RRJoVST (2017) 3-6 © STM Journals 2017. All Rights Reserved Page 3
Research & Reviews: Journal of Veterinary Science and Technology
ISSN: 2319-3441 (Online), ISSN: 2349-3690 (Print)
Volume 6, Issue 3
www.stmjournals.com
Histopathological Evaluation of Polymethyl Methacrylate
and Hydroxyapatite Implants for Fracture Healing in
Rabbits
K. Harsha Vardhan, V. Devi Prasad*, Makkena Sreenu, N. Syaamasundar
Department of Veterinary Surgery and Radiology, NTR College of Veterinary Science, Gannavaram,
Andhra Pradesh, India
Abstract
Experimentally created mid diaphyseal fractures in 24 rabbits were treated by intramedullary
pinning with K-wires, polymethyl methacrylate (PMMA) implants and intramedullary pinning
after stuffing with hydroxyapatite (HA) paste and the histopathological changes were
recorded. Healing process was not progressive, in control group, as indicated by presence of
only a few osteocytes in the matrices, discontinuity in the epithelial layer and extensive
vacuolation with occasional presence of giant cells. In PMMA group, healing pattern by
endochondral method of ossification was evident by day 30 and day 60, normal structure of
bone with remarkably high osteoid formation and osteocytes proliferation were observed. In
HA group, vacuolation and discrete presence of osteocytes separated by interlacing
trabeculae when compared to the other two groups were more pronounced. By day 60,
endosteal vascularization could be depicted under high power. To conclude, of all the three
groups healing was better in PMMA group when compared to the other two groups.
Keywords: polymethyl methacrylate (PMMA), hydroxyapatite (HA), endosteal
vascularization, endochondral ossification, vacuolation
*Author for Correspondence E-mail: professorprasad@yahoo.com
INTRODUCTION
Fracture is defined as a discontinuity in hard
tissues such as bone and cartilage. The fracture
in animals invariably causes pain and suffering
to them, apart from loss of function of' the
affected limb. The methods to address
fractures in different species vary
significantly. In the recent years, there has
been a trend to use biodegradable and bio-
absorbable implants for fracture healing in
animals. As polymethyl methacrylate
(PMMA) can be molded to different shapes
and sizes, it was used for the repair of
fractures. Hydroxyapatite (HA) is a
biocompatible implant material having
osteoconductive capacity and is known for its
passive support for neovascularization. In the
present paper, the efficacy of PMMA and HA
was shown in terms of histopathological
features.
MATERIALS AND METHODS
The experiment was conducted in 24 rabbits
divided into three groups of eight each. In all
the animals, diaphyseal fractures were created
using a circular wire saw and were
immobilized with K-wires (n=8; Group- I),
PMMA implants (n=8; Group, II) and HA
quoted implants (n=8; Group, III). The
stainless-steel K-wires of 1–2 mm diameter
were employed to immobilize the fracture
fragments through standard protocol. In the
second group, the PMMA implants resembling
K-wires were prepared by mixing the powder
with liquid copolymer and were used to
immobilize the fracture fragments (Figure 1).
It was smeared in the groove of a mold under
low temperature and the implant was used for
immobilizing the fracture fragments. In the
third group, HA paste was stuffed into the
medullary cavity of the fragments and K-wires
were used for fixation (Figure 2). Two rabbits
from each group were euthanized using
Thiopentone Sodium by intravenous route till
effect and the fractured femur was collected
for gross and histopathological evaluation. The
bone samples were made free from the soft
tissue. After total decalcification, bone
samples were subjected for routine paraffin
embedding technique and the sections were
stained by the Hematoxylin-Eosin staining
technique as per the method of Singh and
Sulochana [1].