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Subject: Veterinary Surgery and Radiology × Author: Raj Kumari × End date: 2021 × Start date: 2020 × Type: Thesis ×
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    ThesisItemOpen Access
    Studies on applicability of titanium mesh cage for osteosynthesis of induced long bone segmental defects in rabbits (Oryctolagus cuniculus )
    (G.B. Pant University of Agriculture and Technology, Pantnagar - 263145 (Uttarakhand), 2021-08) Raj Kumari; Das, Arup Kumar
    The present study was conducted in two phases. In the first phase suitable anaesthetic protocol, for the development of orthopaedic model in rabbits, was explored. It was conducted in twenty (20) clinically healthy adult New Zealand white rabbits (~1.5-2.0 years old), of either sex, weighing 1.5 to 2.0 kg and were arbitrarily allocated for anaesthetic protocol-1 and anaesthetic protocol-2 containing 10 rabbits in each protocol. The common features included in these two anaesthetic protocols that premedication and induction agents along with dose rate were kept similar and an interval of five minutes was kept between each of these injections. Afterwards anaesthesia was maintained by sevoflurane in rabbits of protocol-1 and with isoflurane in rabbits of protocol-2. On the basis of evaluation of anaesthesia related parameters - sevoflurane was found relatively a better maintenance anaesthetic agent. Thereafter sevoflorane was used during the model development and surgical repair of left tibial midshaft segmental defects (LBSDs). In the second phase of study sixteen (16) adult New Zealand white rabbits (~1.5-2.0 years old) of either sex, weighing 1.5 to 2.5 kg were selected and were divided randomly into two groups (A and B) with eight animals in each group. In these rabbits LBSDs were created and cylindrical Ti-mesh cages and full length intramedullary Ti K-wire were used as implants for osteosynthesis. In rabbits of Group-B Ti-mesh cages were filled with HA ladened Mg-gelatin-collagen-spacer. On the basis of evaluation of parameters, better wound healing was observed in rabbits of Group-B compared to Group-A rabbits. Evaluation of biochemical parameters also showed greater intensity in healing of LBSDs of Group-B. The radiological parameters showed faster rate of new bone formation, reduction in gap (1.00 cm) and remodeling of segmental defect in rabbits of Group- B. On gross observations of segmental defect at the test limb it was found that a clear visible new bone bridging the entire defect and was closely integrated with the proximal and distal host bone-cage junction was observed in Group-B rabbits. However a slightly visible gap was observed in Group -A animals of this study. Although in both the groups the implant materials remained completely stable and in correct alignment that might have adequately aided in process fracture healing. The findings of histopathological and tetracycline labeling were also corroborating the findings of clinical and radiological parameters. Conclusively a better fracture healing and bridging of critical size defect was observed in rabbits of Group B as compared to Group -A rabbits and it can be stated that spacer used in this group might have aided for it and possessing attributes of osteogenicity, biodegradibity and biocompatability. In summated form it can be stated that the outcome of surgical management of large segmental defects of the tibia using cylindrical titanium mesh cages has advantages of comparative simplicity and versatility. So it has the scope to be used for the treatment of long segmental bone defects in clinical veterinary practice. However, further clinical studies are required in order to evaluate of its efficacy.