Modeling distraction osteogenesis: analysis of the distraction rate

Biomech Model Mechanobiol. 2009 Aug;8(4):323-35. doi: 10.1007/s10237-008-0138-x. Epub 2008 Sep 16.

Abstract

Distraction osteogenesis is a useful technique aimed at inducing bone formation in widespread clinical applications. One of the most important factors that conditions the success of bone regeneration is the distraction rate. Since the mechanical environment around the osteotomy site is one of the main factors that affects both quantity and quality of the regenerated bone, we have focused on analyzing how the distraction rate influences on the mechanical conditions and tissue regeneration. Therefore, the aim of the present work is to explore the potential of a mathematical algorithm to simulate clinically observed distraction rate related phenomena that occur during distraction osteogenesis. Improvements have been performed on a previous model (Gómez-Benito et al. in J Theor Biol 235:105-119, 2005) in order to take into account the load history. The results obtained concur with experimental findings: a slow distraction rate results in premature bony union, whereas a fast rate results in a fibrous union. Tension forces in the interfragmentary gap tissue have also been estimated and successfully compared with experimental measurements.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Animals
  • Biomechanical Phenomena
  • Bone Regeneration*
  • Equipment Design
  • Models, Biological
  • Models, Statistical
  • Models, Theoretical
  • Osteogenesis
  • Osteogenesis, Distraction / methods*
  • Pressure
  • Sheep
  • Software