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不同固定剂储存方法对骨骼机械强度的影响

Mechanical strength repercussions of various fixative storage methods on bone.

作者信息

Wingerter Scott, Calvert Graham, Tucci Michelle, Benghuzzi Ham, Russell George, Puckett Aaron

机构信息

School of Graduate Studies in Health Sciences, Department of Orthopaedic Surgery and Rehabilitation, University of Mississippi Medical Center, Jackson, MS 39216, USA.

出版信息

Biomed Sci Instrum. 2006;42:290-5.

Abstract

This study compensates for the lack of literature on the actual effects that various fixative storage methods have on the mechanical strength characteristics of bone and attempts to identify the ideal fixative method for preservation of all tissues while maintaining in vivo bone strength. Researchers currently use a wide variety of storage methods that lessen the mechanical strength to varying degrees. Differences could introduce error into a great number of bone fracture studies if an inexact discrepancy in the mechanical properties of fixed bone does actually exist. Furthermore, such disparities could go on to pose clinical risks for patients. This study focuses on the mechanical strength testing of four different groups of rat femora that were retrieved at various times and subjected to differing storage procedures. The first, Group N, were fresh, new femora retrieved just days before testing. The second, Group F, were femora that have been fixed in a 10% formalin bath for just over a year prior to testing. The third, Group W, are femora that have also been fixed in 10% formalin for just over a year but were washed out just prior to testing. The fourth, Group P, were femora that were retrieved from rats that were perfused with formalin immediately following euthanasia. Mechanical strength tests on the four groups revealed that fixing bone in a 10% formalin bath significantly reduces the mechanical fracture strength properties of the bone regardless of whether the formalin is washed out prior to testing. Testing also revealed that bone from perfused animals behaves more similarly to fresh bones from non-perfused animals suggesting that the formalin did not entirely infiltrate the bone and permanently fix the material. These results could have profound implications on how studies equate the behavior of in vitro bone to in vivo bone which could manifest as clinical complications for patients.

摘要

本研究弥补了关于各种固定剂储存方法对骨骼机械强度特性实际影响的文献不足,并试图确定在保持体内骨骼强度的同时保存所有组织的理想固定方法。目前研究人员使用的各种储存方法会不同程度地降低机械强度。如果固定骨的机械性能确实存在不精确的差异,那么这种差异可能会在大量骨折研究中引入误差。此外,这种差异可能会给患者带来临床风险。本研究聚焦于四组不同的大鼠股骨的机械强度测试,这些股骨在不同时间取回并经过不同的储存程序。第一组,N组,是在测试前几天取回的新鲜股骨。第二组,F组,是在测试前一年多一直固定在10%福尔马林溶液中的股骨。第三组,W组,也是在10%福尔马林中固定了一年多但在测试前冲洗过的股骨。第四组,P组,是从安乐死后立即用福尔马林灌注的大鼠身上取回的股骨。对这四组的机械强度测试表明,无论在测试前是否冲洗福尔马林,将骨头固定在10%福尔马林溶液中都会显著降低骨头的机械断裂强度特性。测试还表明,灌注动物的骨头与未灌注动物的新鲜骨头表现更相似,这表明福尔马林并未完全渗入骨头并永久固定材料。这些结果可能会对研究如何将体外骨骼行为等同于体内骨骼行为产生深远影响,而这可能表现为患者的临床并发症。

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