Using Xenogenic (Calf Foetal) Osteochondral Transplantation for Articular Cartilage Defect in Rabbit Model

Farhangnia, Iman; Bigham-Sadegh, Amin; Shirian, Sadegh; Javdani, Moosa

doi:10.22034/ijos.2020.121374

Using Xenogenic (Calf Foetal) Osteochondral Transplantation for Articular Cartilage Defect in Rabbit Model

Authors

Iman Farhangnia

Amin Bigham-Sadegh

Sadegh Shirian

Moosa Javdani

https://doi.org/10.22034/ijos.2020.121374

Abstract

Background: The destruction of articular cartilage is the major cause of articular problems. The articular cartilage has little repair postertial due to lack of perichondrium and direct blood circulation. It is, therefore important to consider this phenomena in surgical treatments. One of the articular cartilage reconstructive surgeries is using Osteo-Chondral graft. The main purpose of this research was to investigate the use of Xenogenic (calf foetal) Osteo-Chondral graft in repairing articular cartilage defect on Rabbit’s model.
Methods: Osteo-Chondral pieces were prepared under aseptic condition from the joints by skin punch device and kept at a temperature of 70ºc below zero. Ten male New Zealand rabbits of one year old were randomly divided into two groups of five, as control and transplantation groups calf's fetal. The skin and joint capsule were opened by surgery and articular cartilage was exposed. After defect creation by drill, in the transplanted group an Osteo-Chondral piece was inserted in the defected area; however, in the control group the defect was created but left empty. Joint capsule and skin were sutured in both groups. During 60 days of study, radiographs were taken from rabbits of each group randomly to evaluation of osteoarthritis signs on days 14, 28 and 42. Finally all rabbits were euthanized for histopathological sampling and evaluated on day 60.
Results: The result of the clinical evaluations did not show any sing of inflammation nor limping. In radiological evaluation there was no evidence of arthritis complications but showed defect filling signs in experimental group. In the histopathologic evaluations, the defect of transplanted group was filled with fibro-cartilage tissues and without any signs of graft rejection. In two samples of five specimens of transplanted group Fibrous tissue was the dominant tissue and in other two as the dominant tissue. Only in one sample of this group the integrity of the cartilage tissue was completely formed. But in the control group, the lesions were observed without any restorative tissue and only filled by red blood cells.
Conclusion: The study suggests that Xenogenic Foetal Osteo-Chondral tissue is an effective tissue for repairing articular cartilage defects.

Keywords

Key words: Articular cartilage

xenograft

Biomaterial

Simon TM, Jackson DW. Articular cartilage: Injury pathways and treatment options. Sports Med Arthrosc Rev. 2018;26:31-9.
Marcacci M, Filardo G, Kon E. Treatment of cartilage lesions: What works and why? Injury. 2013;44 Suppl 1:S11-5.
Sherman SL, Thyssen E, Nuelle CW. Osteochondral autologous transplantation. Clin Sports Med. 2017;36:489-500.
Bexkens R, Ogink PT, Doornberg JN, Kerkhoffs G, Eygendaal D, Oh LS, et al. Donor-site morbidity after osteochondral autologous transplantation for osteochondritis dissecans of the capitellum: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2017;25:2237-46.
Bigham-Sadegh A, Karimi I, Shariati SE, Oryan A. The role of cortical autograft, commercial-demineralized bone matrix, calf fetal demineralized bone matrix and calf fetal growth plate powder on bone healing in rabbits. Veterinarski arhiv. 2015;85(1):23-36.
Meimandi Parizi A, Oryan A, Haddadi S, Bigham Sadegh A. Histopathological and biomechanical evaluation of bone healing properties of DBM and DBM-G90 in a rabbit model. Acta Orthop Traumatol Turc. 2015;49:683-9.
Colaço HB, Shah Z, Back D, Davies A, Ajuied A. (iv) Xenograft in orthopaedics. Orthop Trauma. 2015;29:253-60.
Shafiei-Sarvestani Z, Oryan A, Meimandi-Parizi A, Bigham-Sadegh A. Histological, biomechanical and radiological evaluation of bone repair with human platelet rich plasma in rabbit model. Zahedan Journal of Research in Medical Sciences. 2015;17(2):1-6.
Hayashi S, Nakasa T, Ishikawa M, Nakamae A, Miyaki S, Adachi N. Histological evaluation of early-phase changes in the osteochondral unit after microfracture in a full-thickness cartilage defect rat model. Am J Sports Med. 2018;46:3032-9.
Orth P, Peifer C, Goebel L, Cucchiarini M, Madry H. Comprehensive analysis of translational osteochondral repair: Focus on the histological assessment. Prog Histochem Cytochem. 2015;50:19-36.
Ferreira C, Vuurberg G, Oliveira JM, Espregueira-Mendes J, Pereira H, Reis RL, et al. Good clinical outcome after osteochondral autologous transplantation surgery for osteochondral lesions of the talus but at the cost of a high rate of complications: a systematic review. J ISAKOS. 2016;1:184-91.
Horas U, Pelinkovic D, Herr G, Aigner T, Schnettler R. Autologous chondrocyte implantation and osteochondral cylinder transplantation in cartilage repair of the knee joint. A prospective, comparative trial. J Bone Joint Surg Am. 2003;85-a:185-92.
Cotter EJ, Waterman BR, Kelly MP, Wang KC, Frank RM, Cole BJ. Multiple osteochondral allograft transplantation with concomitant tibial tubercle osteotomy for multifocal chondral disease of the knee. Arthrosc Tech. 2017;6:e1393-e8.
Takahashi T, Sato M, Toyoda E, Maehara M, Takizawa D, Maruki H, et al. Rabbit xenogeneic transplantation model for evaluating human chondrocyte sheets used in articular cartilage repair. J Tissue Eng Regen Med. 2018;12:2067-76.
Niemietz T, Zass G, Hagmann S, Diederichs S, Gotterbarm T, Richter W. Xenogeneic transplantation of articular chondrocytes into full-thickness articular cartilage defects in minipigs: fate of cells and the role of macrophages. Cell Tissue Res. 2014;358:749-61.