OP-1 Augments Glucocorticoid-inhibited Fracture Healing in a Rat Fracture Model

Glucocorticoids inhibit bone remodeling and fracture healing. We sought to determine whether osteogenic protein 1 (OP-1) can overcome this inhibition in a closed fracture model in the rat. Time-released prednisolone or placebo pellets were implanted subcutaneously; closed femoral fractures were crea...

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Veröffentlicht in:Clinical orthopaedics and related research 2009-12, Vol.467 (12), p.3104-3112
Hauptverfasser: Gilley, Robert S., Wallace, Larry J., Bourgeault, Craig A., Kidder, Louis S., Bechtold, Joan E.
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container_end_page 3112
container_issue 12
container_start_page 3104
container_title Clinical orthopaedics and related research
container_volume 467
creator Gilley, Robert S.
Wallace, Larry J.
Bourgeault, Craig A.
Kidder, Louis S.
Bechtold, Joan E.
description Glucocorticoids inhibit bone remodeling and fracture healing. We sought to determine whether osteogenic protein 1 (OP-1) can overcome this inhibition in a closed fracture model in the rat. Time-released prednisolone or placebo pellets were implanted subcutaneously; closed femoral fractures were created 2 weeks later in rats. Fractures received sham, OP-1 and collagen, or collagen-only implants. Femurs were harvested at 3, 10, 21, 28, and 42 days postfracture. Fractures were examined radiographically for amount of hard callus; mechanically for torque and stiffness (also expressed as a percentage of the contralateral intact femur); and histomorphometrically for amount of cartilaginous and noncartilaginous soft callus, hard callus, and total callus. Glucocorticoid administration inhibited fracture healing. The application of a devitalized Type I collagen matrix mitigated the inhibitory effects of prednisolone on fracture healing However, further increases in indices of fracture healing were observed when OP-1 was added to the collagen matrix compared with collagen alone. OP-1 and collagen was more effective than collagen alone.
doi_str_mv 10.1007/s11999-009-0782-1
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subjects Animals
Biomechanical Phenomena
Bone Morphogenetic Protein 7 - administration & dosage
Bone Remodeling - drug effects
Bony Callus - drug effects
Bony Callus - physiopathology
Collagen Type I
Conservative Orthopedics
Disease Models, Animal
Drug Carriers
Drug Implants
Femoral Fractures - diagnostic imaging
Femoral Fractures - drug therapy
Femoral Fractures - physiopathology
Femur - diagnostic imaging
Femur - drug effects
Femur - physiopathology
Fracture Healing - drug effects
Glucocorticoids - administration & dosage
Male
Medicine
Medicine & Public Health
Orthopedics
Prednisolone - administration & dosage
Radiography
Rats
Sports Medicine
Surgery
Surgical Orthopedics
Symposium: Tribute to Dr. Marshall Urist: Musculoskeletal Growth Factors
Time Factors
Torque
title OP-1 Augments Glucocorticoid-inhibited Fracture Healing in a Rat Fracture Model
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