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兔膝关节固定:骨重塑先于软骨降解。

Rabbit knee immobilization: bone remodeling precedes cartilage degradation.

作者信息

Smith R L, Thomas K D, Schurman D J, Carter D R, Wong M, van der Meulen M C

机构信息

Division of Orthopaedic Surgery, Stanford University School of Medicine, California.

出版信息

J Orthop Res. 1992 Jan;10(1):88-95. doi: 10.1002/jor.1100100111.

Abstract

This study analyzed processes underlying osteoporosis and osteoarthrosis after short-term immobilization of the right hind limb of postadolescent (2.8 kg) and mature (4.0 kg) rabbits. After 3 weeks, the lateral posterior aspect of the lateral tibial plateau and the lateral femoral condyle of the immobilized limb exhibited prominent subchondral vascular eruptions. Femoral metaphyseal bone density decreased 27 and 18% in the immobilized limbs of postadolescent and mature rabbits, respectively. Calcein green fluorescence increased 1.9-fold (p less than 0.001) in the metaphyseal trabeculae of immobilized femurs. With immobilization, sulfate incorporation into femoral cartilage glycosaminoglycan increased, although total cartilage glycosaminoglycan and hydroxyproline levels were unchanged. Thymidine incorporation into DNA increased four- to fivefold in tibial and femoral cartilage of the immobilized limb. In this study, bone loss and remodeling preceded erosive cartilage degradation.

摘要

本研究分析了青春期后(2.8千克)和成年(4.0千克)兔子右后肢短期固定后骨质疏松和骨关节炎的潜在过程。3周后,固定肢体的胫骨外侧平台外侧后部和股骨外侧髁出现明显的软骨下血管喷发。青春期后和成年兔子固定肢体的股骨干骺端骨密度分别降低了27%和18%。固定股骨的干骺端小梁中钙黄绿素绿色荧光增加了1.9倍(p小于0.001)。随着固定,硫酸盐掺入股骨软骨糖胺聚糖增加,尽管总软骨糖胺聚糖和羟脯氨酸水平未改变。固定肢体的胫骨和股骨软骨中胸苷掺入DNA增加了四至五倍。在本研究中,骨质流失和重塑先于侵蚀性软骨降解。

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