A new model of implant-related osteomyelitis in rats

Infection related to osteosynthesis often has dramatic consequences for the patient. Prolonged hospitalization with systemic antibiotic therapy, several revision procedures, possible amputation, and even death may occur. To investigate the pathology of infection in orthopedic surgery, a new rat mode...

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Veröffentlicht in:Journal of biomedical materials research 2003-10, Vol.67B (1), p.593-602
Hauptverfasser: Lucke, M., Schmidmaier, G., Sadoni, S., Wildemann, B., Schiller, R., Stemberger, A., Haas, N.P., Raschke, M.
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container_issue 1
container_start_page 593
container_title Journal of biomedical materials research
container_volume 67B
creator Lucke, M.
Schmidmaier, G.
Sadoni, S.
Wildemann, B.
Schiller, R.
Stemberger, A.
Haas, N.P.
Raschke, M.
description Infection related to osteosynthesis often has dramatic consequences for the patient. Prolonged hospitalization with systemic antibiotic therapy, several revision procedures, possible amputation, and even death may occur. To investigate the pathology of infection in orthopedic surgery, a new rat model of implant related osteomyelitis was developed. Three different concentrations (106, 103, and 102 colony‐forming units (CFU)/10 μl) of Staphylococcus aureus were inoculated into the tibial medullary cavity with simultaneous insertion of a titanium Kirschner wire. Controls received phosphate‐buffered saline (PBS). Each group consisted of 10 animals. Animals were followed for 4 weeks until sacrifice. X‐rays of the tibiae were taken weekly, blood counts were analyzed, and body temperature and weight were determined. After sacrifice, infection was evaluated by histological and microbiological investigations. All animals inoculated with Staph. aureus in either concentration developed microbiological, histological, and radiological signs of osteomyelitis in correlation to the amount of inoculated bacteria. X‐rays clearly revealed osseous destruction after 14 days with progression of osteomyelitis during the following weeks. CFU/g bone and bone weight after sacrifice showed dependence on the amount of inoculated CFU. The histological results confirmed the radiological findings. No significant changes in blood counts, body weight, and body temperature between the groups could be observed. The results demonstrate that it is possible to develop a model of implant‐related osteomyelitis in rats with dependence on the amount of inoculated bacteria. No other promoters of infection besides intramedullary insertion of titanium Kirschner wires were used in this model. © 2003 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 67B: 593–602, 2003
doi_str_mv 10.1002/jbm.b.10051
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Prolonged hospitalization with systemic antibiotic therapy, several revision procedures, possible amputation, and even death may occur. To investigate the pathology of infection in orthopedic surgery, a new rat model of implant related osteomyelitis was developed. Three different concentrations (106, 103, and 102 colony‐forming units (CFU)/10 μl) of Staphylococcus aureus were inoculated into the tibial medullary cavity with simultaneous insertion of a titanium Kirschner wire. Controls received phosphate‐buffered saline (PBS). Each group consisted of 10 animals. Animals were followed for 4 weeks until sacrifice. X‐rays of the tibiae were taken weekly, blood counts were analyzed, and body temperature and weight were determined. After sacrifice, infection was evaluated by histological and microbiological investigations. All animals inoculated with Staph. aureus in either concentration developed microbiological, histological, and radiological signs of osteomyelitis in correlation to the amount of inoculated bacteria. X‐rays clearly revealed osseous destruction after 14 days with progression of osteomyelitis during the following weeks. CFU/g bone and bone weight after sacrifice showed dependence on the amount of inoculated CFU. The histological results confirmed the radiological findings. No significant changes in blood counts, body weight, and body temperature between the groups could be observed. The results demonstrate that it is possible to develop a model of implant‐related osteomyelitis in rats with dependence on the amount of inoculated bacteria. No other promoters of infection besides intramedullary insertion of titanium Kirschner wires were used in this model. © 2003 Wiley Periodicals, Inc. 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Biomed. Mater. Res</addtitle><description>Infection related to osteosynthesis often has dramatic consequences for the patient. Prolonged hospitalization with systemic antibiotic therapy, several revision procedures, possible amputation, and even death may occur. To investigate the pathology of infection in orthopedic surgery, a new rat model of implant related osteomyelitis was developed. Three different concentrations (106, 103, and 102 colony‐forming units (CFU)/10 μl) of Staphylococcus aureus were inoculated into the tibial medullary cavity with simultaneous insertion of a titanium Kirschner wire. Controls received phosphate‐buffered saline (PBS). Each group consisted of 10 animals. Animals were followed for 4 weeks until sacrifice. X‐rays of the tibiae were taken weekly, blood counts were analyzed, and body temperature and weight were determined. After sacrifice, infection was evaluated by histological and microbiological investigations. All animals inoculated with Staph. aureus in either concentration developed microbiological, histological, and radiological signs of osteomyelitis in correlation to the amount of inoculated bacteria. X‐rays clearly revealed osseous destruction after 14 days with progression of osteomyelitis during the following weeks. CFU/g bone and bone weight after sacrifice showed dependence on the amount of inoculated CFU. The histological results confirmed the radiological findings. No significant changes in blood counts, body weight, and body temperature between the groups could be observed. The results demonstrate that it is possible to develop a model of implant‐related osteomyelitis in rats with dependence on the amount of inoculated bacteria. No other promoters of infection besides intramedullary insertion of titanium Kirschner wires were used in this model. © 2003 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 67B: 593–602, 2003</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Blood - microbiology</subject><subject>Blood Chemical Analysis</subject><subject>Body Temperature</subject><subject>Body Weight</subject><subject>Bone Wires - adverse effects</subject><subject>Colony Count, Microbial</subject><subject>Disease Models, Animal</subject><subject>Female</subject><subject>Humans</subject><subject>implant-related infection</subject><subject>Medical sciences</subject><subject>osteomyelitis</subject><subject>Osteomyelitis - etiology</subject><subject>Osteomyelitis - physiopathology</subject><subject>Prostheses and Implants - adverse effects</subject><subject>Prosthesis-Related Infections - physiopathology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Biomed. Mater. Res</addtitle><date>2003-10-15</date><risdate>2003</risdate><volume>67B</volume><issue>1</issue><spage>593</spage><epage>602</epage><pages>593-602</pages><issn>1552-4973</issn><issn>0021-9304</issn><eissn>1552-4981</eissn><eissn>1097-4636</eissn><coden>JBMRBG</coden><abstract>Infection related to osteosynthesis often has dramatic consequences for the patient. Prolonged hospitalization with systemic antibiotic therapy, several revision procedures, possible amputation, and even death may occur. To investigate the pathology of infection in orthopedic surgery, a new rat model of implant related osteomyelitis was developed. Three different concentrations (106, 103, and 102 colony‐forming units (CFU)/10 μl) of Staphylococcus aureus were inoculated into the tibial medullary cavity with simultaneous insertion of a titanium Kirschner wire. Controls received phosphate‐buffered saline (PBS). Each group consisted of 10 animals. Animals were followed for 4 weeks until sacrifice. X‐rays of the tibiae were taken weekly, blood counts were analyzed, and body temperature and weight were determined. After sacrifice, infection was evaluated by histological and microbiological investigations. All animals inoculated with Staph. aureus in either concentration developed microbiological, histological, and radiological signs of osteomyelitis in correlation to the amount of inoculated bacteria. X‐rays clearly revealed osseous destruction after 14 days with progression of osteomyelitis during the following weeks. CFU/g bone and bone weight after sacrifice showed dependence on the amount of inoculated CFU. The histological results confirmed the radiological findings. No significant changes in blood counts, body weight, and body temperature between the groups could be observed. The results demonstrate that it is possible to develop a model of implant‐related osteomyelitis in rats with dependence on the amount of inoculated bacteria. No other promoters of infection besides intramedullary insertion of titanium Kirschner wires were used in this model. © 2003 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater 67B: 593–602, 2003</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>14528456</pmid><doi>10.1002/jbm.b.10051</doi><tpages>10</tpages></addata></record>
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source MEDLINE; Wiley Journals
subjects Animals
Biological and medical sciences
Blood - microbiology
Blood Chemical Analysis
Body Temperature
Body Weight
Bone Wires - adverse effects
Colony Count, Microbial
Disease Models, Animal
Female
Humans
implant-related infection
Medical sciences
osteomyelitis
Osteomyelitis - etiology
Osteomyelitis - physiopathology
Prostheses and Implants - adverse effects
Prosthesis-Related Infections - physiopathology
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
rat model
Rats
Rats, Sprague-Dawley
Staphylococcal Infections - physiopathology
Staphylococcus aureus
Technology. Biomaterials. Equipments. Material. Instrumentation
Tibia - microbiology
Tibia - pathology
Titanium
title A new model of implant-related osteomyelitis in rats
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