Bone Biomechanics: Diseases, Treatment and Rehabilitation

A special issue of Osteology (ISSN 2673-4036).

Deadline for manuscript submissions: closed (30 August 2022) | Viewed by 15174

Special Issue Editor


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Guest Editor
Department of Physical Education and Sports (EPS), University of Reims Champagne-Ardenne, 51100 Reims, France
Interests: biomechanics of health disease and rehabilitation; industry engineering for medicine and high-level sport
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Special Issue Information

Dear Colleagues,

Biomechanics is the discipline concerned by the application of the tools, methods and formalisms of mechanics and automation aiming to study human movement. By dealing specifically with the biological aspects of humans in motion, this discipline concerns the kinematic, mechanical and control aspects of posture and movement. This discipline promotes a multifactorial approach that allows for an infinity of possible solutions to be envisaged for each motion and each posture, and thus contributes to the understanding of human mechanics. Biomechanics permit the estimation of human capacities by using the principles of mathematics, functional anatomy and mechanics to explore and understand biological problems. The advantage of this discipline is to understand the musculoskeletal system in order to improve its potential. Taking into account personal factors offers the possibility to choose a particular solution allowing for the optimization of human mechanics. The aim of this Special Issue is to quantify the methodological advances in osteology in clinical situations. This Special Issue is concerned with studying and analyzing biomechanical contributions, bone diseases—including fractures—the interactions between bone and other organ systems, including cartilage, muscle, neuron, joints and spine, bone biomaterials and prostheses.

Prof. Dr. Redha Taiar
Guest Editor

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Published Papers (4 papers)

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Research

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13 pages, 3144 KiB  
Article
Rabbits (Oryctolagus cuniculus) as a Model System for Longitudinal Experimental Opioid Treatments: Implications for Orthopedic and Biomedical Research
by Janna M. Andronowski, Adam J. Schuller, Mary E. Cole, Abigail R. LaMarca, Reed A. Davis and Gina R. Tubo
Osteology 2021, 1(4), 225-237; https://doi.org/10.3390/osteology1040021 - 18 Nov 2021
Cited by 2 | Viewed by 4222
Abstract
Due to the high prevalence of opioid prescription following orthopedic procedures, there is a growing need to establish an animal model system to evaluate the effects of opioids on bone remodeling. Rabbits have been employed as model organisms in orthopedic research as they [...] Read more.
Due to the high prevalence of opioid prescription following orthopedic procedures, there is a growing need to establish an animal model system to evaluate the effects of opioids on bone remodeling. Rabbits have been employed as model organisms in orthopedic research as they exhibit well-defined cortical bone remodeling similar to humans. Existing research in rabbits has been limited to modes of opioid administration that are short-acting and require repeated application. Here, we present data from a proof-of-principle longitudinal study employing two opioid analgesic administration routes (subcutaneous injection and transdermal patch) to evaluate the efficacy of studying chronic opioid exposure in a rabbit model. Skeletally mature male New Zealand White rabbits (Oryctolagus cuniculus) were divided into three groups of seven animals: morphine, fentanyl, and control. Experimental treatments were conducted for eight weeks. Preparation of the skin at the fentanyl patch site and subsequent patch removal presented experimental difficulties including consistent skin erythema. Though noninvasive, the patches further caused acute stress in fentanyl animals. We conclude that though transdermal fentanyl patches may be preferred in an acute clinical setting, this method is not feasible as a means of long-term pain relief or opioid delivery in a laboratory context. Full article
(This article belongs to the Special Issue Bone Biomechanics: Diseases, Treatment and Rehabilitation)
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13 pages, 2514 KiB  
Article
Influence of Gender on Occurrence of Aseptic Loosening and Recurrent PJI after Revision Total Knee Arthroplasty
by Arne Kienzle, Sandy Walter, Yannick Palmowski, Stephanie Kirschbaum, Lara Biedermann, Philipp von Roth, Carsten Perka and Michael Müller
Osteology 2021, 1(2), 92-104; https://doi.org/10.3390/osteology1020010 - 17 May 2021
Cited by 6 | Viewed by 3594
Abstract
Background: Periprosthetic joint infection (PJI) is a common yet severe complication after total knee arthroplasty (TKA). Surgical intervention and antibiotic therapy are obligatory to achieve successful, infection-free outcome. Compared to the outcomes after primary TKA, prosthesis failure rates are drastically increased after PJI-dependent [...] Read more.
Background: Periprosthetic joint infection (PJI) is a common yet severe complication after total knee arthroplasty (TKA). Surgical intervention and antibiotic therapy are obligatory to achieve successful, infection-free outcome. Compared to the outcomes after primary TKA, prosthesis failure rates are drastically increased after PJI-dependent revision surgery. Recurrent PJI and aseptic loosening are the most common reasons for prosthesis failure after revision TKA. An open question is the influence of the patients’ gender on long-term prosthesis survival after revision surgery. Additionally, it is unknown whether gender-related parameters and risk factors or differences in treatment are responsible for potential differences in outcome after revision arthroplasty. Patients and Methods: In this report, 109 patients that received TKA revision surgery due to PJI were retrospectively analyzed. We used clinical, paraclinical and radiological examinations to study the influence of gender on the long-term complications aseptic loosening and recurrent PJI after PJI-dependent revision arthroplasty. Results: While overall prosthesis failure rates and risk of recurrent PJI did not differ between genders, the long-term risk of aseptic loosening was significantly elevated in female patients. Postoperative coronal alignment was significantly more varus for women later diagnosed with aseptic loosening. Besides coronal alignment, no gender-dependent differences in clinical presentation or treatment were observed. Conclusions: Female patients displayed a significantly increased risk for aseptic loosening after PJI-dependent revision TKA. The observed gender-dependent differences in long-term outcome in our study support theories surrounding the role of bone metabolism in the development of aseptic loosening. Our data suggest that further research on a female design for PJI-dependent revision prostheses is warranted. Full article
(This article belongs to the Special Issue Bone Biomechanics: Diseases, Treatment and Rehabilitation)
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Review

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10 pages, 1219 KiB  
Review
Bone-Regulating MicroRNAs and Resistance Exercise: A Mini-Review
by Debra A. Bemben, Zhaojing Chen and Samuel R. Buchanan
Osteology 2022, 2(1), 11-20; https://doi.org/10.3390/osteology2010002 - 3 Jan 2022
Cited by 1 | Viewed by 2639
Abstract
MicroRNAs (miRNA) are a class of short noncoding RNA that play important roles in controlling gene expression. Many miRNAs have been identified as being important regulators of bone cell function, thus affecting the bone remodeling processes. In addition to being expressed in specific [...] Read more.
MicroRNAs (miRNA) are a class of short noncoding RNA that play important roles in controlling gene expression. Many miRNAs have been identified as being important regulators of bone cell function, thus affecting the bone remodeling processes. In addition to being expressed in specific tissues and exerting intracellular effects, miRNAs can enter the blood where they can be taken up by other tissues. These circulating miRNAs (c-miRNA) also have clinical significance as biomarkers of musculoskeletal diseases as they are tissue-specific, are stable and easily detectable, and require minimally invasive procedures. This mini-review discusses miRNAs with regulatory roles in bone metabolism and c-miRNA responses to acute bouts of resistance exercise. MiRNA responses (e.g., upregulation/downregulation of expression) vary depending on the resistance exercise protocol characteristics and the age of the participants. There are gaps in the literature that need to be addressed as most of the resistance exercise studies focused on miRNAs that regulate skeletal muscle in male participants. Full article
(This article belongs to the Special Issue Bone Biomechanics: Diseases, Treatment and Rehabilitation)
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Other

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6 pages, 564 KiB  
Brief Report
Bone and Joint Infections in Children and Adolescents in Luanda, Angola
by Markus Pääkkönen, Tuula Pelkonen, Guilhermino Joaquim, Luis Bernandino, Tiina Pöyhiä, Irmeli Roine and Heikki Peltola
Osteology 2021, 1(2), 80-85; https://doi.org/10.3390/osteology1020008 - 19 Apr 2021
Viewed by 3347
Abstract
We reviewed the characteristics of children hospitalized for bone and joint infections in Luanda, Angola. In a retrospective chart review of 45 patients with childhood osteomyelitis or septic arthritis, 51% of the patients had sickle cell disease, and these patients presented with lower [...] Read more.
We reviewed the characteristics of children hospitalized for bone and joint infections in Luanda, Angola. In a retrospective chart review of 45 patients with childhood osteomyelitis or septic arthritis, 51% of the patients had sickle cell disease, and these patients presented with lower hemoglobin and needed blood transfusion more frequently (p < 0.05). Out of all patients, 64% underwent surgical procedures; a pathological fracture occurred in 31% of the patients. Full article
(This article belongs to the Special Issue Bone Biomechanics: Diseases, Treatment and Rehabilitation)
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