The clinical research on the repair of limbs bone defect by using uncellular tissue engineering complex of autolegous red bone marrow wrapped by facial flap with vessels
10.3760/cma.j.issn.1673-4904.2011.23.001
- VernacularTitle:带蒂筋膜瓣包裹自体红骨髓组织工程复合体修复四肢大段骨缺损临床研究
- Author:
Xinming YANG
;
Xianyong MENG
;
Yaoyi WANG
;
Yanlin YIN
;
Zhenshun HU
;
Yanbo WANG
;
Junwei ZHANG
;
Peinan ZHANG
;
Su LIU
- Publication Type:Journal Article
- Keywords:
Bone marrow;
Tissue engineering;
Bone transplantation
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(23):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of repairing limbs bone defect by using uncellular tissue engineering complex of autolegous red bone marrow wrapped by facial flap with vessels to provide evidence for clinical application. Methods Nineteen cases of limbs bone defect were chosen, among them, 3 cases were with benign bone tumor,6 cases were with open fracture causing bone defect and 10 cases were with bone hypotoxic infection after operation. Took autolegous red bone marrow to prepare uncelluar tissue engineering complex with osteoinduction active material (OAM) containing bone morphogenetic protein (BMP). Prepared a facial flap with capillary network originating from an anonymos vessel adjacent to the bone defect,wrappad the tissue engineering bone and filled the bone defect. On a certain time after the operation, the patients were tested by X-ray. Results All the 19 cases were followed up in 1st,3rd,6th, 10th, 12th and 18th month after the operation. There were 3 cases that the implanted tissue engineering bone completely replaced the bone defect in 6th month displayed on X-ray,6 cases in 10th month,9 cases in 12th month and 1 case in 18th month. None of the cases had bone infection or bone absorption. Osteanagenesis and bone molding had come true in all cases. Conclusions The uncellular tissue engineering complex of autolegous red bone marrow wrapped by facial flap with vessels shows double effects in inducing osteanagenesis and the vascularization, and it is feasible in the recovery of large area bone defect. The complex can promote bone recovery and advance the quality and quantity of osteanagenesis.
