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Home/Biologics/Plastic Designed for Severe Bone Breaks
Biologics

Plastic Designed for Severe Bone Breaks

March 15, 2013 1 min read Premium comments

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Plastic Designed for Severe Bone Breaks
Source: Wikimedia Commons and Gerry Danilatos
Secondary

A plastic made of shrimp shells, one of the components in Elmer’s Glue and a biodegradable polymer used in medical applications may have the potential to become a scaffold for a broken or a missing bone—a placeholder structure that can be replaced with genuine bone as the body heals.

Creator of the plastic is Richard Oreffo, professor of Musculoskeletal Science at the University of Southampton, England. The polymer “has this lovely honeycomb structure that allows living cells to crawl all over it. Blood vessels can penetrate it. So it’s really nice, ” he said.

Oreffo’s team has tested the polymer using mice that had parts of their femur bones removed. The hole was of a size “that won’t heal normally, ” he said. “We can put these scaffolds into that [gap] and look at their repair over four to eight weeks.” When the scaffold was seeded with human bone stem cells, the bone healed faster, but even without the stem cells, the mice’s bones began to fill in along the scaffolding structure.

In humans, the structure should serve to repair bone breaks that are too severe to heal on their own. Given enough time, the new material should fully degrade inside a living body, leaving the repaired bone to stand alone, Oreffo said. The study was recently published online in the journal Advanced Functional Materials.

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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