Estimation of Critical Sized Bone Defect for Biomaterial Implantation and Evaluation of Newly Formed Bone by Quantitative Histomorphometry, using Silicon Substituted Hydroxyapatite for Bone Tissue Engineering Purpose
DOI:
https://doi.org/10.51253/pafmj.v75i3.12885Keywords:
Bone, Bone Regeneration, Histology, Hydroxyapatites, Stromal Vascular Fraction, Tissue EngineeringAbstract
Objective: To determine Critical sized bone defect in Rabbit tibiae for evaluation of implanted biomaterial and to quantify new bone formation to see the osteogenic effect of Silicon substituted Hydroxyapatite.
Study Design: Lab-based experimental study.
Place and Duration of Study: Anatomy Department, Army Medical College, Rawalpindi Pakistan, from Aug 2021 to Jan 2023.
Methodology: A total of 30 New Zealand White rabbits, divided into six Groups (n=5) were used. After Anesthesia, a bone defect measuring 6 x 6 x 6mm was drilled in the right tibiae in Group A1 and A2 (sacrificed after 4 and 6 weeks, respectively) and 9 x 6 x 6mm in Group A3 (sacrificed after 6 weeks). Silicon hydroxyapatite, alone with stromal vascular fraction, was placed in Experimental Groups II, III, and IV.
Results: All rabbits in Group A3 showed no defect closure, indicating that it was a critical-sized defect. The median values with interquartile ranges (IQR) of p=0.004 among the Groups indicated that Group IV had a significantly increased total bone area compared to the other Groups. In Group comparisons, no statistical difference was observed between Group I and II, Group II and III, or Group II and IV. However, a statistically significant difference was observed between Group I and IV (p-value =0.002).
Conclusion: A defect size of 9 x 6 x 6 mm may be suitable for studies of shorter duration, and bone area quantification can be used to assess new bone formation.
Downloads
References
Hellwinkel JE, Working ZM, Certain L, García AJ, Wenke JC, Bahney CS. The intersection of fracture healing and infection: Orthopaedics research society workshop 2021. J Orthopaed Res 2022; 40(3): 541-552.
https://doi.org/10.1002/jor.25261
Nauth A, Schemitsch E, Norris B, Nollin Z, Watson JT. Critical-Size Bone Defects: Is There a Consensus for Diagnosis and Treatment? J Orthopaed Trauma 2018; 32 Suppl 1: S7-s11.
https://doi.org/10.1097/BOT.0000000000001115
Shuai C, Peng B, Feng P, Yu L, Lai R, Min A. In situ synthesis of hydroxyapatite nanorods on graphene oxide nanosheets and their reinforcement in biopolymer scaffold. J Advan Res 2022; 35: 13-24.
https://doi.org/10.1016/j.jare.2021.03.009
Fiume E, Magnaterra G, Rahdar A, Verné E, Baino F. Hydroxyapatite for Biomedical Applications: A Short Overview. Ceramics 2021; 4(4): 542-563.
Yang L, Ullah I, Yu K, Zhang W, Zhou J, Sun T, et al. Bioactive Sr(2+)/Fe(3+)co-substituted hydroxyapatite in cryogenically 3D printed porous scaffolds for bone tissue engineering. Biofabrication 2021; 13(3). https://doi.org/10.1088/1758-5090/abcf8d
Radulescu DE, Vasile OR, Andronescu E, Ficai A. Latest Research of Doped Hydroxyapatite for Bone Tissue Engineering. Int J Mole Sci 2023; 24(17). https://doi.org/10.1002/jbm.a.31549
Bodde EW, Spauwen PH, Mikos AG, Jansen JA. Closing capacity of segmental radius defects in rabbits. J Biomed Mater Res 2008; 85(1): 206-217. https://doi.org/10.1002/jbm.a.31549
Seman CNZC, Zakaria Z, Sharifudin MA, Ahmad AC, Awang MS, Yusof NM, et al. Model of A Critical Size Defect in the New Zealand White Rabbit’s Tibia. IIUM Med J Malaysia 2018; 17(1).
https://doi.org/10.31436/imjm.v17i1.305
Kengelbach-Weigand A, Thielen C, Bäuerle T, Götzl R, Gerber T, Körner C, et al. Personalized medicine for reconstruction of critical-size bone defects - a translational approach with customizable vascularized bone tissue. NPJ Regen Med 2021; 6(1): 49.
https://doi.org/10.1038/s41536-021-00158-8
Sadek AA, Abd-Elkareem M, Abdelhamid HN, Moustafa S, Hussein K. Repair of critical-sized bone defects in rabbit femurs using graphitic carbon nitride (g-C3N4) and graphene oxide (GO) nanomaterials. Sci Rep 2023; 13(1): 5404.
https://doi.org/10.31436/imjm.v17i1.305
Tiryaki T, Cohen SR, Canikyan Turkay S, Kocak P, Sterodimas A, Schlaudraff KU, et al. Hybrid Stromal Vascular Fraction (Hybrid-SVF): A New Paradigm in Mechanical Regenerative Cell Processing. Plastic Reconstruct Surg Global Open 2022; 10(12): e4702. https://doi.org/10.1097/GOX.0000000000004702
Asif A, Nazir R, Riaz T, Ashraf N, Zahid S, Shahid R, et al. Influence of processing parameters and solid concentration on microstructural properties of gel-casted porous hydroxyapatite. J Porous Mat 2014; 21(1): 31-37.
https://doi.org/1 10.1007/s10934-013-9743-x
Blanco JF, García-Briñon J, Benito-Garzón L, Pescador D, Muntión S, Sánchez-Guijo F. Human bone marrow mesenchymal stromal cells promote bone regeneration in a xenogeneic rabbit model: a preclinical study. Stem Cells Int 2018; 2018.
https://doi.org/10.1155/2018/7089484
Duan R, Barbieri D, De Groot F, De Bruijn JD, Yuan H. Modulating bone regeneration in rabbit condyle defects with three surface-structured tricalcium phosphate ceramics. ACS Biomat Sci Eng 2018; 4(9): 3347-3355.
https://doi.org/10.1021/acsbiomaterials.8b00630
Mukherjee P, Roy S, Ghosh D, Nandi SK. Role of animal models in biomedical research: a review. Lab Animal Res 2022; 38(1): 18.
Wang Y, Zhang X, Mei S, Li Y, Khan AA, Guan S, et al. Determination of critical-sized defect of mandible in a rabbit model: Micro-computed tomography, and histological evaluation. Heliyon 2023; 9(7): e18047.
https://doi.org/10.1016/j.heliyon.2023.e18047
Dasgupta S, Maji K, Nandi SK. Investigating the mechanical, physiochemical and osteogenic properties in gelatin-chitosan-bioactive nanoceramic composite scaffolds for bone tissue regeneration: In vitro and in vivo. Mat Sci Eng 2019; 94: 713-728.
https://doi.org/10.1016/j.msec.2018.10.022
Togni F, Baras F, Ribas MdO, Taha MO. Histomorphometric analysis of bone tissue repair in rabbits after insertion of titanium screws under different torque. Acta Cirurgica Brasil 2011; 26: 261-266.
Souza EQM, Costa Klaus AE, Espósito Santos BF, Carvalho da Costa M, Ervolino E, Coelho de Lima D, et al. Evaluations of hydroxyapatite and bioactive glass in the repair of critical size bone defects in rat calvaria. J Oral Bio Craniofacial Res 2020; 10(4): 422-429.
https://doi.org/10.1590/s0102-86502011000400003
Baer PC, Geiger H. Adipose-derived mesenchymal stromal/stem cells: tissue localization, characterization, and heterogeneity. Stem cells Int 2012; 2012.
https://doi.org/10.1155/2012/812693
Später T, Frueh FS, Nickels RM, Menger MD, Laschke MW. Prevascularization of collagen-glycosaminoglycan scaffolds: stromal vascular fraction versus adipose tissue-derived microvascular fragments. J Bio Eng 2018; 12(1):1-13.
https://doi.org/10.1186/s13036-018-0118-3
Roato I, Belisario DC, Compagno M, Verderio L, Sighinolfi A, Mussano F, et al. Adipose-derived stromal vascular fraction/xenohybrid bone scaffold: An alternative source for bone regeneration. Stem cells International. 2018; 2018.
https://doi.org/10.1155/2018/4126379
Sargolzaie N, Kadkhodazadeh M, Ebadian AR, Shafieian R, Pourkaveh S, Naghibi N, et al. Histological Evaluation of Bone Regeneration Using Hydroxyapatite Based Bone Substitute Derived from Antler: An Animal Study. J Long-Term Eff Med Implants 2022; 32(1): 77-84.
https://doi.org/ 10.1615/JLongTermEffMedImplants.2021039830
Duan R, Barbieri D, de Groot F, de Bruijn JD, Yuan H. Modulating Bone Regeneration in Rabbit Condyle Defects with Three Surface-Structured Tricalcium Phosphate Ceramics. ACS Biomat Sci Eng 2018; 4(9): 3347-3355.
https://doi.org/10.1021/acsbiomaterials.8b00630
Xu T, Xu M, Lu Y, Zhang W, Sun J, Zeng R, et al. A trail pheromone mediates the mutualism between ants and aphids. Curr Bio 2021; 31(21): 4738-47.e4.
Downloads
Published
License
Copyright (c) 2025 Muhammad Marghoob Khan, Shadab Ahmed Butt, Aqif Anwar Chaudhry; Abdullah Qamar, Ayesha Ali, Mahjabeen Fatima

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.