Umbilical artery marsupialization in a calf.
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Animals↗
Biomedical subjects
M D Markel
Publications and source records attributed to M D Markel.
Geometric variables and bone mineral density as potential predictors for mechanical properties of the radius of Greyhounds.
OBJECTIVE: To determine cross-sectional geometry and bone mineral density of the Greyhound radius and correlate these values with torsional failure load and torsional stiffness in an ex vivo model. DESIGN: 3 regions, proximal, middle, and distal portions of the diaphysis, were studied. 5 levels of cross section were evaluated geometrically within each region. SPECIMENS: 10 paired radiuses from skeletally mature Greyhounds. PROCEDURE: Cortical area and area moment of inertia were measured from plain radiographic views and from digitized computed tomographic images. Bone mineral density was measured, using dual-energy x-ray absorptiometry. Torsional stiffness and torsional failure load were then determined mechanically. RESULTS: Minimum area moment of inertia and area moment of inertia estimated from plain radiographic views were significantly different in different regions of interest (P < 0.05). Significant bivariate correlations (P < 0.05) between torsional mechanical parameters and bone properties of the radius were identified for the distal portion of the diaphysis in particular. When independent variables for the distal portion were analyzed, estimate of area moment of inertia was entered into the model for torsional failure load as a predictor and minimum area moment of inertia was entered into the model for torsional stiffness as a predictor. Bone mineral density of the distal portion of the diaphysis was not a significant predictor. CONCLUSION: If accurate noninvasive predictors of bone failure load can be identified, further study of fracture risk should be possible.
Animals↗
Comparison of healing of allograft/endoprosthetic composites with three types of gluteus medius attachment.
This study compared three methods of gluteus medius tendon attachment to an allograft/endoprosthetic composite of the proximal 25% of the femur in a canine model. The three methods were bone to bone, tendon to bone, and tendon to tendon attachment. In an in vivo study, 24 dogs were assigned to three groups of eight dogs each, and serial radiography and weight-bearing analyses were performed throughout the study. The dogs were killed at 6 months, and the specimens were tested in tension to failure and were analyzed histologically. In an in vitro study, each repair was done on six limbs, with a contralateral limb serving as a control for each. In these specimens, the bone to bone attachments were significantly stronger (99.1% of the controls) than the tendon to bone attachments (71.8% of the controls) and the tendon to tendon attachments (40.0% of the controls); there were no differences in tensile stiffness among the three types of attachment. By 6 months, the tensile strength of the tendon to tendon attachments increased significantly and that of the tendon to bone attachments decreased significantly. There were no significant differences in tensile strength among the three types of attachment. The tensile stiffness of the bone to bone attachments (91.0% of the controls) was significantly greater than that of the tendon to bone attachments (40.8% of the controls) but not significantly different from that of the tendon to tendon attachments (63.2% of the controls). The bone to bone attachment was associated with increased bone resorption, bone remodeling, and bone porosity, accompanied by thinner allograft cortices, when compared with the other types of attachment. In dogs with a bone to bone attachment, weight-bearing increased more slowly than in dogs with either of the other two attachments. These changes associated with the bone to bone attachment may merely be secondary to healing of the bone to bone attachment to the greater trochanter; therefore, they may only be temporary phenomena or they may be the portents for long-term complications. Longer term studies of at least 1-2 years must be performed before these questions can be answered.
Animals↗
Thermal response and torque resistance of five cortical half-pins under simulated insertion technique.
A model was developed that can quantitate heat generation during placement of half-pins in cortical bone. Five half-pins were tested to assess differences in insertion torque, heat generation, and micro-damage at the pin-bone interface. Thin thermocouple probes were placed 0.5 mm from the track of the pin and within the pin to measure its temperature during insertion. Scanning electron microscopy was used to view the pin-bone interface to assess the microdamage during placement. The design of the tip of the pin influenced insertion torque and heat generation. Higher heat generation was measured when a thermocouple was placed within the pin itself and less was measured when thermocouple probes were placed within bone samples 0.5 mm from the impending pin track. Furthermore, insertion torque and thermal responses were related, but there were no significant differences in microdamage to bone when different pins and drilling/tapping techniques were used. Due to the significant heat generation at the pin-bone interface, proper cooling with saline irrigation should be applied during pin insertion regardless of the design of the pin. The microdamage observed at the surface of the pin track may have significant implications with regard to loosening of pins, but such effects must be studied with in vivo models.
Animals↗
Comparison of allograft/endoprosthetic composites with a step-cut or transverse osteotomy configuration.
This study was designed to compare the biomechanical and functional characteristics of allograft/endoprosthetic composites of the proximal 25% of the femur repaired with either a transverse or a step-cut osteotomy, using a canine model (10 dogs, five with each type of osteotomy). Serial radiography and weight-bearing studies were performed monthly, and mechanical testing was done 6 months after surgery. The femora were tested in torsion and compared with the contralateral control (insertion of a femoral component but no osteotomy). At 6 months, the composites with a step-cut osteotomy had 36% greater structural stiffness than the composites with a transverse osteotomy (p < 0.005) and 121% greater maximum torque at failure than the controls (p < 0.005), without greater structural stiffness. Evaluation of peak vertical ground reaction forces revealed significantly greater weight-bearing on the experimental limb in dogs with a transverse osteotomy. The results of this relatively short-term study were mixed. Despite the increased structural stiffness of the allograft/endoprosthetic composite with a step-cut osteotomy, the dogs with this type of reconstruction had decreased weight-bearing throughout the course of the study. The step-cut osteotomy may augment the stability of the allograft/endoprosthetic composite, allowing faster healing (as demonstrated by the results of mechanical testing), but in some way, not understood, may cause pain in the reconstructed limb. Longer term studies are needed to answer these questions and to determine whether alteration of the traditional transverse osteotomy has any advantage.
Animals↗
Atrophic nonunion can be predicted with dual energy x-ray absorptiometry in a canine ostectomy model.
This study demonstrated that dual energy x-ray absorptiometry can be used to distinguish between normal union and atrophic nonunion, with high sensitivity and high negative predictive value, by 8 weeks after surgery in a canine model. Eighteen adult mixed-breed dogs were divided into two equal groups: normal union and atrophic nonunion. In the normal union group, a 5 mm mid-diaphyseal transverse ostectomy was performed in the right tibia, and the bone was stabilized with a unilateral external fixator. In the atrophic nonunion group, a 5 mm mid-diaphyseal ostectomy was performed; the distal 1.5 cm of the bone ends, including the periosteum, were frozen twice to -20 degrees C using liquid nitrogen and thawed slowly twice; and the bone was stabilized with a unilateral external fixator. The members of the research team were blinded to the group assignments until after all dogs were killed and all data were acquired. Radiography and dual energy x-ray absorptiometry of both tibiae were performed at weeks 1, 2, 3, 4, 6, 8, 10, 12, 14, and 16 after surgery. All dogs were killed at 16 weeks, and the torsional stiffness and maximum torque of both tibiae of five dogs in each group were determined. Mechanically, the tibiae in the normal union group had significantly higher maximum torque (43-fold higher) and torsional stiffness (86-fold higher) than the tibiae in the atrophic nonunion group. The sensitivity and negative predictive value of dual energy x-ray absorptiometry for predicting nonunion were 100% by 8 weeks after surgery. The specificity and positive predictive value reached 78 and 82%, respectively, by 16 weeks. Radiographic scores were significantly higher for the union group than for the nonunion group beginning at 2 weeks after surgery. The earliest time after surgery that radiography classified an ostectomy as a nonunion was significantly later (4.6 +/- 1.2 weeks) than for dual energy x-ray absorptiometry (2.6 +/- 1.4 weeks). Before these results can be extrapolated to human applications, further animal studies must be performed to evaluate clinically or experimentally induced fractures, or both, rather than the well defined ostectomies that were performed in this study.
Absorptiometry, Photon↗
Alterations in femoral strain, micromotion, cortical geometry, cortical porosity, and bony ingrowth in uncemented collared and collarless prostheses in the dog.
The effects of a collared femoral endoprosthesis in uncemented total hip arthroplasty were evaluated in 12 dogs. This experimental study compared the biomechanic and histologic responses between collared and collarless femoral prostheses 4 months after implantation. Implant stability (micromotion) and cortical surface strain were evaluated immediately and 4 months after implantation in a simulated postoperative condition, whereas bone ingrowth, cortical porosity, and cortical remodeling were assessed after 4 months only. There were no significant differences in implant stability or cortical surface strains when the collared and collarless groups were compared acutely or after 4 months (P > .05). There were also no significant differences in percent fill, bony ingrowth, or cortical geometry after 4 months (P > .05). There was a significant increase in cortical porosity measured from the proximal femur after 4 months for both the collared (P = .0002) and collarless groups (P = .009) and when both groups were compared (collarless, 8.2% and collared, 5.8%; P = .03). The results suggest that a collar may be beneficial in decreasing the cortical remodeling that occurs in the proximal femoral cortex after implantation of an uncemented total hip arthroplasty.
Animals↗
Bromodeoxyuridine immunohistochemistry of epon-embedded undecalcified bone in a canine fracture healing model.
We evaluated bromodeoxyuridine (BrdU) immunohistochemistry of paraffin-, methyl methacrylate (MMA)-, and epon-araldite (epon)-embedded canine bone specimens to establish an optimal technique for studying cell kinetics of fracture healing in a canine tibial gap model. Dogs were sacrificed 4 months after tibial ostectomy and 1 hr after i.v. injection of BrdU (100 mg/kg). BrdU immunohistochemical staining with a peroxidase-labeled streptavidin-biotin (LAB-SA) method was performed on thin sections of tibia fixed in 70% ethanol and embedded in paraffin, MMA, or epon. Thin section of small intestines fixed in 70% ethanol and 10% neutral buffered formalin and embedded in paraffin, MMA, or epon were BrdU-stained and served as a model for proliferating tissue. Good and consistent BrdU immunostaining without detachment of bone sections was obtained for epon-embedded undecalcified bone sections. BrdU-positive cells were easily identifiable, in contrast to negligible background staining. BrdU-labeled osteoprogenitor cells and osteoblasts were observed around and on the surface of woven bone in external and internal callus of the ostectomy gap. Nuclei of osteocytes were not labeled. In contrast to the epon-embedded specimens, BrdU immunostaining of paraffin-embedded decalcified and MMA-embedded undecalcified bone specimens was unsatisfactory. The results of this study suggest that BrdU immunohistochemistry of ethanol-fixed, epon-embedded, undecalcified canine bone sections is a technique suitable for study of fracture healing with the described methodology.
Animals↗
Mechanical evaluation of transosseous wire rope configurations in a large animal external fixator.
By use of wire ropes as the transosseous component, an external skeletal fixator for the repair of long bone fractures in horses and cattle has been designed and tested in axial compression. Theoretical methods were used in the design process to size fixator components; however, our results suggest that conventional methods of analyzing the displacement of the transosseous component may not apply to wire ropes. Large pretensions in the wire ropes are necessary to obtain functional stiffnesses for fracture fixation. Therefore, a method was sought for terminating the ropes so that an appropriate pretension could be introduced into the rope through its interface with the fixator rings. Ropes were terminated by use of 5 methods and were tested in axial tension to failure. These methods included 3 copper sleeve arrangements, welded ends, and drum sockets. The drum sockets (57.6% of rope breaking strength) far exceeded the strengths provided by the copper sleeves (8.5 to 26.6%) and the welded ends (44.3%). Using the drum sockets, 5 rope configurations were assembled to the fixator, using wood blocks to simulate bones with a gap defect. The fixator was loaded in axial compression for each of the rope configurations, and stiffnesses were determined from measured axial displacement and applied load. The 4-ring fixator configuration, with 2 ropes at 60 degrees angular separation/ring, was the stiffest. In a worst case (gap) model, a mean axial compression load of 1,730 N was observed at 2 mm of displacement for a 4-ring fixator configuration.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Diaphyseal structural properties of equine long bones.
We evaluated the single-cycle structural properties for axial compression, torsion, and 4-point bending with a central load applied to the caudal or lateral surface of a diaphyseal segment from the normal adult equine humerus, radius, third metacarpal bone, femur, tibia, and third metatarsal bone. Stiffness values were determined from load-deformation curves for each bone and test mode. Compressive stiffness ranged from a low of 2,690 N/mm for the humerus to a high of 5,670 N/mm for the femur. Torsional stiffness ranged from 558 N.m/rad for the third metacarpal bone to 2,080 N.m/rad for the femur. Nondestructive 4-point bending stiffness ranged from 3,540 N.m/rad for the radius to 11,500 N.m/rad for the third metatarsal bone. For the humerus, radius, and tibia, there was no significant difference in stiffness between having the central load applied to the caudal or lateral surface. For the third metacarpal and metatarsal bones, stiffness was significantly (P < 0.05) greater with the central load applied to the lateral surface than the palmar or plantar surface. For the femur, bones were significantly (P < 0.05) stiffer with the central load applied to the caudal surface than the lateral surface. Four-point bending to failure load-deformation curves had a bilinear pattern in some instances, consisting of a linear region at lower bending moments that corresponded to stiffness values from the nondestructive tests and a second linear region at higher bending moments that had greater stiffness values.(ABSTRACT TRUNCATED AT 250 WORDS)
Analysis of Variance↗
Mechanical evaluation of six types of reconstruction following 25, 50, and 75% resection of the proximal femur.
The structural stiffness and the stiffness of the osteotomy site after six types of reconstruction of the proximal femur were compared by testing in axial compression, mediolateral bending, and axial torsion in a canine model. An osteotomy was carried out for 25, 50, or 75% of the length of each femur, and the proximal portion was replaced by one of five allograft/endoprosthetic composites or a segmental replacement. The reconstructions included (a) a composite press-fit proximally and cemented distally, (b) a composite cemented proximally and distally, (c) a composite cemented proximally and fixed with two plates at the allograft-host bone interface, (d) a composite cemented proximally and secured distally with bicortical screws, (e) a composite secured proximally and distally with bicortical screws, and (f) a segmental prosthesis cemented into the distal femur. The results showed that the segmental reconstruction and the reconstruction with double-plate fixation and a cemented endoprosthesis were structurally stiffer and had greater stiffness of the osteotomy site than the other reconstructions. In comparison, reconstructions that involved cement alone or cement and press-fit techniques generally were more compliant than the others, both structurally and at the osteotomy site.
Animals↗
The effect of increasing gap width on localized densitometric changes within tibial ostectomies in a canine model.
Dual-energy X-ray absorptiometry (DXA) was used to quantitate the localized densitometric changes that occur early (0-16 weeks) in a tibial ostectomy model of three different gap widths in 15 dogs. Dogs were divided into three equal groups. A 5-mm (group 1), 15-mm (group 2), or 25-mm (group 3) unilateral tibial ostectomy was performed and stabilized with a unilateral external skeletal fixator in each dog. DXA of the gap tissue was performed at 0, 14, 30, 60, 90, and 120 days after surgery. Regions of interest (ROIs) included the entire gap (groups 1, 2, 3) and ROIs within the gap a defined distance from the proximal or distal cortical bone ends: 0-2.5 mm (groups 1, 2, 3); 2.5-5.0 mm (groups 2, 3), 5.0-7.5 mm (groups 2, 3), 7.5-10.0 mm (group 3), and 10.0-12.5 mm (group 3). Bone mineral density (BMD) significantly changed over time in all three groups (P < 0.0001). The BMD of the 5-mm gap increased over the 4-month study period and reached normal middiaphysial tibial BMD by 90 days after surgery. The BMD of the 15-mm gap also increased after surgery but reached a plateau at a BMD of approximately 0.45 g/cm2 (48% of middiaphyseal BMD) at 60 days after surgery. The BMD of the 25-mm gap increased to a small extent during the first 30 days after surgery and then gradually decreased during the study period. Overall, the 5-mm gap had the highest BMD, followed by the 15-mm gap and the 25-mm gap (P < 0.0001).
Absorptiometry, Photon↗
Ultrasonically determined elasticity and cortical density in canine femora after hip arthroplasty.
Effects of canine hip replacement (with a porous-coated femoral component) on the material properties of surrounding cortical bone were evaluated. The hypotheses were: (1) after four months of implantation, mechanical properties of the cortex would change, and (2) a collared implant would be associated with smaller changes than a collarless design. Unilateral total hip arthroplasty was performed in 15 mixed-breed dogs. Nine received a collared and six received a collarless femoral component. Four months after implantation, longitudinal ultrasonic wave propagation velocities and bone mineral densities (from dual energy X-ray absorptiometry) were measured in harvested femora and used to calculate the axial elastic constitutive coefficients for the cortex surrounding the implants. Results showed no difference in bone elasticity or bone density between collared and collarless designs. Significant velocity decreases from control values (p < 0.0001) were noted in all implanted femora at four months. Bone mineral densities also displayed decreased values after four months of implantation (p < 0.0145). Elastic coefficients were consistently less after four months of implantation when compared to control values (p < 0.0001). This alteration in material properties would affect load transfer into the implanted femur via the increased disparity between implant and bone stiffnesses regardless of the component design. Significant differences in the elastic coefficients between implanted and control femora support hypothesis 1. However, no group differences were found between collared and collarless implantations; thus, the study does not support hypothesis 2.
Alloys↗
Fixation of canine tendons to metal.
For the purpose of developing a method to attach tendons directly to the prosthesis, canine supraspinatus tendons were attached in vitro to a metallic surface, using 3 different fixation devices: a spiked polyacetal washer (Synthes), a spiked soft tissue fixation plate (Synthes), and a newly designed Enhanced Tendon Anchor (ETA), which straddled the tendon with interlocking spikes oriented at a 20-degree angle. 2 methods were used: 1) the tendon was fixed directly to the metallic surface, or 2) a bone block containing the tendon insertion was fixed to the metallic surface. The specimens were tested for initial fixation strength in tension to failure; intact bone-muscle-tendon-bone units were used as controls. Bone block fixations were stronger than direct tendon fixations when the spiked washer or the ETA was used; this was not true of the fixation plate. The ETA was stronger than the other techniques in ultimate strength in both direct tendon fixation and bone block fixation. The soft tissue fixation plate was found to be weaker than the other techniques in bone block fixation.
Animals↗
Radiographic geometric variation of equine long bones.
As more sophisticated research is performed to refine fracture fixation techniques for horses, it is important that normal values for the geometric properties of the bones of the appendicular skeleton be determined and that suitable controls be available. We evaluated the geometric properties of total bone width, cortical bone width, and medullary canal/trabecular bone width measured from 2 radiographic projections of equine long bones (humerus, radius, third metacarpal bone, femur, tibia, and third metatarsal bone) obtained from a general population of horses. Measurements were performed on slices separated by intervals equal to 5% of the bone's length. Slices were then grouped into 5 regions: proximal epiphysis, proximal part of the metaphysis, diaphysis, distal part of the metaphysis, and distal epiphysis. Results validated use of the contralateral bone as a control for assessing experimental models or clinical cases. Of 858 homotypic slice comparisons between left and right bones, significant (P < or = 0.05) differences were detected in 31 (3.6%) of the comparisons. Of 168 homotypic region comparisons, significant differences were observed in 3 (1.8%) of the comparisons. The greatest variation between left and right bones was observed in metaphyseal regions, areas with bony protuberances, and regions with prominent bone superimposition. At a power of 0.8 for the statistical tests performed in this study, the mean homotypic variation of bones in each region is < 5.8% for the proximal epiphysis, 11.3% for the proximal part of the metaphysis, 6.8% for the diaphysis, 12.2% for the distal part of the metaphysis, and 5.2% for the distal epiphysis.
Animals↗
Densitometric properties of long bones in dogs, as determined by use of dual-energy x-ray absorptiometry.
We performed dual-energy x-ray absorptiometry (craniocaudal and lateromedial views) on 10 pairs of humeruses, radiuses, femurs, and tibias from dogs, using an alignment jig, to determine the homotypic bone mineral density variations of long bones. The bones were divided into 3 regions: proximal, middle, and distal parts of the diaphysis. The bone mineral density of cortical bone, medullary bone, and total bone was determined. Of 160 homotypic comparisons, 21 indicated significant (P < or = 0.05) differences between right and left bones at either a region or location. These differences were observed most frequently in the craniocaudal view and were probably secondary to positioning errors. Evaluation of elliptical bones, such as the radius, also indicated that, when the thicker dimension, such as the lateromedial view of the radius was measured, the bone mineral density of regions-of-interest in that view was greater than that in the opposite view (ie, craniocaudal view of the radius). This study validates the concept of using the contralateral limb as the control condition in orthopedic studies of dogs, particularly when evaluating the densitometric properties of long bones. This study also emphasizes the importance of accurate positioning to prevent inadvertent alteration of bone mineral density results when using dual-energy x-ray absorptiometry. Dual-energy x-ray absorptiometry is particularly susceptible to positioning errors, because it converts a 3-dimensional structure into a 2-dimensional image.
Absorptiometry, Photon↗
Dual-energy X-ray absorptiometry of canine femurs with and without fracture fixation devices.
The effect of 5 fracture fixation methods on bone mineral density (BMD) measurement of femurs, using dual-energy X-ray absorptiometry (DXA) was determined in a canine model. Six regions of interest were measured, including the entire femur, the diaphysis of the femur, and small regions centered over the middiaphysis of the bone (lateral middiaphyseal cortex, medial middiaphyseal cortex, middiaphyseal medullary canal, and total middiaphysis). Eight unpaired femurs were collected and scanned by use of DXA before (5 separate scans/femur) and after (5 separate scans/femur) fixation by use of 1 of 5 fixation methods. These fixation methods included: intramedullary (IM) nail; IM nail and cerclage wires; IM nail and external skeletal fixation; locked IM nail; and a dynamic compression plate (DCP). All implants were made of stainless steel. The IM nail fixation devices caused significant decreases in the DXA measurement of BMD in the small regions of interest, compared with femurs without fixation devices (mean decrease, 37.3%; P < 0.05). The locked nail caused similar, but larger, decreases in the DXA measurement of BMD, compared with the IM nail fixation methods (P < 0.05). Plate fixation caused a small, but significant (P < 0.05), decrease (2.8%) in the DXA measurement of BMD in the large regions of interest, but when all regions were averaged, it did not cause significant change in this measurement, compared with femurs without fixation devices.(ABSTRACT TRUNCATED AT 250 WORDS)
Absorptiometry, Photon↗