Name: pseudofracture: an acute peripheral tissue trauma model
Uploaded: 2011-04-18T11:00:00
Description: Watch this Scientific Journal Video about Pseudofracture: An Acute Peripheral Tissue Trauma Model at JoVE.com

Funding Source /Number Molecular Biology of Hemorrhagic Shock GM053789

1. Instrument and Surgical Field Preparation:
All experimental procedures are performed using aseptic techniques. Before beginning, the experimental area must be thoroughly cleaned and sterilized. The benchtop should be disinfected, allowed to air dry and then wiped down with 70% alcohol. Place a surgical blue pad and sterile field dressing in the experimental work area.
All materials and instruments are autoclave sterilized before use. Syringes and needles are recei...

<ol>
	<li>DeCamp, M. M., Demling, R. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Posttraumatic+multisystem+organ+failure.">Posttraumatic multisystem organ failure.</a> JAMA. 260, 530-534 (1988).</li><li>Deitch, E. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Multiple+organ+failure.+Pathophysiology+and+potential+future+therapy.">Multiple organ failure. Pathophysiology and potential future therapy.</a> Ann Surg. 216, 117-134 (1992).</li><li>Carrico, C. J., Meakins, J. L., Marshall, J. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Multiple+organ+failure+syndrome.">Multiple organ failure syndrome.</a> Arch Surg. 121, 196-208 (1986).</li><li>Hauser, C. J., Joshi, P., Jones, Q. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Suppression+of+natural+killer+cell+activity+in+patients+with+fracture/soft+tissue+injury.">Suppression of natural killer cell activity in patients with fracture/soft tissue injury.</a> Arch Surg. 132, 1326-1330 (1997).</li><li>Faist, E., Baue, A. E., Dittmer, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Multiple+organ+failure+in+polytrauma+patients.">Multiple organ failure in polytrauma patients.</a> J Trauma. 23, 775-787 (1983).</li><li>Baker, C. C., Oppenheimer, L., Stephens, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Epidemiology+of+trauma+deaths.">Epidemiology of trauma deaths.</a> Am J Surg. 140, 144-150 (1980).</li><li>Faist, E., Kupper, T. S., Bakeer, C. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Depression+of+cellular+immunity+after+major+injury+its+association+with+posttraumatic+complications+and+its+reversal+with+immunomodulation.">Depression of cellular immunity after major injury its association with posttraumatic complications and its reversal with immunomodulation.</a> Arch Surg. 121, 1000-1005 (1986).</li><li>Lenz, A., Franklin, G. A., Cheadle, W. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Systemic+inflammation+after+trauma.">Systemic inflammation after trauma.</a> Injury. 38, 1336-1345 (2007).</li><li>Flohe, S., Flohe, S. B., Schade, F. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Immune+response+of+severely+injured+patients--influence+of+surgical+intervention+and+therapeutic+impact.">Immune response of severely injured patients--influence of surgical intervention and therapeutic impact.</a> Lang Arch Surg. 392, 639-648 (2007).</li><li>Ayala, A., Wang, P., Ba, Z. F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Differential+alterations+in+plasma+IL-6+and+TNF+levels+after+trauma+and+hemorrhage.">Differential alterations in plasma IL-6 and TNF levels after trauma and hemorrhage.</a> Am J Physiol. 260, R167-R171 (1991).</li><li>Kalicke, T., Schlegel, U., Printzen, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Influence+of+a+standardized+closed+soft+tissue+trauma+on+resistance+to+local+infection.+An+experimental+study+in+rats.">Influence of a standardized closed soft tissue trauma on resistance to local infection. An experimental study in rats.</a> J Ortho Res. 21, 373-378 (2003).</li><li>Kobbe, P., Vodovotz, Y., Kaczorowski, D. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+role+of+fracture+associated+soft+tissue+injury+in+the+induction+of+sytemic+inflammation+and+remote+organ+dysfunction+after+bilateral+femur+fracture.">The role of fracture associated soft tissue injury in the induction of sytemic inflammation and remote organ dysfunction after bilateral femur fracture.</a> J Ortho Trauma. 22, 385-390 (2008).</li><li>Kobbe, P., Vodovotz, Y., Kaczorwoski, D. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Pattern+of+cytokine+release+and+evolution+of+remote+organ+dysfunction+after+bilateral+femur+fracture.">Pattern of cytokine release and evolution of remote organ dysfunction after bilateral femur fracture.</a> Shock. 30, 43-47 (2008).</li><li>Flohe, S. B., Flohe, S., Schade, F. U. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Deterioration+of+the+immune+system+after+trauma:+signals+and+cellular+mechanisms.">Deterioration of the immune system after trauma: signals and cellular mechanisms.</a> Inn. Immun. 14, 333-344 (2008).</li><li>Maier, B., LeFering, R., Lhenert, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Early+versus+late+onset+of+multiple+organ+failure+is+associated+with+differing+patterns+of+plasma+cytokine+biomarker+expression+and+outcome+after+severe+trauma.">Early versus late onset of multiple organ failure is associated with differing patterns of plasma cytokine biomarker expression and outcome after severe trauma.</a> Shock. 28, 668-674 (2007).</li><li>Mestas, J., Hughes, C. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Of+mice+not+men:+differences+between+mouse+and+human+immunology.">Of mice not men: differences between mouse and human immunology.</a> J. Immunol. 172, 2731-2738 (2004).</li><li>Hoth, J. J., Wells, J. D., Brownlee, N. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Toll+like+receptor+4-dependent+responses+to+lung+injury+in+a+murine+model+of+pulmonary+contusion.">Toll like receptor 4-dependent responses to lung injury in a murine model of pulmonary contusion.</a> Shock. 31, 376-381 (2009).</li><li>Matsutani, T., Samy, A. n. a. n. t. h. a., Rue, T. S., W, L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Transgenic+prolactin-/-+mice:+effect+of+trauma-hemorrhage+on+splenocyte+functions.">Transgenic prolactin-/- mice: effect of trauma-hemorrhage on splenocyte functions.</a> Am J Physiol Cell Physiol. 288, 1109-1116 (2005).</li><li>Matsutani, T., Samy, A. n. a. n. t. h. a., Kang, T. S., S-C, . <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mouse+genetic+background+influences+severity+of+immune+responses+following+trauma-hemorrhage.">Mouse genetic background influences severity of immune responses following trauma-hemorrhage.</a> Cytokine. 30, 168-117 (2005).</li><li>Tsukamoto, T., Pape, H. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Animal+models+for+trauma+research:+What+are+the+options.">Animal models for trauma research: What are the options.</a> Shock. 31, 3-10 (2008).</li><li>DeMaria, E. J., Pellicane, J. V., Lee, R. B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hemorrhagic+shock+in+endotoxin+resistant+mice+:+Improved+survival+unrelated+to+deficient+production+of+tumor+necrosis+factor.">Hemorrhagic shock in endotoxin resistant mice : Improved survival unrelated to deficient production of tumor necrosis factor.</a> J Trauma. 35, 720-724 (1993).</li><li>Jamsa, T., Jalovaara, P., Peng, Z. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparison+of+three-point+bending+test+and+peripheral+quantitative+computed+tomography+analysis+in+the+evaluation+of+the+strength+of+mouse+femur.">Comparison of three-point bending test and peripheral quantitative computed tomography analysis in the evaluation of the strength of mouse femur.</a> Bone. 23, 155-161 (1998).</li><li>Bounarens, F., Einhorn, T. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Production+of+a+standard+closed+fracture+in+laboratory+animal+bone.">Production of a standard closed fracture in laboratory animal bone.</a> J Ortho Res. 2, 97-101 (1984).</li><li>Holstein, J. H., Menger, M. D., Culemann, U. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Development+of+a+locking+femur+nail+for+mice.">Development of a locking femur nail for mice.</a> J Biomech. 40, 215-219 (2007).</li><li>Holstein, J. H., Garcia, P., Histing, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Advances+in+the+establishment+of+defined+mouse+models+for+the+study+of+fracture+healing+and+bone+regeneration.">Advances in the establishment of defined mouse models for the study of fracture healing and bone regeneration.</a> J Orthop Trauma. 23, S31-S38 (2009).</li><li>Histing, T., Garcia, P., Matthys, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=An+internal+locking+plate+to+study+intramembranous+bone+healing+in+a+mouse+femur+fracture+model.">An internal locking plate to study intramembranous bone healing in a mouse femur fracture model.</a> J Orthop Research. 28, 397-402 .</li><li>Manigrasso, M. B., O'Connor, J. P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Characterization+of+a+closed+femur+fracture+model+in+mice.">Characterization of a closed femur fracture model in mice.</a> J Ortho Trauma. 18, 687-695 (2004).</li><li>Mark, H., Bergholm, J., Nilsson, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=An+external+fixation+method+and+device+to+study+fracture+healing+in+rats.">An external fixation method and device to study fracture healing in rats.</a> Acta Orthop Scand. 74, 476-487 (2003).</li><li>Bhandari, M., Shanghnessy, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+minimally+invasive+percutaneous+technique+of+intramedullary+nail+insertion+in+an+animal+model+of+fracture+healing.">A minimally invasive percutaneous technique of intramedullary nail insertion in an animal model of fracture healing.</a> Arch Orthop Trauma Surg. 121, 591-593 (2001).</li><li>Sonanis, S. V., Lampard, A. L., Kamat, N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+simple+technique+to+remove+a+bent+femoral+intramedullary+nail+and+broken+interlocking+screw.">A simple technique to remove a bent femoral intramedullary nail and broken interlocking screw.</a> J Trauma. 63, 435-438 (2007).</li><li>Kobbe, P., Kaczorwoski, D. J., Vodovotz, Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Local+exposure+of+bone+components+to+injured+soft+tissue+induces+Toll-like+receptor+4-dependent+systemic+inflammation+with+acute+lung+injury.">Local exposure of bone components to injured soft tissue induces Toll-like receptor 4-dependent systemic inflammation with acute lung injury.</a> Shock. 30, 686-691 (2008).</li><li>Bumann, M., Henke, T., Gerngross, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Influence+of+haemorrhagic+shock+on+fracture+healing.">Influence of haemorrhagic shock on fracture healing.</a> Lang Arch Surg. 388, 331-338 (2003).</li><li>Santry, H. P., Alam, H. B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Fluid+resuscitation:+past,+present,+and+the+future.">Fluid resuscitation: past, present, and the future.</a> Shock. 33, 229-241 (2010).</li><li>Hierholzer, C., Billiar, T. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Molecular+mechanisms+in+the+early+phase+of+hemorrhagic+shock.">Molecular mechanisms in the early phase of hemorrhagic shock.</a> Lang Arch Surg. 386, 302-308 (2001).</li><li>Chaudry, I., Ayala, A., Ertel, W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hemorrhage+and+resuscitation:+immunological+aspects.">Hemorrhage and resuscitation: immunological aspects.</a> Am J Physiol. 259, 63-678 (1990).</li><li>Kawasaki, T., Hubbard, W. J., Choudhry, M. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Trauma-hemorrhage+induces+depressed+splenic+dendritic+cell+functions+in+mice.">Trauma-hemorrhage induces depressed splenic dendritic cell functions in mice.</a> J Immunol. 177, 4514-4520 (2006).</li><li>Kohut, L., Darwiche, S. S., Frank, A. M., Brumfield, J. M., Billiar, T. R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Fixed+volume+or+Fixed+Pressure:+A+Murine+Model+of+Hemorrhgaic+Shock.">Fixed volume or Fixed Pressure: A Murine Model of Hemorrhgaic Shock.</a> J Vis Exp. , (2010).</li><li>Menzel, C. L., Pfeifer, R., Darwiche, S. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Models+of+lower+extremity+damage+in+mice:+time+course+of+organ+damage+and+immune+response.">Models of lower extremity damage in mice: time course of organ damage and immune response.</a> J Surg Res. 166, e149-e156 (2011).</li><li>Pfeifer, R., Kobbe, P., Darwiche, S. S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Role+of+hemorrhage+in+the+induction+of+systemic+inflammation+and+remote+organ+damage:+Analysis+of+combined+pseudo-fracture+and+hemorrhagic+shock.">Role of hemorrhage in the induction of systemic inflammation and remote organ damage: Analysis of combined pseudo-fracture and hemorrhagic shock.</a> J Orthop Res. 29, 270-274 (2011).</li></ol>

Pseudofracture, a reproducible murine model of sterile musculoskeletal trauma, allows for evaluation of post-traumatic immune responses. The pseudofracture model immunologically mimics an extremity fracture environment through recreation of the features of a long bone fracture: injured muscle and soft tissue are exposed to damaged bone and bone marrow without breaking the native bone.38,39 A biphasic immune response can be seen following pseudofracture trauma which consists of an early hyperinflammatory respon...

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		<th>Material Name</th>
		<th>Type</th>
		<th>Company</th>
		<th>Catalogue Number</th>
		<th>Comment</th>
		</tr>
		</thead>
		<tbody>
		
<tr>
<td>Surgical blue pad</td>
<td>&nbsp;</td>
<td>Fisher Scientific</td>
<td>50-7105</td>
<td>&nbsp;</td>
<tr>
<td>Sterile Field dressings</td>
<td>&nbsp;</td>
<td>Fisher Scientific</td>
<td>NC9517505</td>
<td>&nbsp;</td>
<tr>
<td>Circulating heating pad 18"x26"</td>
<td>&nbsp;</td>
<td>Harvard</td>
<td>py872-5272</td>
<td>&nbsp;</td>
<tr>
<td>Hot bead instrument sterilizer</td>
<td>&nbsp;</td>
<td>VWR</td>
<td>11156-002</td>
<td>&nbsp;</td>
<tr>
<td>Stainless steel tray 8" x 11"</td>
<td>&nbsp;</td>
<td>VWR</td>
<td>62687-049</td>
<td>&nbsp;</td>
<tr>
<td>Plexiglass boards (10x15x0.5cm) </td>
<td>&nbsp;</td>
<td>University of Pittsburgh Machine shop</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>Tape rolls 1"</td>
<td>&nbsp;</td>
<td>Corporate Express</td>
<td>MMM26001</td>
<td>&nbsp;</td>
<tr>
<td>50cc conical tube</td>
<td>&nbsp;</td>
<td>can be purchased through any global vendor</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>Straight side wide mouth jars (used as cap for nose cone)</td>
<td>&nbsp;</td>
<td>VWR</td>
<td>159000-058</td>
<td>&nbsp;</td>
<tr>
<td>Oster A5 clippers w. size 40 blade</td>
<td>&nbsp;</td>
<td>VWR</td>
<td>10749-020</td>
<td>&nbsp;</td>
<tr>
<td>Surgical scissors (straight &#x2013; 12cm)</td>
<td>&nbsp;</td>
<td>Fine Science Tools</td>
<td>14068-12</td>
<td>&nbsp;</td>
<tr>
<td>Hemostats curved -18cm</td>
<td>&nbsp;</td>
<td>Harvard</td>
<td>81331718</td>
<td>&nbsp;</td>
<tr>
<td>Forceps (0.8mm-tip, curved-10cm)</td>
<td>&nbsp;</td>
<td>Fine Science Tools</td>
<td>11050-10</td>
<td>&nbsp;</td>
<tr>
<td>Gauze 4"x4"</td>
<td>&nbsp;</td>
<td>can be purchased through any global vendor</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>1.5cc microfuge tube</td>
<td>&nbsp;</td>
<td>can be purchased through any global vendor</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>Ice bucket</td>
<td>&nbsp;</td>
<td>can be purchased through any global vendor</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>Mortar and Pestle </td>
<td>&nbsp;</td>
<td>Fisher</td>
<td>12-961AA</td>
<td>&nbsp;</td>
<tr>
<td>1cc syringe w/ 25G needle</td>
<td>&nbsp;</td>
<td>Fisher Scientific</td>
<td>14-826-88</td>
<td>&nbsp;</td>
<tr>
<td>20G needle</td>
<td>&nbsp;</td>
<td>can be purchased through any global vendor</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>1mL pipetteman</td>
<td>&nbsp;</td>
<td>can be purchased through any global vendor</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>1mL pipette tips</td>
<td>&nbsp;</td>
<td>can be purchased through any global vendor</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>Falcon polystyrene 8ml tubes </td>
<td>&nbsp;</td>
<td>VWR</td>
<td>60819-331</td>
<td>&nbsp;</td>
<tr>
<td>Sterilization pouch 3"x8"</td>
<td>&nbsp;</td>
<td>VWR</td>
<td>24008</td>
<td>&nbsp;</td>
<tr>
<td>Sterilization pouch 5"x10"</td>
<td>&nbsp;</td>
<td>VWR</td>
<td>24010</td>
<td>&nbsp;</td>
<tr>
<td>MacConkey II Agar plate</td>
<td>&nbsp;</td>
<td>BD Biosciences</td>
<td>221172</td>
<td>&nbsp;</td>
<tr>
<td>Ethyl Alcohol - 200 proof </td>
<td>&nbsp;</td>
<td>Pharmaco-AAPER</td>
<td>&nbsp;</td>
<td>[70%]</td>
</tr>
<tr>
<td>Pentobarbital Sodium (Nembutol Sodium Solution)</td>
<td>&nbsp;</td>
<td>Ovation </td>
<td>&nbsp;</td>
<td>70mg/kg</td>
</tr>
<tr>
<td>Aerrane (Isoflurane)</td>
<td>&nbsp;</td>
<td>Baxter </td>
<td>&nbsp;</td>
<td>99.9%</td>
</tr>
<tr>
<td>Triadine Povidone Iodine (Betadine)</td>
<td>&nbsp;</td>
<td>Triad disposables</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>Phosphate Buffered Saline (PBS)</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<tr>
<td>Buprenorphine HCl</td>
<td>&nbsp;</td>
<td>Bedford Laboratories</td>
<td>&nbsp;</td>
<td>0.1mg/kg</td>
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pseudofracture: an acute peripheral tissue trauma model

Following trauma there is an early hyper-reactive inflammatory response that can lead to multiple organ dysfunction and high mortality in trauma patients; this response is often accompanied by a delayed immunosuppression that adds the clinical complications of infection and can also increase mortality.1-9 Many studies have begun to assess these changes in the reactivity of the immune system following trauma.10-15 
Immunologic studies are greatly supported through the wide variety of transgenic and knockout mice available for in vivo modeling; these strains aid in detailed investigations to assess the molecular pathways involved in the immunologic responses.16-21
The challenge in experimental murine trauma modeling is long term investigation, as fracture fixation techniques in mice, can be complex and not easily reproducible.22-30
This pseudofracture model, an easily reproduced trauma model, overcomes these difficulties by immunologically mimicking an extremity fracture environment, while allowing freedom of movement in the animals and long term survival without the continual, prolonged use of anaesthesia. The intent is to recreate the features of long bone fracture; injured muscle and soft tissue are exposed to damaged bone and bone marrow without breaking the native bone.
The pseudofracture model consists of two parts: a bilateral muscle crush injury to the hindlimbs, followed by injection of a bone solution into these injured muscles. The bone solution is prepared by harvesting the long bones from both hindlimbs of an age- and weight-matched syngeneic donor. These bones are then crushed and resuspended in phosphate buffered saline to create the bone solution.
Bilateral femur fracture is a commonly used and well-established model of extremity trauma, and was the comparative model during the development of the pseudofracture model. Among the variety of available fracture models, we chose to use a closed method of fracture with soft tissue injury as our comparison to the pseudofracture, as we wanted a sterile yet proportionally severe peripheral tissue trauma model. 31
Hemorrhagic shock is a common finding in the setting of severe trauma, and the global hypoperfusion adds a very relevant element to a trauma model. 32-36 The pseudofracture model can be easily combined with a hemorrhagic shock model for a multiple trauma model of high severity. 37

Watch this Scientific Journal Video about Pseudofracture: An Acute Peripheral Tissue Trauma Model at JoVE.com

Pseudofracture: An Acute Peripheral Tissue Trauma Model

Pseudofracture, a reproducible murine model of sterile musculoskeletal trauma, allows for evaluation of late term post-traumatic immune responses. This article describes the procedural execution of the model step by step, including the potential for experimental model combinations to permit study of multiple trauma.

Following trauma there is an early hyper-reactive inflammatory response that can lead to multiple organ dysfunction and high mortality in trauma patients; ...

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