Schneider-Wald B, von Thaden A K, Schwarz M L R
Sektion experimentelle Orthopädie und Unfallchirurgie, Orthopädisch-Unfallchirurgisches Zentrum, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim, Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.
Orthopade. 2013 Apr;42(4):242-53. doi: 10.1007/s00132-012-2044-2.
Several animal models are available for the analysis of regeneration of articular cartilage in large animals, such as sheep, pigs, goats, dogs and horses. The subchondral bone lamella must be considered when ACT and MACT techniques are examined in order to protect the implant against migration of cells from the bone marrow, although recruitment of cells is often desirable in the regeneration of human cartilage.
The defects are mainly positioned at the condyles and the trochlea often bilaterally and spontaneous healing should be excluded. The follow-up period for assessment of the effectiveness of cartilage regeneration is 6-12 months. Shorter observation times up to 12 weeks can be used for pilot studies. Scores based on histological, immunohistological and biochemical staining are mostly used for assessing the regenerated tissue. Biomechanical tests with destructive features need isolated specimens from the animal but modern slice imaging techniques can reflect the progression of the healing processes over the time span of the study in vivo.
Approaches to standardize the evaluation of the regeneration of articular cartilage have been sporadically described whereas they are required from the point of view of the approval of new concepts for therapy and the protection of animals.
有几种动物模型可用于分析大型动物(如绵羊、猪、山羊、狗和马)关节软骨的再生情况。在研究自体软骨细胞移植(ACT)和基质辅助自体软骨细胞移植(MACT)技术时,必须考虑软骨下骨板,以防止植入物受到骨髓细胞迁移的影响,尽管在人类软骨再生中细胞募集通常是可取的。
缺损主要位于髁和滑车,通常为双侧,应排除自发愈合情况。评估软骨再生效果的随访期为6至12个月。较短的观察时间(最长12周)可用于初步研究。基于组织学、免疫组织学和生化染色的评分大多用于评估再生组织。具有破坏性的生物力学测试需要从动物身上获取分离的标本,但现代切片成像技术可以反映体内研究时间段内愈合过程的进展。
虽然从治疗新概念的批准和动物保护的角度来看需要标准化关节软骨再生评估方法,但目前只是偶尔有相关描述。