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2017 ; 12
(11
): e0187447
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The treatment of femoral neck fracture using VEGF-loaded nanographene coated
internal fixation screws
#MMPMID29117211
Li S
; Yuan H
; Pan J
; Fan W
; Zhu L
; Yan Z
; Guo C
PLoS One
2017[]; 12
(11
): e0187447
PMID29117211
show ga
PURPOSE: Previous studies have proved that vascular endothelial growth factor
(VEGF) has a dual role in the promotion of new bone formation and blood vessel
repair during fracture healing. However, how to introduce VEGF to a fracture site
safely and effectively is still a challenge. This study aimed to prepare a
VEGF-loaded nanographene coated internal fixation screw and to evaluate its
effects in the treatment of femoral neck fracture. METHODS: Nanographene coated
screws were prepared by direct liquid-phase exfoliation of the graphite method,
and the surface characteristics were observed through scanning electron
microscopy (SEM). VEGF was loaded on nanographene coatings through physical
adsorption, and the VEGF controlled release was examined by ELISA. Then a canine
femoral neck fracture model was built to examine both the angiogenic and
osteogenic properties of the VEGF-loaded coated screws. X-ray, micro-CT-based
microangiography, and histopathologic evaluation were used to assess the fracture
healing progress. RESULTS: The results demonstrated that nanographene could load
VEGF effectively, and the accumulative release of VEGF clearly increased during
the entire testing period (9 days) without burst release. In canine fracture
models, the results of X-ray, microangiography, and histopathologic examination
proved that the speed of fracture healing, new bone formation area, and
revascularization of the fractured femoral heads in the VEGF-loaded coated screws
groups were significantly higher than in the control groups. CONCLUSION: Our
study proved that VEGF-loaded nanographene coated screws were effective in the
treatment of femoral neck fracture and prevention of avascular necrosis of
femoral head.