Efficacy of Three-Dimensional Bioactive Composites in Long Bone Repair with Photobiomodulation

Abstract

Different treatments have been proposed for morphofunctional bone repair; however, they are not always efficient and have limitations. In this experimental study, we present matrix composites with a possible synergistic effect acting with scaffolds for bone growth and use of photobiomodulation (PBM) to accelerate this tissue repair. Thus, the objective was to evaluate the effect of PBM in the repair of a long bone (tibia) of rats filled with biomimetic collagen matrices with nanohydroxyapatite and heterologous fibrin biopolymer (FB). Forty-eight rats were distributed into eight groups (n = six each): Blood Clot (BC), Blood Clot + PBM (BCP), Matrix (M), Matrix + PBM (MP), Fibrin Biopolymer (FB), Fibrin Biopolymer + PBM (FBP), Matrix + FB (MFB), Matrix + FB + PBM (MFBP). A 2.0 mm bone defect was created in the proximal third of the left tibia. The BCP, MP, FBP, and MFBP groups underwent PBM during surgery and maintained twice a week until euthanasia at 42 days. Microcomputed tomography (micro-CT), histomorphological and histomorphometric analyses were performed. Micro-CT analysis revealed that PBM influenced cortical interposition between the remnant and newly formed bone. Histologically, no exacerbated inflammatory focus or foreign body-type granulomatous reaction was observed in any group; however, a vast collagenous matrix with a more oriented and thicker spatial conformation was observed in the PBM-treated groups. Histomorphometrically, the BCP, MP, and MFBP groups showed significantly higher values compared to the other groups. Specifically, the BC group presented a mean bone tissue density of 68.33 ± 7.394, while the BCP and MP groups showed 99.83 ± 11.87 and 99.67 ± 20.58, respectively (p < 0.05). Qualitative analysis of collagen fibers indicated enhanced organization and maturation in PBM-treated groups. This study concluded that the association of PBM in the repair of long bones in rats, filled with biomimetic collagen matrices with nanohydroxyapatite and fibrin biopolymer, presented results that contribute to the improvement of bone growth, together with the association of scaffolds.