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J Biomed Mater Res B Appl Biomater. 2016 Feb;104(2):291-9. doi: 10.1002/jbm.b.33380. Epub 2015 Mar 12.

Evaluation of an intramedullary bone stabilization system using a light-curable monomer in sheep.

Author information

1
Department of Applied Sciences, CBSET, Inc., Lexington, Massachusetts, 02421.
2
Department of Pathology, CBSET, Inc., Lexington, Massachusetts, 02421.
3
CBSET, Inc., Lexington, Massachusetts, 02421.
4
AO Research Institute Davos, 7270, Davos, Switzerland.
5
Kopia Consulting, Hillsborough, New Jersey, 08844.
6
Institute for Medical and Engineering Science, Massachusetts Institute of Technology E25, Cambridge, Massachusetts, 02139.
7
IlluminOss Medical, Inc., East Providence, Rhode Island, 02914.

Abstract

Percutaneous intramedullary fixation may provide an ideal method for stabilization of bone fractures, while avoiding the need for large tissue dissections. Tibiae in 18 sheep were treated with an intramedullary photodynamic bone stabilization system (PBSS) that comprised a polyethylene terephthalate (Dacron) balloon filled with a monomer, cured with visible light in situ, and then harvested at 30, 90, or 180 days. In additional 40 sheep, a midshaft tibial osteotomy was performed and stabilized with external fixators or external fixators combined with the PBSS and evaluated at 8, 12, and 26 weeks. Healing and biocompatibility were evaluated by radiographic analysis, micro-computed tomography, and histopathology. In nonfractured sheep tibiae, PBSS implants conformably filled the medullary canal, while active cortical bone remodeling and apposition of new periosteal and/or endosteal bone was observed with no significant macroscopic or microscopic observations. Fractured sheep tibiae exhibited increased bone formation inside the osteotomy gap, with no significant difference when fixation was augmented by PBSS implants. Periosteal callus size gradually decreased over time and was similar in both treatment groups. No inhibition of endosteal bone remodeling or vascularization was observed with PBSS implants. Intramedullary application of a light-curable PBSS is a biocompatible, feasible method for fracture fixation.

KEYWORDS:

biocompatibility; fracture stabilization; intramedullary; light-curable; polymer

PMID:
25772144
PMCID:
PMC4639471
DOI:
10.1002/jbm.b.33380
[Indexed for MEDLINE]
Free PMC Article

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