2003   Volume No 6 - pages 1-11

Title: A bone fluid flow hypothesis for muscle pump-driven capillary filtration: ii proposed role for exercise in erodible scaffold implant incorporation

Authors: H.Winet

Address: Orthopaedic Hospital of Los Angeles, UCLA Depts. Orthopaedic Surgery and Biomedical Engineering

E-mail: hwinet@laoh.ucla.edu

Key Words: blood pressure, bone cells, bone chamber, bone fluid flow, capillary filtration, cortical bone, exercise, intravital microscopy, muscle pump, tissue engineering

Publication date: 1st October 2003

Abstract: A model is presented for enhancement of fluid flow through bone matrix and any porous tissue engineering scaffold implanted within it. The mechanism of enhancement is the skeletal muscle pump in compartments adjacent to the bone. Pressure waves from muscle pump contractions aided by increased blood pressure during exercise coupled with temporary occlusion of arteries leading to and veins from the bone, increase hydraulic pressure in cortical bone capillaries so as to amplify capillary filtration. It is proposed that capillary filtration increase is sufficiently convective to contribute to bone fluid flow and associated percolation through tissue engineered scaffold matrix implants. Importance of this contribution is its relative role in maintaining seeded cells in bioreactor scaffolds. Validation of the hypothesis starts at a minimum level of demonstrating that capillary filtration is convective. At a maximum level confirmation of the hypothesis requires demonstration that capillary filtration-based interstitial flow is sufficient to stimulate not only host bone cells (as proposed in part I of the hypothesis) but bioreactor-seeded cells as well. Preliminary data is presented supporting the prediction that skeletal muscle contraction generates convective capillary filtration.

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