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Abstract 11
in vitro ReConstruction of Epiphyseal Plate and Its application in the repairing of
Epiphyseal Plate injury
1,2Fei Yin, 1Y Yu, 2L Guo, 2JC Wang, 2ZL Gao, 2DS Duan and 1WR Walsh
1Orthopaedic Research Laboratories, University of New South Wales, Prince of Wales
Hospital, Sydney NSW
2Orthopaedic Department, China-Japan Union Hospital, Jilin University, Changchun, PR China
Epiphyseal plate injury may result in deformity of limbs or growth stop. Current treatments
focus on preventing the formation of bone bridging within the injury areas. The commonly used
materials are adipose tissues, bone cement or synthesized materials. Autologous cartilage
transplantation has been tried and the limited resources are the main barrier. With the
advance cell engineering techniques, we harvested chondrocytes from the ribs of 4-weeks
New Zealand Rabbits, reconstructed by high density centrifugation culture and implanted into
the left medial tibial epiphyseal plate defect in 6-weeks New Zealand Rabbits. Empty defects
in the right tibia served as controls. The endpoints were 1, 2, 4, 8, 12, 16 and 24 weeks (5 per
group per time point).
The tibial angles were evaluated by X-ray at 2, 8 and 24 weeks. The histo-morphology was
assessed by H&E and toluidine blue staining.
At 8 weeks, the average tibial angles in the control groups (n=20) showed on X-ray was
38.80±3.50 and it was significantly greater than the treatment sides (9.01±4.2). Histological
staining revealed bone in-growth in the control group at 2 weeks, while the treatment groups
presented disorganized cartilage. At 4 weeks cartilage layers were noted in the treatment
groups and the cutting edges disappeared.
Autologous epiphyseal plate reconstruction is a cell-based tissue therapy which allows
expending the limited resources as well as reshaping and resizing thus provide a significant
clinical application.
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