Disuse-induced deterioration of bone strength is not stopped after free remobilization in young adult rats

The effect of unilateral hindlimb immobilization and subsequent free remobilization on mechanical properties of femur was examined in young adult rats. Right hindlimb of 17 weeks old male rats was immobilized for 2 weeks. Rats were sacrificed either directly after immobilization (E0) or after 4 weeks of free remobilization (E4). Mechanical properties in three-point bending as well as dry mass (m_dry), geometry, apparent density (d_app), and mineralization of dry bone tissue were measured post mortem in right and left femora of experimental rats (E0, E4) and in right femora of age-matched controls (C0, C4). Differences between right femora of experimental and control animals and between right and left femora of experimental animals were analyzed. After immobilization only d_app in E0 was significantly lower than in C0. Side-to-side differences in E0 were present only in m_dry and d_app. Surprisingly, 4 weeks after remobilization the differences between experimental and control femora were more pronounced. Mineralization, d_app, maximum bending moment (M_max), yield bending moment (M_y) and stiffness of the right femur were lower in E4 than in age-matched C4. Side-to-side differences in remobilized rats (E4) were still significant for m_dry and d_app. Additionally, the medullary area was larger, and M_max, M_y, stiffness and work to failure were lower in the right femur than in the left. It is concluded, that the processes of bone deterioration initiated during immobilization do not cease immediately after resumption of normal mechanical loading.