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低负荷与关节固定对失重(尾部悬吊)大鼠膝关节骨软骨缺损自发修复的影响。

Effect of low loading and joint immobilization for spontaneous repair of osteochondral defect in the knees of weightless (tail suspension) rats.

作者信息

Harada Yasuji, Tomita Naohide, Nakajima Masaaki, Ikeuchi Ken, Wakitani Shigeyuki

机构信息

International Innovation Center, Kyoto University, Yoshida-honmachi, Sakyo-ku, Kyoto 606-8501, Japan.

出版信息

J Orthop Sci. 2005 Sep;10(5):508-14. doi: 10.1007/s00776-005-0931-7.

Abstract

BACKGROUND

Mechanical stimulation has a great influence on articular cartilage regeneration. The objective of this study was to clarify the temporal sequences of spontaneous repair of weightless or immobilized joints.

METHODS

An osteochondral defect was created in the femoral patellar groove of F344 rats. A tail-suspension procedure was performed to control the mechanical environment of the hindlimbs. The experimental knee joints were classified into three conditions: CONT, normal gait; LLB, low load-bearing; LLI, low load and immobilized. The repair processes up to 4 weeks were evaluated histologically.

RESULTS

The knee defects in the CONT and LLB conditions were repaired to a smooth surface with fibrous tissue and highly developed subchondral bone. The knees in the LLI condition had the lowest reformation rate of subchondral bone, although partial regeneration of hyaline cartilage-like tissue was seen at 4 weeks after the operation. Bulges of fibrous tissue from the defects were observed in the LLI condition.

CONCLUSIONS

These results, combined with our previous report, suggest that dynamic compressive strain stimulates regeneration of the joint surface structures. They also suggest that the contact condition of the defect with surface cartilage may play a role in the hyaline cartilage repair.

摘要

背景

机械刺激对关节软骨再生有很大影响。本研究的目的是阐明失重或固定关节自发修复的时间顺序。

方法

在F344大鼠的股骨髌沟制造骨软骨缺损。进行尾部悬吊手术以控制后肢的力学环境。将实验性膝关节分为三种情况:CONT,正常步态;LLB,低负荷;LLI,低负荷并固定。对长达4周的修复过程进行组织学评估。

结果

CONT和LLB情况下的膝关节缺损通过纤维组织和高度发达的软骨下骨修复至光滑表面。LLI情况下的膝关节软骨下骨重塑率最低,尽管术后4周可见透明软骨样组织部分再生。在LLI情况下观察到缺损处有纤维组织凸起。

结论

这些结果与我们之前的报告相结合,表明动态压缩应变刺激关节表面结构的再生。它们还表明缺损与表面软骨的接触情况可能在透明软骨修复中起作用。

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