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Veterinary and comparative orthopaedics and traumatology : V.C.O.T2012; 25(3); 184-191; doi: 10.3415/VCOT-11-01-0006

Effects of a novel hydrogel on equine bone healing: a pilot study.

Abstract: To examine the efficacy and biocompatibility of a thiolated gelatin-thiolated carboxymethyl hyaluronan (CMHA-SGX) sponge as an osteoconductive device in an equine second and fourth metacarpal bone defect model. Methods: Seven millimetre segmental ostectomies were created bilaterally in the second and fourth metacarpal bones of four horses. The left and right metacarpal defects were randomly assigned to (1) be filled with a CMHA-SGX sponge (treated) or (2) were left unfilled (control). The duration of the study was nine weeks. Bone healing was evaluated using serial radiology, as well as histologically and histomorphometrically. Data were analyzed using an analysis of variance (ANOVA). The level of significance was p<0.05. Results: Serial radiographic evaluation revealed improved healing in the treated compared to the control defects at weeks eight and nine (p = 0.02). This finding was not corroborated histologically. Histomorphometry did not reveal any significant differences in healing between experimental groups. The CMHA-SGX sponge did not inhibit bone formation, induce local inflammation or lead to surgical site infection. Conclusions: While further optimization to improve osteoconductive properties should be considered, the CMHA-SGX sponge appears to be a biocompatible orthopaedic implant and its use as a carrier for osteogenic proteins warrants further investigation.
Publication Date: 2012-02-27 PubMed ID: 22366873DOI: 10.3415/VCOT-11-01-0006Google Scholar: Lookup
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  • Controlled Clinical Trial
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research involved testing a new type of gel on horse bone healing. The experiment involved using a sponge, made from a specific type of gelatin and hyaluronan, as a device to facilitate bone healing and studied its effectiveness and compatibility.

Research Methodology

  • The study involved creating defects in the second and fourth metacarpal bones of four horses. These defects were then either treated with a sponge made of thiolated gelatin-thiolated carboxymethyl hyaluronan (CMHA-SGX) or left unfilled for comparison.
  • The healing process of the bones was observed over a period of nine weeks. The assessment involved serial radiology, which refers to regular imaging of the bones to check the progress of healing, as well as histological (study of microscopic structures of tissues) and histomorphometric (study of the structure and shape of tissues) evaluations.
  • The collected data was then analyzed using an Analysis of Variance (ANOVA) to check if there was a significant difference in the healing process between the treated bones and the control group.

Research Findings

  • Serial radiographic evaluations, which involved imaging the bones for examination, revealed that the treated defects displayed improved healing in comparison to the untreated ones. This observation was, however, not backed by histological findings.
  • In terms of histomorphometry, which involves examining the morphology or structure of tissues, there was no significant difference noticed between the experimental groups.
  • Importantly, the CMHA-SGX did not seem to inhibit bone formation or cause any local inflammation or surgical site infection.

Conclusions and Future Applications

  • The findings suggest that the CMHA-SGX sponge is a biocompatible orthopaedic implant. It doesn’t cause infection, inflammation or hinder bone growth, making it safe for use in bone healing.
  • Despite the positive indicators, researchers suggest further optimizations to improve the sponge’s osteoconductive properties, which is its ability to support the growth of new bone cells.
  • The researchers conclude that the CMHA-SGX sponge could potentially serve as a carrier for osteogenic proteins and warrants further exploration in this capacity. Osteogenic proteins are critical in bone tissue formation and repair. Thus, the sponge could play a key role in bone healing, if it can be optimized to carry these proteins effectively.

Cite This Article

APA
Cohen JM, Southwood LL, Engiles J, Leitch M, Nunamaker DM. (2012). Effects of a novel hydrogel on equine bone healing: a pilot study. Vet Comp Orthop Traumatol, 25(3), 184-191. https://doi.org/10.3415/VCOT-11-01-0006

Publication

ISSN: 2567-6911
NlmUniqueID: 8906319
Country: Germany
Language: English
Volume: 25
Issue: 3
Pages: 184-191

Researcher Affiliations

Cohen, J M
  • University of Pennsylvania, Department of Clinical Studies, New Bolton Center, Kennett Square, PA, USA.
Southwood, L L
    Engiles, J
      Leitch, M
        Nunamaker, D M

          MeSH Terms

          • Animals
          • Bone Substitutes / therapeutic use
          • Forelimb
          • Fracture Healing / physiology
          • Fractures, Ununited / diagnostic imaging
          • Fractures, Ununited / drug therapy
          • Fractures, Ununited / veterinary
          • Horses / injuries
          • Hyaluronic Acid / analogs & derivatives
          • Hyaluronic Acid / therapeutic use
          • Hydrogels / therapeutic use
          • Metacarpal Bones
          • Pilot Projects
          • Polyethylene Glycols / therapeutic use
          • Radiography

          Citations

          This article has been cited 2 times.
          1. Grzeskowiak RM, Alghazali KM, Hecht S, Donnell RL, Doherty TJ, Smith CK, Anderson DE, Biris AS, Adair HS. Influence of a novel scaffold composed of polyurethane, hydroxyapatite, and decellularized bone particles on the healing of fourth metacarpal defects in mares.. Vet Surg 2021 Jul;50(5):1117-1127.
            doi: 10.1111/vsu.13608pubmed: 33948951google scholar: lookup
          2. Pfeiffenberger M, Bartsch J, Hoff P, Ponomarev I, Barnewitz D, Thöne-Reineke C, Buttgereit F, Gaber T, Lang A. Hypoxia and mesenchymal stromal cells as key drivers of initial fracture healing in an equine in vitro fracture hematoma model.. PLoS One 2019;14(4):e0214276.
            doi: 10.1371/journal.pone.0214276pubmed: 30947253google scholar: lookup