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Acta Physiologica Hungarica
Authors: Gábor Skaliczki, M. Weszl, K. Schandl, T. Major, M. Kovács, J. Skaliczki, H. Redl, M. Szendrői, K. Szigeti, D. Máté, Cs Dobó-Nagy and Zs Lacza

Purpose: The clinical demand for bone grafting materials necessitated the development of animal models. Critical size defect model has been criticized recently, mainly for its inaccuracy. Our objective was to develop a dependable animal model that would provide compromised bone healing, and would allow the investigation of bone substitutes. Methods: In the first group a critical size defect was created in the femur of adult male Wistar rats, and a non-critical defect in the remaining animals (Groups II, III and IV). The defect was left empty in group II, while in groups III and IV a spacer was interposed into the gap. Osteoblast activity was evaluated by NanoSPECT/CT imaging system. New bone formation and assessment of a union or non-union was observed by μCT and histology. Results: The interposition model proved to be highly reproducible and provided a bone defect with compromised bone healing. Significant bone regeneration processes were observed four weeks after removal of the spacer. Conclusion: Our results have shown that when early bone healing is inhibited by the physical interposition of a spacer, the regeneration process is compromised for a further 4 weeks and results in a bone defect during the time-course of the study.

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cannulated screws in situ [ 6 ]. Avascular necrosis develops in 10% of these fractures with internal fixation and only 1/83 parts of Garden I fractures, developed a non union [ 7 ]. Garden II : Complete fracture without displacement

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442 Griffin, X. L., Costa, M. L., Parsons, N., et al.: Electromagnetic field stimulation for treating delayed union or non-union of long bone fractures in adults. Cochrane

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