Systemic and local reactions of a water-soluble copolymer bone on a bony defect of rabbit model

Surg Neurol. 2009 Dec:72 Suppl 2:S75-9; discussion S79. doi: 10.1016/j.surneu.2009.06.007. Epub 2009 Aug 7.

Abstract

Background: Ostene, a synthetic water-soluble bone hemostatic agent, is commercially available. In the current study, we evaluated the systemic and local effects of this copolymer in a rabbit model.

Methods: Eighteen rabbits underwent creation of a bony defect at right iliac crest. These rabbits were then evenly divided into 3 groups. In group 1, the defect surfaces were treated with bone wax; in group 2, the defect surfaces were treated with Ostene; in group 3, the defect surfaces were not treated with anything. Then, the animals underwent blood examinations, including WBC count, CRP, and ESR at 0, 1, 3, and 6 weeks, and were killed at 6 weeks for histologic examination. Another 6 rabbits (group 4) underwent the same surgical treatment of group 2 animals but had blood examinations of BUN and creatinine.

Results: The blood examinations showed that the WBC count, CRP, and ESR of all the animals in the first 3 groups were within normal limits in the postoperative periods. Microscopic examinations demonstrated residual bone wax and fibrotic tissue at the defect surfaces in group 1 animals. However, there was no Ostene at the defect surfaces in group 2 animals. The groups 2 and 3 animals showed no fibrotic tissue at the defect surfaces. The group 4 animals showed normal serum levels of BUN and creatinine in the postoperative periods.

Conclusion: Ostene is absorbable and induces no systemic inflammation (including acute renal damage) and local inflammation in animal bodies.

MeSH terms

  • Animals
  • Biomarkers / analysis
  • Biomarkers / metabolism
  • Bone Diseases / surgery*
  • Bone Substitutes / chemistry
  • Bone Substitutes / toxicity*
  • C-Reactive Protein / analysis
  • C-Reactive Protein / metabolism
  • Disease Models, Animal
  • Drug Combinations
  • Inflammation / chemically induced
  • Inflammation / physiopathology
  • Kidney Diseases / chemically induced
  • Kidney Diseases / physiopathology
  • Leukocyte Count
  • Male
  • Palmitates / therapeutic use
  • Plastic Surgery Procedures / methods*
  • Poloxamer / chemistry
  • Poloxamer / toxicity*
  • Polymers / chemistry
  • Polymers / toxicity*
  • Rabbits
  • Waxes / therapeutic use

Substances

  • Biomarkers
  • Bone Substitutes
  • Drug Combinations
  • Ostene
  • Palmitates
  • Polymers
  • Waxes
  • Poloxamer
  • bone wax
  • C-Reactive Protein