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唑来膦酸在愈合过程中对骨重塑的影响。

The effect of zoledronate on bone remodeling during the healing process.

作者信息

Matos Marcos Almeida, Araújo Francisco Pereira, Paixão Fábio Brasileiro

机构信息

Division of Orthopedics and Traumatology, Department of Surgery, Bahia School of Medicine and Public Health, Salvador, Brazil.

出版信息

Acta Cir Bras. 2007 Mar-Apr;22(2):115-9. doi: 10.1590/s0102-86502007000200007.

Abstract

PURPOSE

To check the effect of zoledronate in bone remodeling during bone healing.

METHODS

Thirty rabbits were divided into two groups of fifteen animals each (control and experimental group respectively). Shaft osteotomy was performed on the cranial portion of the fibula of each animal. In the experimental group, a single dose of 0.04mg/kg of zoledronate was administered. In the control group, the same volume of bi-distilled water was administered. After one, two and four weeks, animals of both groups were killed and histological sections of the fibular metaphyseal area were examined histomorphometrically. The parameters analyzed were tissue volume (TV), fractional trabecular bone volume (BV/TV) and fractional medullary fibrous volume (FbV/TV).

RESULTS

Tissue volume increased in the experimental group (237.2mm(2).10-2) compared to the control (166.62mm(2).10-2). Trabecular bone volume was significantly larger in the experimental (60.2%) than in the control group (34.8%). The amount of fibrosis volume decreased in the experimental group (22%) compared to the control (49.4%).

CONCLUSION

The effect of zoledronate is characterized by accentuated stimulus of bone formation in the metaphyseal area, resulting in a larger amount of trabecular bone volume and little fibrosis volume.

摘要

目的

检查唑来膦酸在骨愈合过程中对骨重塑的影响。

方法

将30只兔子分为两组,每组15只动物(分别为对照组和实验组)。对每只动物的腓骨颅部进行骨干截骨术。在实验组中,给予单剂量0.04mg/kg的唑来膦酸。在对照组中,给予相同体积的双蒸水。在1周、2周和4周后,处死两组动物,并对腓骨干骺端区域的组织切片进行组织形态计量学检查。分析的参数为组织体积(TV)、小梁骨体积分数(BV/TV)和髓腔纤维体积分数(FbV/TV)。

结果

与对照组(166.62mm²·10⁻²)相比,实验组的组织体积增加(237.2mm²·10⁻²)。实验组的小梁骨体积(60.2%)明显大于对照组(34.8%)。与对照组(49.4%)相比,实验组的纤维化体积量减少(22%)。

结论

唑来膦酸的作用特点是在干骺端区域对骨形成有增强刺激作用,导致小梁骨体积增加且纤维化体积减少。

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