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Author:

Fu, Ruisen (Fu, Ruisen.) | Feng, Yili (Feng, Yili.) | Bertrand, David (Bertrand, David.) | Du, Tianming (Du, Tianming.) | Liu, Youjun (Liu, Youjun.) (Scholars:刘有军) | Willie, Bettina M. (Willie, Bettina M..) | Yang, Haisheng (Yang, Haisheng.)

Indexed by:

Scopus SCIE

Abstract:

Distraction osteogenesis (DO) is a mechanobiological process of producing new bone and overlying soft tissues through the gradual and controlled distraction of surgically separated bone segments. The process of bone regeneration during DO is largely affected by distraction parameters. In the present study, a distraction strategy with varying distraction rates (i.e., "rate-varying distraction ") is proposed, with the aim of shortening the distraction time and improving the efficiency of DO. We hypothesized that faster and better healing can be achieved with rate-varying distractions, as compared with constant-rate distractions. A computational model incorporating the viscoelastic behaviors of the callus tissues and the mechano-regulatory tissue differentiation laws was developed and validated to predict the bone regeneration process during DO. The effect of rate-varying distraction on the healing outcomes (bony bridging time and bone formation) was examined. Compared to the constant low-rate distraction, a low-to-high rate-varying distraction provided a favorable mechanical environment for angiogenesis and bone tissue differentiation, throughout the distraction and consolidation phase, leading to an improved healing outcome with a shortened healing time. These results suggest that a rate-varying clinical strategy could reduce the overall treatment time of DO and decrease the risk of complications related to the external fixator.

Keyword:

distraction osteogenesis bone regeneration rate-varying distraction mechano-regulatory tissue differentiation finite element analysis

Author Community:

  • [ 1 ] [Fu, Ruisen]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing 100124, Peoples R China
  • [ 2 ] [Feng, Yili]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing 100124, Peoples R China
  • [ 3 ] [Du, Tianming]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing 100124, Peoples R China
  • [ 4 ] [Liu, Youjun]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing 100124, Peoples R China
  • [ 5 ] [Yang, Haisheng]Beijing Univ Technol, Fac Environm & Life, Dept Biomed Engn, Beijing 100124, Peoples R China
  • [ 6 ] [Bertrand, David]McGill Univ, Dept Pediat Surg, Montreal, PQ H4A 3J1, Canada
  • [ 7 ] [Willie, Bettina M.]McGill Univ, Dept Pediat Surg, Montreal, PQ H4A 3J1, Canada
  • [ 8 ] [Bertrand, David]Shriners Hosp Children Canada, Res Ctr, Montreal, PQ H4A 0A9, Canada
  • [ 9 ] [Willie, Bettina M.]Shriners Hosp Children Canada, Res Ctr, Montreal, PQ H4A 0A9, Canada

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Source :

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES

Year: 2021

Issue: 21

Volume: 22

5 . 6 0 0

JCR@2022

ESI Discipline: CHEMISTRY;

ESI HC Threshold:96

JCR Journal Grade:1

Cited Count:

WoS CC Cited Count: 8

SCOPUS Cited Count: 9

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 4

Affiliated Colleges:

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