Unusual Excessive Callus Formation in the Intertrochanteric Fracture Treated with Teriparatide / 대한고관절학회지

This is the first case report on the effects of teriparatide on the course of healing of an intertrochanteric hip fracture with unusually excessive callus formation even after discontinuation of treatment in an elderly woman. This case highlights the long-term effects of parathyroid hormone, even after administration of short-term, intermittent dosages for healing of osteoporotic fracture.

Indução, caracterização bioquímica e ultra-estrutural de calos de aroeira-do-sertão (Myracrodruon urundeuva Fr. All. ) / Induction, biochemical and ultrastructural characterization of the callus of "aroeira-do-sertão" (Myracrodruon urundeuva Fr. All. )

A aroeira-do-sertão (Myracrodruon urundeuva Fr. All.) é espécie arbórea que apresenta grande valor econômico devido às propriedades químicas da casca com elevado teor de taninos. Em decorrência da exploração predatória encontra-se inserida na lista oficial de espécies da flora brasileira ameaçadas de extinção na categoria vulnerável. A micropropagação vem sendo colocada como importante forma de multiplicação dessa espécie, na busca de alternativa para a exploração sustentável. Este trabalho foi realizado com o objetivo de induzir calos a partir de segmentos foliares usando 2,4-D e caracterizá-los quanto aos aspectos morfológicos e bioquímicos. Os resultados obtidos indicam que é possível induzir calos a partir de segmentos foliares de aroeira-do-sertão utilizando-se 2,4-diclorofenoxiacético (2,4-D). Os calos obtidos foram compactos e não-embriogênicos, apresentando valores médios de 43,32 mg g-1 de açúcares solúveis totais; 23,62 mg g-1 de açúcares redutores; 3,157 mg g-1 de proteína total; 3,147 mg g-1 de aminoácidos livres e 0,914 mg g-1 de compostos fenólicos totais na matéria fresca.

"Aroeira-do-sertão" (Myracrodruon urundeuva Fr. All.) is a tree species that has great economic value due to the chemical properties of its bark, which has high tannin content. On account of the predatory exploitation it has been placed in the official list of threatened species of the Brazilian flora, in the vulnerable category. Micropropagation has been considered an important form of multiplication of this species in the search for an alternative for its sustainable exploitation. This study was conducted with the aim of inducing callus from leaf segments using 2,4-D and characterizing them according to their morphological and biochemical aspects. The obtained results indicate that it is possible to induce callus from leaf segments of M. urundeuva using 2,4-dichlorophenoxyacetic (2,4-D). The obtained calluses were compact and non-embryogenic, with average values of 43.32 mg g-1 total soluble sugars, 23.62 mg g-1 reducing sugars, 3.157 mg g-1 total protein, 3.147 mg g-1 free-form amino acids and 0.914 mg g-1 phenolic compounds in the fresh matter.

Desenvolvimento e desempenho de um fixador flexível na consolidação de fraturas diafisárias transversais provocadas iatrogênicamente na tíbia de carneiros / Development and performance of a flexible fixator on bone healing of transverse diaphyseal fracture caused iatrogenically in the sheep tibiae

Foi realizado um estudo experimental sobre o desenvolvimento e desempenho de um fixador externo flexível no processo de consolidação de tíbias de carneiros submetidas à osteotomia transversa mediodiafisária. Foram empregados no estudo 20 carneiros da raça Santa Inês, com massa corporal média de 37kg, divididos em diferentes grupos conforme o período de observação pós-operatória, de 30, 45, 60 e 90 dias. Ao final, os animais sofreram a eutanásia e as tíbias foram removidas para estudo de volumetria transversal do calo ósseo por tomografia computadorizada e ensaio mecânico destrutivo. Os resultados mostraram que ocorreu a formação de calo ósseo volumoso, caracterizando assim a ocorrência de deslocamento de carga axial para o foco da osteotomia, promovida pelo fixador externo utilizado. No ensaio mecânico, observou-se que as comparações entre os grupos respectivos intactos e operados foram significantemente diferentes (P<0,05), com exceção do grupo com 90 dias, demonstrando haver rigidez equivalente ao osso normal. Em nenhum dos animais, houve desenvolvimento de pseudoartroses ou não união óssea. Diante dos resultados, conclui-se que o uso do fixador com haste flexível abordado nesta pesquisa para o tratamento de fraturas dos ossos longos de animais de médio porte foi de fácil aplicação, reprodutível e recomendável.

An experimental study was carried out to verify the development and performance of a flexible external fixator on the bone healing process of the tibia of sheep submitted to a transverse diaphyseal osteotomy. It was used twenty Santa Inês sheep with average weigh of 37kg divided in groups, according to the period of postoperative observation of 30, 45, 60 and 90 days. At the end, the animals were sacrificed and the tibiae were removed for study of transverse callus volumetric by computed tomography and destructive mechanical testing. The results had shown that the formation of voluminous callus occurred, thus characterizing the occurrence of displacement of axial load to the focus of the osteotomy, promoted by the used external fixator used. The mechanical testing showed that the comparisons between the respective intact and operated groups were significantly different (P<0.05) except for the group with 90 days, which demonstrated equivalent stiffness when compared to normal bone. In none of the animals there was development of pseudarthrosis or non-union of the bone. Given the results, it was conclude that the use of the flexible fixator covered in this research for treatment of long bones fractures in medium animals was easy to apply, reproducible and recommended.

Effect of Traumatic Brain Injury on Healing of Femur shaft Fracture / 대한정형외과연구학회지

PURPOSE: Among the fracture patients, there is a tendency to form more callus and get fracture united earlier in groups with traumatic brain injury. This retrospective study is to evaluate the factors that might accelerate the bone formation by comparing two groups in serologic tests, clinical and radiologic results. MATERIALS AND METHODS: From March 2001 to July 2009, femur shaft fracture patients were divided in two groups 1) without traumatic brain injury (32cases), 2) fracture with traumatic brain injury combined (30cases). We evaluated the routine serologic exams, amount of callus formations during the follow up period. RESULTS: There was no statistical difference in WBC, CRP, total calcium, LDH level between two groups, except Alkaline phosphatase level. Amount of callus formation on AP radiograph at the last follow up period was 74.9% in study, 42.6% in control group. Lateral radiograph showed 73.2% of callus formation rate in study group and 32.0% in control group. CONCLUSION: Two groups had no significant difference with the routine serologic exam except Alkaline phosphatase. Group with traumatic brain injury had much more amount of callus formation but there was no evidence of traumatic brain injury accelerate the fracture healing.

Evaluation of gelling agents on anther culture: response of two soybean cultivars

Anthers of two soybean cultivars were cultured in B5 long basal culture media gelled with agarose or PhytagelTM. Cytological examinations of the anthers were carried out during the first 45 days of culture to assay the viability and developmental stage of microspores. Frequency of callus formation was recorded at 45 days of culture. The analysis of variance of the microspore viability assay showed significant Cultivar X Gelling Agent X Day of Culture interactions. The frequencies of viable microspores decreased significantly with time of culture, within each cultivar and gelling agent tested. The interaction Day X Cultivar was significant for the frequencies of binucleate symmetrical grains and multinucleate/multicellular structures. The effect of gelling agents on the frequency of binucleate symmetrical pollens grains and multinucleate/multicellular structures was not significant. About the frequencies of calli and embryogenic calli formed, a significant difference was detected between the cultivars (IAS5= 14.8 percent and BRS 133=6.6 percent). Gelling agents showed no effect over these frequencies.

Anteras de duas cultivares de soja foram cultivadas em meio de cultura basal B5 longo gelificado com agarose ou Phytagel®. Análises citológicas das anteras foram conduzidas durante os primeiros 45 dias de cultura para avaliar a viabilidade e o estágio de desenvolvimento dos micrósporos. A freqüência de formação de calos foi analisada após 45 dias do início da cultura. A análise da variância da viabilidade do micrósporo mostrou interações significativas de Cultivar X Agente Gelificante X Dias de Cultura. As freqüências de grãos de pólen viáveis diminuíram significativamente com o tempo de cultura, dentro de cada cultivar e agente gelificante testado. A interação Dia X Cultivar foi significante para as freqüências de grãos de pólen binucleados simétricos e estruturas multinucleados/multicelulares. O efeito do agente gelificante na freqüência de grãos de pólen binucleados simétricos e estruturas multinucleados/multicelulares não foi significante. Com relação às freqüências de calos e estruturas embriogênicas formadas, houve diferença significativa entre cultivares (IAS5= 14.8 por cento e BRS 133=6.6 por cento). O agente gelificante não mostrou efeito em tais freqüências.

Effect of latency period and direction of distraction on the new bone formation during distraction osteogenesis