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[游离骨膜自体移植修复关节软骨:一项实验研究与临床应用]

[Free periosteal autografting in repair of articular cartilage: an experimental study and clinical application].

作者信息

Yang G Y

机构信息

Chinese People's Liberation Army General Hospital.

出版信息

Zhonghua Wai Ke Za Zhi. 1990 Dec;28(12):730-3, 782.

PMID:2086086
Abstract

38 white rabbits in 4 groups were used in this experiment to investigated the metaplastic process and the outcome of the autografted periosteum on cartilage defect created artificially on acetabulum and femoral condyle. The specimens were scrupulously surveyed with conventional methods and analysis of their trace elements and amino acids, which was the means first used in evaluating the nature of metaplastic tissue. Conclusions drown from this experiment are as follows: (1) The autografted periosteum processes a metaplastic potential of forming articular cartilage under certain conditions. (2) Continuous passive movement of the grafted joint accelerate the metaplastic process, forming cartilage. (3) Synovial fluid plays certain role in survival of the transplanted periosteum and its metaplasia. However, excision of the synovium did not affect the result much, probably due to its rapid and powerful regeneration.

摘要

本实验选用38只白兔,分为4组,研究自体骨膜移植到人工造成的髋臼和股骨髁软骨缺损处后的化生过程及结果。用常规方法并通过对其微量元素和氨基酸进行分析对标本进行了细致的观察,这是首次用于评估化生组织性质的方法。从本实验得出的结论如下:(1)自体骨膜在一定条件下具有形成关节软骨的化生潜能。(2)移植关节的持续被动运动加速化生过程,形成软骨。(3)滑液在移植骨膜的存活及其化生过程中起一定作用。然而,切除滑膜对结果影响不大,可能是因为滑膜再生迅速且强大。

相似文献

1
[Free periosteal autografting in repair of articular cartilage: an experimental study and clinical application].[游离骨膜自体移植修复关节软骨:一项实验研究与临床应用]
Zhonghua Wai Ke Za Zhi. 1990 Dec;28(12):730-3, 782.
2
[Experimental study of the effect of motion on repairing defect of articular cartilage following autogenous periosteal graft].[运动对自体骨膜移植修复关节软骨缺损影响的实验研究]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1997 Mar;11(2):109-12.
3
[Repair of cartilage defect in joint with transplantation of cryopreserved homologous embryonic periosfeum of rabbits].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1998 Mar;12(2):117-21.
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[Reconstruction of TMJ condyle cartilage defects with autogenous free periosteal grafts].
Zhonghua Kou Qiang Yi Xue Za Zhi. 1996 Jan;31(1):42-4.
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[Repair of cartilage defect of knee joints with free periosteal autograft].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2002 Jul;16(4):237-9.
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[Chondrogenic potential of a free autogenous periosteal graft for biological resurfacing over a half-thickness defect in a joint surface: an experimental study].[自体游离骨膜移植用于关节面半层厚度缺损生物重建的软骨生成潜能:一项实验研究]
Nihon Seikeigeka Gakkai Zasshi. 1995 Sep;69(9):767-75.
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Articular cartilage repair with autografting under the influence of insulin-like growth factor-1 in rabbits.胰岛素样生长因子-1影响下兔自体移植关节软骨修复
J Vet Med A Physiol Pathol Clin Med. 2007 May;54(4):210-8. doi: 10.1111/j.1439-0442.2007.00941.x.
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Periosteal and perichondral grafting in reconstructive surgery.
Clin Orthop Relat Res. 1994 May(302):259-65.
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[Primary repair of cartilage defect accompanying patellar fracture with free auto-periosteal graft].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2000 Mar;14(2):74-6.
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[Repair of large articular cartilage defect of hip with allograft of skull periosteum].[同种异体颅骨骨膜移植修复髋关节大关节软骨缺损]
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引用本文的文献

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In memory of Prof. Lu Shibi, MD.纪念陆士璧教授,医学博士
J Orthop Translat. 2020 Aug 12;23:A1. doi: 10.1016/j.jot.2020.06.007. eCollection 2020 Jul.