Extremely Small-magnitude Accelerations Enhance Bone Regeneration: A Preliminary Study
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- 作者：Soon Jung Hwang MD ; DDS (1) (2)
Svetlana Lublinsky MS (3)
Young-Kwon Seo PhD (4)
In Sook Kim PhD (1) (2)
Stefan Judex PhD (3) - 刊名：Clinical Orthopaedics and Related Research?
- 出版年：2009
- 出版时间：April 2009
- 年：2009
- 卷：467
- 期：4
- 页码：1083-1091
- 全文大小：449KB
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Svetlana Lublinsky MS (3)
Young-Kwon Seo PhD (4)
In Sook Kim PhD (1) (2)
Stefan Judex PhD (3)
1. Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, South Korea
2. School of Dentistry, Brain Korea 21 2nd Program for Craniomaxillofacial Life Science, Seoul National University, Seoul, South Korea
3. Department of Biomedical Engineering, State University of New York at Stony Brook, Psychology A Building (3rd Floor), Stony Brook, NY, 11794-2580, USA
4. Department of Chemical and Biochemical Engineering, Dongguk University, Seoul, South Korea
文摘
High-frequency, low-magnitude accelerations can be anabolic and anticatabolic to bone. We tested the hypothesis that application of these mechanical signals can accelerate bone regeneration in scaffolded and nonscaffolded calvarial defects. The cranium of experimental rats (n?=?8) in which the 5-mm bilateral defects either contained a collagen scaffold or were left empty received oscillatory accelerations (45?Hz, 0.4?g) for 20 minutes per day for 3?weeks. Compared with scaffolded defects in the untreated control group (n?=?6), defects with a scaffold and subject to oscillatory accelerations had a 265% greater fractional bone defect area 4?weeks after the surgery. After 8?weeks of healing (1-week recovery, 3?weeks of stimulation, 4?weeks without stimulation), the area (181%), volume (137%), and thickness (53%) of the regenerating tissue in the scaffolded defect were greater in experimental than in control animals. In unscaffolded defects, mechanical stimulation induced an 84% greater bone volume and a 33% greater thickness in the defect. These data provide preliminary evidence that extremely low-level, high-frequency accelerations can enhance osseous regenerative processes, particularly in the presence of a supporting scaffold.