Biomechanical and histological aspects of fracture healing, stimulated with osteogenic protein-1

Biomaterials. 2001 Apr;22(7):725-30. doi: 10.1016/s0142-9612(00)00238-6.

Abstract

Fracture healing could be stimulated with osteoinductive bone morphogenetic proteins (bmp's), such as osteogenic protein-1 (OP-1), but little is known about its effectiveness in stimulation of fracture healing. In this study, biomechanical and histological aspects of fracture healing after an injection of OP-1 in the fracture gap were investigated. In 40 goats, a closed fracture was created in the left tibia. The fractures were stabilized with an external fixator and the animals were assigned to four different groups: no injection, injection of 1 mg OP-1, injection of 1 mg OP-1 with collagenous carrier material, and injection of carrier material alone. Twenty-one animals were sacrificed after 2 weeks and 19 after 4 weeks. Biomechanical testing was perfomed on both explanted tibiae. Four longitudinal samples of the fracture were sawn, processed for histology, and examined by two observers. Biomechanical evaluation showed a higher stiffness and strength at 2 weeks after injection of OP-1. Histological evaluation showed normal fracture healing patterns in all animals without adverse effects of the given injections. These data show that fracture healing can be accelerated with a single injection of OP-1, eventually resulting in normally healed bone.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biomechanical Phenomena
  • Bone Morphogenetic Protein 7
  • Bone Morphogenetic Proteins / administration & dosage
  • Bone Morphogenetic Proteins / pharmacology*
  • Collagen / metabolism
  • Female
  • Fracture Fixation
  • Fracture Healing / drug effects*
  • Fracture Healing / physiology*
  • Goats
  • Tibial Fractures / pathology
  • Tibial Fractures / physiopathology
  • Tibial Fractures / therapy
  • Transforming Growth Factor beta*

Substances

  • Bone Morphogenetic Protein 7
  • Bone Morphogenetic Proteins
  • Transforming Growth Factor beta
  • Collagen