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合成聚合物支架的孔隙率和力学性能对骨软骨缺损修复的影响。

The effect of porosity and mechanical property of a synthetic polymer scaffold on repair of osteochondral defects.

作者信息

Ikeda Risa, Fujioka Hiroyuki, Nagura Issei, Kokubu Takeshi, Toyokawa Narikazu, Inui Atsuyuki, Makino Takeshi, Kaneko Hiroaki, Doita Minoru, Kurosaka Masahiro

机构信息

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Chuo-ku, Kobe, Japan.

出版信息

Int Orthop. 2009 Jun;33(3):821-8. doi: 10.1007/s00264-008-0532-0. Epub 2008 Apr 16.

Abstract

We have made three types of poly (DL-lactide-co-glycolide) (PLG) scaffolds (porosity: scaffold I 80 +/- 0.9%, II 85 +/- 0.8%, III 92 +/- 0.7%; compression module determined with 10% strain: scaffold I 0.26 MPa, II 0.091 MPa, III 0.0047 MPa). Osteochondral defects made in the femoral condyle of rabbits were treated with these scaffolds and the possibilities of cartilage repair were investigated histologically. At post-operative weeks 6 and 12, histological scores in the groups of scaffolds II and III were significantly higher than the score in the group of scaffold I. Scaffolds II and III, which have higher porosity than scaffold I, allow better migration of bone marrow cells and better replacement of the scaffold with bone and cartilage than scaffold I. This study suggests that higher porosity allowing bone marrow cells to migrate to the scaffold is important in repairing osteochondral defects.

摘要

我们制备了三种聚(DL-丙交酯-乙交酯)(PLG)支架(孔隙率:支架I 80±0.9%,II 85±0.8%,III 92±0.7%;在10%应变下测定的压缩模量:支架I 0.26兆帕,II 0.091兆帕,III 0.0047兆帕)。用这些支架治疗兔股骨髁的骨软骨缺损,并通过组织学研究软骨修复的可能性。在术后第6周和第12周,支架II和III组的组织学评分显著高于支架I组。与支架I相比,孔隙率更高的支架II和III能使骨髓细胞更好地迁移,并且骨和软骨对支架的替代效果更好。本研究表明,较高的孔隙率使骨髓细胞能够迁移到支架上,这对修复骨软骨缺损很重要。

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