Alberius P, Johnell O
Dept. of Plastic Surgery, Sahlgrenska Hospital, Göteborg, Sweden.
J Craniomaxillofac Surg. 1991 Jan;19(1):15-20. doi: 10.1016/s1010-5182(05)80266-5.
Osseous healing of experimental fractures and defects in membranous bone was studied in an animal model and the appearance and localization of selected bone and cartilage proteins and proteoglycans determined by polyclonal antibodies. The bone lesions were made in the parietal bone of young rats and subsequently studied on days 3, 5, 8, 15, 30, and 100 after surgery. The bone matrix proteins investigated (62 kDa, bone sialoprotein I and II, and osteopontin) appeared early, adjacent to the periosteal surfaces (pericranium and dura mater) and the marginal bone. The staining reactions were maximal at days 8 or 15 after trauma. Similar patterns were discerned for some cartilage macromolecules studied (58 kDa, 59 kDa, and chondrocalcin), although others showed no labelling whatsoever (148 kDa, and 400 kDa proteins). The proteoglycans PG-S1, PG-S2, and PG-LA were not identified. No callus or cartilage formation were associated with the bone healing process, and the differences between the regenerative pattern of the fractures and defects were limited. The findings emphasize the importance of rigid fixation in craniomaxillofacial surgery.
在动物模型中研究了实验性骨折和膜性骨缺损的骨愈合情况,并通过多克隆抗体确定了所选骨和软骨蛋白及蛋白聚糖的外观和定位。在幼年大鼠的顶骨制造骨损伤,随后在术后第3、5、8、15、30和100天进行研究。所研究的骨基质蛋白(62 kDa、骨唾液蛋白I和II以及骨桥蛋白)早期出现在骨膜表面(颅骨膜和硬脑膜)及边缘骨附近。染色反应在创伤后第8天或第15天达到最大值。对于所研究的一些软骨大分子(58 kDa、59 kDa和软骨钙素)也观察到类似模式,不过其他一些分子则未显示任何标记(148 kDa和400 kDa蛋白)。未鉴定出蛋白聚糖PG-S1、PG-S2和PG-LA。骨愈合过程未伴有骨痂或软骨形成,骨折和缺损的再生模式之间差异有限。这些发现强调了坚固固定在颅颌面外科手术中的重要性。