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Method Article

A Simple Critical-sized Femoral Defect Model in Mice

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DOI:

10.3791/52368

March 15th, 2015

In This Article

Summary

Animal models are frequently employed to mimic serious bone injury in biomedical research. Due to their small size, establishment of stabilized bone lesions in mice are beyond the capabilities of most research groups. Herein, we describe a simple method for establishing and analyzing experimental femoral defects in mice.

Abstract

While bone has a remarkable capacity for regeneration, serious bone trauma often results in damage that does not properly heal. In fact, one tenth of all limb bone fractures fail to heal completely due to the extent of the trauma, disease, or age of the patient. Our ability to improve bone regenerative strategies is critically dependent on the ability to mimic serious bone trauma in test animals, but the generation and stabilization of large bone lesions is technically challenging. In most cases, serious long bone trauma is mimicked experimentally by establishing a defect that will not naturally heal. This is achieved by complete removal of a bone segment that is larger than 1.5 times the diameter of the bone cross-section. The bone is then stabilized with a metal implant to maintain proper orientation of the fracture edges and allow for mobility.

Due to their small size and the fragility of their long bones, establishment of such lesions in mice are beyond the capabilities of most research groups. As such, long bone defect models are confined to rats and larger animals. Nevertheless, mice afford significant research advantages in that they can be genetically modified and bred as immune-compromised strains that do not reject human cells and tissue.

Herein, we demonstrate a technique that facilitates the generation of a segmental defect in mouse femora using standard laboratory and veterinary equipment. With practice, fabrication of the fixation device and surgical implantation is feasible for the majority of trained veterinarians and animal research personnel. Using example data, we also provide methodologies for the quantitative analysis of bone healing for the model.

Introduction

It is estimated that half of the US population experience a fracture by the age of 651. For those patients with fractures treated surgically, 500,000 procedures involve the use of a bone graft2 and this number is expected to rise with an increasingly aging population3. Although bone is one of the few organs that has the capacity to completely heal without scarring, there are instances where the process fails3,4. Depending on the circumstances and quality of treatment, 2-30% of long bone fractures fail, resulting in non-union3,5. While there remains some debate on the definition, pseudoarthrosis, critical-sized or ....

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Protocol

NOTE: This protocol is designed for female nude (Nu/J) mice (18-25 g, 6 weeks) acquired from Jackson Laboratories. Since strains of mice vary slightly in terms of anatomy and growth rate, we advise that the fabrication of pins is optimized to the strain, gender and age of the recipients prior to implantation into live subjects. If the strains are carefully matched, the interference fit between the pin and marrow cavity is highly reproducible. Procedures for housing, diet and general animal husbandry are beyond the scope of this protocol, but all mice were housed in accordance with the Guide for the Care and Use of Laboratory Animals (8th

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Results

Mice typically recover consciousness and hind-limb mobility 5-10 minutes after withdrawal of anesthesia. During the first 5 days, it is advisable to house mice individually and introduce environmental enrichment to prevent excess use of the limb. For this purpose, igloo-type nests reduce the need for nest building and encourage resting. We have also observed that provision of food and hydrogel on the floor of the cage reduces the probability of pin displacement. During the 5-day period, analgesia should be administered a.......

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Discussion

Herein, we describe a simple method to generate a critical-sized pin-stabilized defect of the murine femur using standard laboratory and veterinary equipment. While the assembly of the pins and the surgical procedure itself requires practice, it is well within the capabilities of a well-trained biomedical research scientist or veterinarian.

The pin is positioned into the medullary canal without additional fixation, making the procedure technically more feasible than more complicated approaches.......

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Disclosures

The authors have no competing financial interests.

Acknowledgements

We thank the staff and veterinarians at the Scott & White Hospital Department of Comparative Medicine, Temple, Texas, for their invaluable advice and assistance during the development of this technique. This work was funded in part by The Institute for Regenerative Medicine Program Funds, Scott & White RGP grant #90172, NIH 2P40RR017447-07 and NIH R01AR066033-01 (NIAMS). We thank Dr Suzanne Zeitouni for proofing the manuscript.

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
Pin assembly
Dremel rotary toolDremel8220or equivalent
Heavy duty cut off wheelDremel420
Surgical tubing 19 GSmall Parts (Amazon)B000FMZ8LYOD 1.07 mm, ID 0.889 mm
Surgical tubing 21 GSmall Parts (Amazon)B000FMZ8YQOD 0.82 mm, ID 0.635 mm
Surgical tubing 22 GSmall Parts (Amazon)B000FMYLZSOD 0.719 mm, ID 0.502 mm
Surgical tubing 23 GSmall Parts (Amazon)B000FN0SY0OD 0.643 mm, ID 0.444 mm
Cyanoacrylate adhesiveLoctite1365882
Emery discDremel413
Rubber polishing pointDremel462
Felt polishing discDremel414
Gelatin spongeSurgifoam/Ethicon1974
Punch biopsy cutterMiltex33-34
Surgery/post-operative
Warm pad and circulator pumpStryker/ThermocareTP700, TP700C, TPP722
Coverage quaternary spraySteris1429-77
Bead sterilizerGerminator/CellPoint ScentificGerminator 500
Anesthesia systemVetEquip Inc901806 or 901807/901809
Isofluorane anestheticVETone/MWI501017, 502017
Surgical disinfectantChloraprep/CareFusion260449
Surgical toolsFine Science Toolsvariousrecommend German made
Face protectionSplash Shield4505
Rechargable high speed drillFine Science Tools18000-17
Diamond cutting wheelStrauss Diaiond361.514.080HP
Absorbable sutures CovidienUM-213
Outer suturesEthicon668Gor equivalent
Vetbond3M1469SBor equivalent
Hydration gelClear H2O70-01-1082
Diet gelClear H2O72-01-1062
BuprenorphineReckitt and Benckser12496-0757-01controlled substance
Mouse igloosBio ServK3328, 3570,3327
Euthanasia cocktailEuthasol/Virbac710101controlled substance
Analysis
Live animal imager OrthoscanFD Pulseor equivalent
Micro-CT unit and softwareBrukerSkyscan1174or equivalent
Sealing film/Parafilm MVWR or Fisher100501-338, S37441
*Generic sources are suitable for all other items such as gause, drapes, protective clothing, animal care equipment.

References

  1. Brinker, M. R., O'Connor, D. P. The incidence of fractures and dislocations referred for orthopaedic services in a capitated population. J Bone Joint Surg Am. 86, 290-297 (2004).
  2. Cheung, C. The future of bone healing. Clin Podiatr Med Surg. 22

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Tags

Critical Size DefectMouse Femur ModelMedullary Pin ImplantationBone Healing AnalysisMicro CT ImagingHistological AssessmentSurgical Fixation TechniqueBone Regeneration StudySegmental Bone DefectRadiographic Evaluation