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[正常人膝关节钙化软骨区的形态与结构研究]

[Study on shape and structure of calcified cartilage zone in normal human knee joint].

作者信息

Wang Fuyou, Yang Liu, Duan Xiaojun, Tan Hongbo, Dai Gang

机构信息

Center for Joint Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, P.R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008 May;22(5):524-7.

Abstract

OBJECTIVE

To explore the shape and structure of calcified cartilage zone and its interface between the non-calcified articular cartilage and subchondral bone plate.

METHODS

The normal human condyles of femur (n=20) were obtained from the tissue bank donated by the residents, 10 males and 10 females, aged 17-45 years. The longitudinal and transverse paraffin sections were prepared by the routine method. The shape and structure of calcified cartilage zone were observed with the Safranin O/fast green and von kossa stain method. The interface conjunction among zones of cartilage was researched by SEM and the 3D structural model was established by serial sections and modeling technique.

RESULTS

Articular bone-cartilage safranin O/fast green staining showed that cartilage was stained red and subchondral bone was stained blue. The calcified cartilage zone was located between the tidemark and cement line. Von kossa staining showed that calcified cartilage zone was stained black and sharpness of structure border. Upper interface gomphosised tightly with the non-calcified cartilage by the wave shaped tidemark and lower interface anchored tightly with the subchondral bone by the uneven comb shaped cement line. The non-calcified cartilage zone was interlocked tightly in the manner of "ravine-engomphosis" by the calcified cartilage zone as observed under SEM, and the subchondral bone was anchored tightly in the manner of"comb-anchor" by the in the calcified cartilage zone 3D reconstruction model.

CONCLUSION

The calcified cartilage zone is an important structure in the articular cartilage. The articular cartilage is fixed firmly into subchondral bone plate by the distinctive conjunct interfaces of calcified cartilage zone.

摘要

目的

探讨钙化软骨区的形态结构及其与非钙化关节软骨和软骨下骨板之间的界面。

方法

从居民捐赠的组织库中获取20例正常人股骨髁,男10例,女10例,年龄17 - 45岁。采用常规方法制备纵、横石蜡切片。用番红O/固绿染色法和冯·科萨染色法观察钙化软骨区的形态结构。通过扫描电子显微镜研究软骨各区域之间的界面连接,并通过连续切片和建模技术建立三维结构模型。

结果

关节骨 - 软骨番红O/固绿染色显示软骨呈红色,软骨下骨呈蓝色。钙化软骨区位于潮标和黏合线之间。冯·科萨染色显示钙化软骨区呈黑色,结构边界清晰。上界面通过波浪状潮标与非钙化软骨紧密镶嵌,下界面通过不均匀的梳状黏合线与软骨下骨紧密锚定。扫描电子显微镜观察发现,非钙化软骨区通过钙化软骨区以“沟壑 - 镶嵌”的方式紧密连锁,三维重建模型显示软骨下骨通过钙化软骨区以“梳状 - 锚定”的方式紧密锚定。

结论

钙化软骨区是关节软骨中的重要结构。关节软骨通过钙化软骨区独特的连接界面牢固地固定在软骨下骨板上。

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