Reconstruction of Mandibular Defect with Porous β-TCP/BMG Artificial Bone

1Introduction Reconstructivesurgeryisoneofthehottestre searchedsubjectsthatdealingwithbonedefects.Thetra ditionalmethodisimplantationoffreshautograftbonebe causeofitsnon immunoreactiveproperty.Butautologousbonewasnotabundantinsomecases.Sowefoundbeta trica…     

Healing the psyche through music, myth, and ritual.

According to Carl Jung, a person's symptoms occur as a result of the psyche's creative attempt to self-regulate. These symptoms are viewed as the symbol-making function of the psyche. Music therapy as a therapeutic tool is also viewed as having a symbol-making function in that the physical act of making music involves conceptualizing one's symptoms into sounds. The sound serves as a musical symbol of the symptom. The myth of Orpheus is offered as an example of how early man amplified the creative potential contained in music to heal from life's woes. The Orphic archetype illustrates that music serves as a medium for healing and as an expression of Self. That psyche can be healed by music is a reminder of the connection between music therapy and the myth of Orpheus. In using the therapeutic tool of music one can transcend, through the symbol making process inherent in music therapy, the tension of opposites that are created at the crossroads of disease and wellness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Experimental Study on Polymer Artificial Bone with HA Coated and Fiber Liners

1Introduction HA(hydroxyapatite)wasakindofbioactiveceram ics,whichhadexcellentbiocompatibilityandtissueaffin ityinthatitscomponentsweresimilartothoseofhuman bone[1].Soitwasthebestknownhumanbonesubstitute,andunprecedentedeffecthadbeenharvestedinrecenttwo d…     

Radiation demineralised bone enhanced osteoinductive capacity after transplantation

Using a mediating alkyne gas during the radiation treatment prevents the degradation of natural and synthetic polysaccharides and proteins. The product has higher viscosity and is more elastic than the original material and, therefore, gives enhanced functionality. Protein, within demineralised bone, too can be modified to give enhanced osteoinductive capacity after transplantation. Thus new functionalities can be achieved from the new products produced in food and medical products.     

Reticulated Porous Multiphase Ceramics with Improved Compressive Strength and Fracture Toughness

A multiphase reticulated porous ceramic (RPC) as Si₃N₄–Al₂O₃–SiO₂ was fabricated by replication techniques. Proper volumes of additives and twice sinter- twice immerse process endow the RPC an excellent crack healing and submerging property. The compressive strength and fracture toughness improved owing to the crack bridging behavior. The existence of pores in struts in RPC blunt the crack tip and increased the external force needed to propagate the crack. The mechanisms play a beneficial role in enhancing the compressive strength and fracture strength. Si₃N₄ RPC with additives of 5%Al and 5% Al₂O₃ yielded the compressive strength of 9.8 MPa and fracture toughness of 0.3 MPa m^1/2.     

Preliminary<Emphasis Type="Italic">in vitro</Emphasis> and<Emphasis Type="Italic">in vivo</Emphasis> characterizations of a sol-gel derived bioactive glass-ceramic system

This study investigates quantitatively and qualitatively the sol-gel derived bioactive glass-ceramic system (BGS)—apatite-wollastonite (AW) type granules in the size range of 0.5–1 mm, as an effective graft material for bone augmentation and restoration. Scanning electron micrographs (SEM) of the sintered granules revealed the rough material surface with micropores in the range 10–30 μm. X-ray diffraction (XRD) pattern of the granules revealed the presence of crystalline phases of the hydroxyapatite and wollastonite, and the functional groups of the silicate and phosphates were identified by Fourier transform infrared spectroscopy (FT-IR). Thein vitro cell culture studies with L929 mouse fibroblast cell line showed very few cells adhered on the BGS disc after 24 h. This could be due to the highly reactive surface of the disc concomitant with the crystallization but not due to the cytotoxicity of the material, since the cellular viability (MTT assay) with the material was 80‰ Cytotoxicity and cytocompatibility studies proved that the material was non-toxic and biocompatible. After 12 weeks of implantation of the BGS granules in the tibia bone of New Zealand white rabbits, the granules were found to be well osteointegrated, as observed in the radiographs. Angiogram with barium sulphate and Indian ink after 12 weeks showed the presence of microcapillaries in the vicinity of the implant site implicating high vascularity. Gross observation of the implant site did not show any inflammation or necrosis. SEM of the implanted site after 24 weeks revealed good osteointegration of the material with the newly formed bone and host bone. New bone was also observed within the material, which was degrading. Histological evaluation of the bone healing with the BGS granules in the tibial defect at all time intervals was without inflammation or fibrous tissue encapsulation. After 2 weeks the new bone was observed as a trabeculae network around the granules, and by 6 weeks the defect was completely closed with immature woven bone. By 12 weeks mature woven bone was observed, and new immature woven bone was seen within the cracks of the granules. After 24 weeks the defect was completely healed with lamellar bone and the size of the granules decreased. Histomorphometrically the area percentage of new bone formed was 67.77% after 12 weeks and 63.37% after 24 weeks. Less bone formation after 24 weeks was due to an increased implant surface area contributed by the material degradation and active bone remodeling. The osteostimulative and osteoconductive potential of the BGS granules was established by tetracycline labelling of the mineralizing areas by 2 and 6 weeks. This sol-gel derived BGS granules proved to be bioactive and resorbable which in turn encouraged active bone formation.     

Ischemia‐reperfusion injury. A phenomenon,that also occurs in the bone

Ischemia‐reperfusion injury of the bone occurs due to traumatic and non‐traumatic alterations affecting blood supply to the bone. It is likely to occur also upon insertion of an implant. Ischemia‐reperfusion injury of the bone has been studied by interruption of blood supply in situ, in limb replantation/transplantation models, in revascularized bone grafts and non‐vascularized bone fragments, as well as in isolated cultured cells. All cells of the bone are affected, including osteoblasts, osteocytes, osteoclasts, chondrocytes, and bone marrow cells. Critical ischemia times for induction of bone cell death, either in the ischemic period or following reperfusion, are in the range of 3 to 7 h. These critical ischemia times are significantly increased by decreasing the temperature from 37 °C to 0–4 °C. Anoxia is the most likely trigger of cell injury in the ischemic phase. In the reperfusion phase, reactive oxygen species are decisively involved in the injurious process. In general, however, the available information on the mechanism of ischemia‐reperfusion injury of the bone is relatively sparse. On the other hand, there are clear similarities to the mechanisms of ischemia‐reperfusion injury known from other organs, and there is a clear potential for protection against ischemia‐reperfusion injury of the bone.     

用PIXE方法研究骨折家兔骨骼微量元素的变化

用质子激发X荧光分析法测定48只家兔在挠骨骨折愈合过程中骨骼中多种微量元素含量的变化。结果表明，Fe和Sr分别呈鼓凸形和下凹形规律性变化，故Fe和Sr含量的变化可作为骨折愈合过程的指示剂。在骨折愈合过程中发现骨骼和血液中元素钙的相对含量保持不变，故无法为西医用补充钙来治疗骨折的疗法提供依据，但我们的研究结果却表明中医补充微量元素治疗骨折的疗法是有道理的。     

Thick bone section preparation using a silicon-rubber-based sealant

A method has been developed, using a silicon-rubber-based sealant, which allows 2–3-mm-thick specimens to be maintained in a protected fluid environment for a number of months, without risk of dehydration. Following this, the specimen can be retrieved, stained, embedded and sectioned further. For example, 2-mm-thick sections of fixed unstained bone are easily examined by means of epi-illuminated polarized light and fluorescence microscopies using either conventional or confocal optics. The method could easily be extended to other tissues, for example brain tissue.     

Increased Bone Resorption during Lactation in Pycnodysostosis

Pycnodysostosis, a rare autosomal recessive skeletal dysplasia, is caused by a deficiency of cathepsin K. Patients have impaired bone resorption in the presence of normal or increased numbers of multinucleated, but dysfunctional, osteoclasts. Cathepsin K degrades collagen type I and generates N-telopeptide (NTX) and the C-telopeptide (CTX) that can be quantified. Levels of these telopeptides are increased in lactating women and are associated with increased bone resorption. Nothing is known about the consequences of cathepsin K deficiency in lactating women. Here we present for the first time normalized blood and CTX measurements in a patient with pycnodysostosis, exclusively related to the lactation period. In vitro studies using osteoclasts derived from blood monocytes during lactation and after weaning further show consistent bone resorption before and after lactation. Increased expression of cathepsins L and S in osteoclasts derived from the lactating patient suggests that other proteinases could compensate for the lack of cathepsin K during the lactation period of pycnodysostosis patients.