

World Biochem 2019 & Regenerative Medicine 2019
Journal of Genetics and Molecular Biology | Volume 3
Page 33
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
alliedacademies.comYEARS
March 25-26, 2019 | Amsterdam, Netherlands
&
BIOCHEMISTRY AND ENZYMOLOGY
World Congress on
TISSUE ENGINEERING AND REGENERATIVE MEDICINE, STEM CELL RESEARCH
2
nd
Global Conference on
Joint Event on
THE CONSTRUCTION AND CLINICAL APPLICATION OF TISSUE ENGINEERED BONE
Guoxian Pei
Airforce Military Medical University, China
T
issue engineering construct has been already used to repair some kinds of bone defect in clinical patients, but
repairing massive segmental bony defect in tibia more than 10cm still has not been reported. We describe a
case of patient who received a tissue engineered bone graft for repairing the 12cm bone defect in his right tibia
and report the findings after 36 months of follow-up. The recipient, a 35-year-old man from China, had his leg
severely injured in September, 2014 and got massive tibia defect after 1 year of treatment using external fixator.
Implantation of tissue engineered bone graft was done in August, 2015. A β-tricalciumphosphate (β-Β-TCP) scaf-
fold was custom-made according to the shape of the bone defect area. The patient got bone marrow aspiration
and 15ml bone marrow was used for isolation and proliferation to get enough autologous bone menchymal
stem cells (BMSCs) with serum-free stem cell medium to avoid immune rejection. 3.4×10 6 cells were seeded
onto the β-Β-TCP scaffold and then implanted into the bone defect area after two weeks of co-culture. Labora-
tory blood examination was used to observe the immune rejection or infection. The radiography and three-di-
mensional computed tomography (CT) were used to detect the bone repair effect. No major complications and
no obvious immune rejection or infection occurred after the surgery.
After 3, 6, 12, 24 and 36 months, radiography showed bone defect gradually repaired with time, and bone re-
pair effect was satisfactory. The patient was allowed to gradually regain limb function after 12 months. After 36
months, the patient recovered a full function of the lower extremity without any support. Our promising results
suggest the clinical safety and effectiveness of tissue engineered bone for repairing massive weight-bearing
tibia bone defect more than 10cm. And our treatment procedure might be an option for those patients with
weight- bearing massive bone defect.
Guoxian Pei, J Genet Mol Biol 2019, Volume 3
Guoxian Pei, the professor and chairman of department of Orthopaedic Surgery, Xijing Hospital the Fourth Military
Medical University and he was served as the fifth academic degree committee of the state council subject review group,
he was the general secretary of international composite tissue allo-transplantation, the primary chairman of Chinese
Microsurgery Society, the chief editor of Chinese Journal of Orthopaedic Trauma, chairman of the digital orthopaedics
society SICOT China chapter. He has been the editor of 12 monographs including the hand surgical anatomy and clinic
microscopic hand surgery and transplantation of allogeneic limbs and has published 156 treatises as the first corre-
sponding author in the domestic and international fields, including 32 articles collected by SCI.
nfperry@163.comBIOGRAPHY