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[骨髓消融对大鼠胫骨局部生物力学特性的影响]

[The effect of bone marrow ablation on regional biomechanical properties of rat tibia].

作者信息

Ersözlü Salim, Sariözen Bartu, Ozcan Reşat, Ozer Ozgür, Serifoğlu Rasim

机构信息

Başkent Universitesi Tip Fakültesi Konya Uygulama ve Araştirma Hastanesi Ortopedi ve Travmatoloji Anabilim Dali.

出版信息

Acta Orthop Traumatol Turc. 2006;40(2):158-63.

Abstract

OBJECTIVES

Regional (metaphyseal-diaphyseal) biomechanical properties of normal rat tibia, and changes on these biomechanical properties after bone marrow ablation, a model of fracture healing, were examined.

METHODS

The study included 24 Sprague-Dawley rats that underwent tibial marrow ablation, and eight control rats with no surgical procedure. Proximal metaphyseal, proximal diaphyseal, distal diaphyseal, and distal metaphyseal samples were prepared from the tibias of all rats. In the control group, stiffness (elastic modulus, E), strength (maximum strength, Smax), and toughness (total energy absorption, U) parameters of the regional tibial segments were evaluated under compression loads. In the experimental group, compression was applied following bone marrow ablation on days 1, 3, 7, 9, and 15, and ablation-induced changes in the regional biomechanical properties were studied.

RESULTS

The lowest E, Smax, and U values were obtained from the proximal metaphysis. The highest E and Smax values were from the distal diaphyseal, and the highest U values were from the proximal diaphyseal regions. In ablation-induced rats, decreases were observed in all the mechanical test values during days 1 to 7, followed by slight increases on days 7 to 9, and eventual decreases on days 9 to 15. There were significant differences between the two groups with respect to biomechanical parameters (p<0.05), but no significant differences were found between the tibial regions (p>0.05).

CONCLUSION

Biomechanically, the most resistant and the weakest anatomic regions of normal rat tibia are the diaphyseal region and proximal metaphysis, respectively. The metabolic changes occurring after bone marrow ablation lead to changes in the mechanical properties of the tibia. The most affected tibial segments from ablation-induced intramedullary injury are the metaphyseal segments.

摘要

目的

研究正常大鼠胫骨的区域(干骺端-骨干)生物力学特性,以及骨折愈合模型——骨髓消融后这些生物力学特性的变化。

方法

本研究纳入24只接受胫骨骨髓消融的Sprague-Dawley大鼠,以及8只未接受手术的对照大鼠。从所有大鼠的胫骨制备近端干骺端、近端骨干、远端骨干和远端干骺端样本。在对照组中,在压缩载荷下评估区域胫骨节段的刚度(弹性模量,E)、强度(最大强度,Smax)和韧性(总能量吸收,U)参数。在实验组中,在骨髓消融后的第1、3、7、9和15天施加压缩,并研究消融引起的区域生物力学特性变化。

结果

近端干骺端获得最低的E、Smax和U值。最高的E和Smax值来自远端骨干,最高的U值来自近端骨干区域。在消融诱导的大鼠中,在第1至7天所有力学测试值均下降,随后在第7至9天略有增加,最终在第9至15天下降。两组在生物力学参数方面存在显著差异(p<0.05),但胫骨区域之间未发现显著差异(p>0.05)。

结论

从生物力学角度来看,正常大鼠胫骨最具抵抗力和最薄弱的解剖区域分别是骨干区域和近端干骺端。骨髓消融后发生的代谢变化导致胫骨力学性能的改变。消融诱导的髓内损伤影响最严重的胫骨节段是干骺端节段。

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