髓内植骨
背景。在乌克兰,最近人口中肢体骨折的数量有所增加,特别是由于老年人数量的增加,这与与年龄有关的骨质疏松症和骨骼脆弱的发展有关。因此,人工植入物在创伤学中的应用变得越来越重要。新的生物惰性和可生物降解材料的研究仍在继续,这些材料能够提供快速的骨折巩固,并且不需要反复的手术干预。目标。为正常股骨、胫骨骨折和实验性骨质疏松实验大鼠建立碳-碳复合钉髓内固定模型。方法。研究了6组Wistar大鼠的下肢。研究的第一部分是4组正常胫骨骨折模型大鼠和实验性骨质疏松大鼠。研究的第二部分包括两组模拟股骨骨折的实验室大鼠。在这两个部位我们都使用了金属注射针,以及碳碳复合钉进行骨固定。结果。所有的动物都接受了手术,踩到了受伤的肢体。接骨后x线检查显示碎片复位满意。在实验性骨质疏松大鼠模型骨折1个月后,观察到骨折的正常巩固被破坏,特别是在使用碳-碳复合钉进行骨固定的组。此外,直到手术后180天,没有任何异常,四肢功能恢复,主要没有明显的角度畸形。结论。成功制作了上述模型,用于正常股骨、胫骨骨折和实验性骨质疏松实验大鼠髓内植骨研究。
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