Effects of Neuromuscular Electrical Stimulation on Distracted Boneafter Mandibular Distraction Osteogenesis in Canine Model

성견의 하악골 골신장술 후 골 형성에 대한 신경근육의 전기적 자극의 효과

  • Son, Jang-Ho (Department of Oral & Maxillofacial Surgery, College of Medicine, University of Ulsan) ;
  • Park, Bong-Wook (Department of Oral & Maxillofacial Surgery, College of Medicine, Gyeongsang National University) ;
  • Byun, June-Ho (Department of Oral & Maxillofacial Surgery, College of Medicine, Gyeongsang National University) ;
  • Cho, Yeong-Cheol (Department of Oral & Maxillofacial Surgery, College of Medicine, University of Ulsan) ;
  • Sung, Iel-Yong (Department of Oral & Maxillofacial Surgery, College of Medicine, University of Ulsan)
  • 손장호 (울산대학교 의과대학 구강악안면외과학교실) ;
  • 박봉욱 (경상대학교 의과대학 구강악안면외과학교실) ;
  • 변준호 (경상대학교 의과대학 구강악안면외과학교실) ;
  • 조영철 (울산대학교 의과대학 구강악안면외과학교실) ;
  • 성일용 (울산대학교 의과대학 구강악안면외과학교실)
  • Received : 2010.06.18
  • Accepted : 2011.01.04
  • Published : 2011.03.31

Abstract

Purpose: This study was designed to examine whether the use of neuromuscular electrical stimulation (NMES) after mandibular distraction osteogenesis accelerated bone formation and consolidation. Methods: Eight adult dogs underwent mandibular left body osteotomy. After a 3 day latency period, a distraction rod device was activated at a rate of 1.0 mm once per day for 10 days. After the completion of mandibular lengthening, NMES group was treated twice daily with 2 hours of NMES for 14, and 28 days, while non-NMES group did not receive NMES. The distracted segment was evaluated radiolgraphically histologically and than immunohistochemically for osteopontin (OPN) to evaluate new bone formation and consolidation. Results: Radiography, did not demonstrate significantly different images between the group and the NMES group. Histological examination however, showed that the new bone formation 14 and 28 days after distraction was better in the NMES group when compared to non-NMES group. Immunohistochemical analysis demonstrated that the staining intensity of OPN increased more in the NMES group than in non-NMES group during early consolidation. Conclusion: The results of this study demonstrated that the use of NMES can promote bone formation and consolidation.

Keywords

References

  1. Codirilla A. On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. 1904. Clin Orthop Relat Res 1994;(301):4-9.
  2. Ilizarov GA. The tension-stress effect on the genesis and growth of tissues: Part I. The influence of stability of fixation and soft tissue preservation. Clin Orthop Relat Res 1989;(238):249-81.
  3. Corcoran J, Hubli EH, Salyer KE. Distraction osteogenesis of costochondral neomandibles: a clinical experience. Plast Reconstr Surg 1997;100:311-5; discussion 316-7. https://doi.org/10.1097/00006534-199708000-00004
  4. Mayr E, Laule A, Suger G, Ruter A, Claes L. Radiographic results of callus distraction aided by pulsed low-intensity ultrasound. J Orthop Trauma 2001;15:407-14. https://doi.org/10.1097/00005131-200108000-00005
  5. Hagiwara T, Bell WH. Effect of electrical stimulation on mandibular distraction osteogenesis. J Craniomaxillofac Surg 2000;28:12-9. https://doi.org/10.1054/jcms.1999.0104
  6. Hamanishi C, Yoshii T, Totani Y, Tanaka S. Bone mineral density of lengthened rabbit tibia is enhanced by transplantation of fresh autologous bone marrow cells. An experimental study using dual x-ray absorptiometry. Clin Orthop Relat Res 1994;(303):250-5.
  7. Wiltfang J, Kessler P, Merten HA, Neukam FW. Continuous and intermittent bone distraction using microhydraulic cylinder: an experimental study in minipigs. Br J Oral Maxillofac Surg 2001;39:2-7. https://doi.org/10.1054/bjom.2000.0564
  8. Cho YC, Sung IY, Byun JH, et al. Expression of osteocalcin and callus reaction during distraction osteogenesis with recombinant human bone morphogenic protein-7 injection. J Korean Oral Maxillofac Surg 2006;32:317-26.
  9. Moffid MM, Inoue N, Atabey A, et al. Callus stimulation in distraction osteogenesis. Plast Reconstr Surg 2002;109: 1621-9. https://doi.org/10.1097/00006534-200204150-00020
  10. Park SH, Silva M. Neuromuscular electrical stimulation enhances fracture healing: results of an animal model. Neuromuscular electrical stimulation enhances fracture healing: results of an animal model. J Orthop Res 2004;22:382-7. https://doi.org/10.1016/j.orthres.2003.08.007
  11. Burr DB, Frederickson RG, Pavlinch C, Sickles M, Burkart S. Intracast muscle stimulation prevents bone and cartilage deterioration in cast-immobilized rabbits. Clin Orthop Relat Res 1984;(189):264-78.
  12. Bloomfield SA, Mysiw WJ, Jackson RD. Bone mass and endocrine adaptations to training in spinal cord injuried individuals. Bone 1996;19:61-8. https://doi.org/10.1016/8756-3282(96)00109-3
  13. Chen J, Shapiro HS, Sodek J. Development expression of bone sialoprotein mRNA in rat mineralized connective tissues. J Bone Mineral Res J Bone Miner Res 1992;7:987-97.
  14. Goldberg HA, Warner KJ, Li MC, Hunter GK. Binding of bone sialoprotein, osteopontin and synthetic polypeptides to hydroxyapatite. Connect Tissue Res 2001;42:25-37. https://doi.org/10.3109/03008200109014246
  15. Tavakoli K, Yu Y, Shahidi S, Bonar F, Walsh WR, Poole MD. Expression of growth factors in the mandibular distraction zone: a sheep study. Br J Plast Surg 1999;52:434-9. https://doi.org/10.1054/bjps.1999.3157
  16. Hu J, Zou S, Li J, Chen Y, Wang D, Gao Z. Temporospatial expression of vascular endothelial growth factor and basic fibroblast growth factor during mandibular distraction osteogenesis. J Craniomaxillofac Surg 2003;31:238-43. https://doi.org/10.1016/S1010-5182(03)00034-9
  17. Byun JH, Park BW, Sung IY, Cho YC, Kim JR. Immunohistochemical study of osteopontin expression in the distracted bone after canine mandibular distraction osteogenesis. J Korean Oral Maxillofac Surg 2006;32:418-25.
  18. Clemente FR, Matulionis DH, Barron KW, Currier DP. Effect of motor neuromuscular electrical stimulation on microvascular perfusion of stimulated rat skeletal muscle. Phys Ther 1991;71:397-404; discussion 404-6. https://doi.org/10.1093/ptj/71.5.397
  19. Faghri PD, Votto JJ, Hovorka CF. Venous hemodynamics of the lower extremities in response to electrical stimulation. Arch Phys Med Rehabil 1998;79:842-8. https://doi.org/10.1016/S0003-9993(98)90368-9
  20. Pepper JR, Herbert MA, Anderson JR, Bobechko WP. Effect of capacitive coupled electrical stimulation on regenerate bone. J Orthop Res 1996;14:296-302. https://doi.org/10.1002/jor.1100140219
  21. Miller BF, Gruben KG, Morgan BJ. Circulatory responses to voluntary and electrically induced muscle contractions in humans. Phys Ther 2000;80:53-60.
  22. Cornell CN, Lane JM. Newest factors in fracture healing Clin Orthop Relat Res 1992;(277):297-311.
  23. Jee YJ, Kang DS, Song HC. Expression of type I, type II collagen on distraction osteogenesis in the rabbit mandible. J Korean Oral Maxillofac Surg 2004;30:261-70.
  24. Kasugai S, Todescan R Jr, Nagata T, Yao KL, Butler WT, Sodek J. Expression of bone matrix proteins associated with mineralized tissue formation by adult rat bone marrow cells in vitro: inductive effects or dexamethasone in the osteoblast phenotype. J Cell Physiol 1991;147:111-20. https://doi.org/10.1002/jcp.1041470115
  25. Sato M, Yasui N, Nakase T, et al. Expression of bone matrix proteins mRNA during distraction osteogenesis. J Bone Miner Res 1998;13:1221-31. https://doi.org/10.1359/jbmr.1998.13.8.1221
  26. Nomura S, Wills AJ, Edwards DR, Heath JK, Hogan BL. Developmental expression of 2ar (osteopontin) and SPARC (osteonectin) RNA as revealed by in situ hybridization. J Cell Biol 1988;106:441-50. https://doi.org/10.1083/jcb.106.2.441
  27. Gordjestani M, Dermaut L, De Ridder L, et al. Osteopontin and bone metabolism: a histology and scintiraphy study in rats. Int J Oral Maxillofac Surg 2005;34:794-9. https://doi.org/10.1016/j.ijom.2005.04.013
  28. Nomura S, Takano-Yamamoto T. Molecular events caused by mechanical stress in bone. Matrix Biol 2000;19:91-6. https://doi.org/10.1016/S0945-053X(00)00050-0
  29. Huang W, Carlsen B, Rudkin G, et al. Osteopontin is a negative regulator of proliferation and differentiation in MC3T3- E1 pre-osteoblastic cells. Bone 2004;34:799-808. https://doi.org/10.1016/j.bone.2003.11.027
  30. Perrien DS, Brown EC, Aronson J, et al. Immunohistochemical study of osteopontin expression during distraction osteogenesis in the rat. J Histochem Cytochem 2002;50:567-74. https://doi.org/10.1177/002215540205000414