Lahm A, Kreuz P C, Oberst M, Haberstroh J, Uhl M, Maier D
Department of Orthopaedic and Trauma Surgery, University Hospital Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany.
Arch Orthop Trauma Surg. 2006 Nov;126(9):582-7. doi: 10.1007/s00402-005-0077-2. Epub 2005 Dec 6.
We wanted to test the hypothesis that quality changes occur in early-stage arthritic subchondral cancellous bone after acute subchondral damage. So far, not much attention has been paid to changes of the subchondral bone after traumatic subchondral lesions.
With an established animal model, we produced pure subchondral damage without initial affection of the articular cartilage in 12 Beagle dogs under MRI and histological control. We utilized bone histomorphometry to evaluate bone turnover, its structure and the articular cartilage 6 months after the initial damage.
On follow-up, bone remodelling was indicated, e.g. by a significant increase in the trabecular bone volume and thickness, osteoblast number and osteoid surface and a decrease in the trabecular number in all 12 samples. Several other parameters showed a tendency, e.g. osteoblast surface and osteoclast number. Cartilage analysis showed degenerative changes in ten of 12 samples that had not shown any evidence of damage during the initial examination.
Our investigation indicates a significant deterioration in the architecture of the cancellous bone with degenerative changes of the overlying articular cartilage after subchondral lesions, which change the mechanical properties.
我们想要检验这样一个假设,即急性软骨下损伤后,早期关节炎性软骨下松质骨会发生质量变化。到目前为止,创伤性软骨下病变后软骨下骨的变化并未得到太多关注。
在一个已建立的动物模型中,我们在12只比格犬身上制造了单纯的软骨下损伤,且在MRI和组织学控制下,初始时关节软骨未受影响。我们利用骨组织形态计量学来评估初始损伤6个月后的骨转换、其结构以及关节软骨情况。
随访时,所有12个样本均显示出骨重塑,例如小梁骨体积和厚度、成骨细胞数量和类骨质表面显著增加,小梁数量减少。其他几个参数也呈现出某种趋势,例如成骨细胞表面和破骨细胞数量。软骨分析显示,12个样本中有10个出现了退行性变化,而这些样本在初始检查时并未显示出任何损伤迹象。
我们的研究表明,软骨下病变后松质骨结构显著恶化,上方关节软骨出现退行性变化,这改变了力学性能。