Pulsed electromagnetic field treatment enhances healing callus biomechanical properties in an animal model of osteoporotic fracture.
Delayed bone healing has been noted in osteoporosis patients and in the ovariectomized (OVX) rat model of estrogen-depletion osteopenia. Pulsed electromagnetic field (PEMF) devices are clinically approved as an adjunct to cervical fusion surgery in patients at high risk for non-fusion and for the treatment of fracture non-unions. These bone growth stimulating devices also accelerate the healing of fresh fracture repair in skeletally mature normal rats but have not been tested for efficacy to accelerate and/or enhance the delayed bone repair process in OVX rats. The current study tested the hypothesis that daily PEMF treatments would improve the fracture healing response in skeletally mature OVX rats. By 6 weeks of healing, PEMF treatments resulted in improved hard callus elastic modulus across fibula fractures normalizing the healing process in OVX rats with respect to this mechanical property. Radiographic evidence showed an improved hard callus bridging across fibula fractures in OVX rats treated with PEMF as compared to sham treatments. These findings provide a scientific rationale for investigating whether PEMF might improve bone-healing responses in at-risk osteoporotic patients.
Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.
Caroline
C
Androjna
Brian
B
Fort
Maciej
M
Zborowski
Ronald J
RJ
Midura
D000818:Animals; D001851:Bone Diseases, Metabolic; D002146:Bony Callus / Q000000981:diagnostic imaging / Q000503:physiopathology*; D004195:Disease Models, Animal; D055119:Elastic Modulus; D005260:Female; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries / Q000503:physiopathology; D017102:Fracture Healing / Q000502:physiology*; D055909:Magnetic Field Therapy / Q000379:methods*; D058866:Osteoporotic Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D010052:Ovariectomy; D011897:Random Allocation; D017207:Rats, Sprague-Dawley; D013997:Time Factors; D055114:X-Ray Microtomography
PEMF; bone; delayed healing; fracture repair; osteoporosis