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局部给予阿伦膦酸钠可减少隧道周围骨丢失,并促进移植物-骨隧道愈合,对健侧膝关节的骨几乎没有全身作用。

Local administration of alendronate reduced peri-tunnel bone loss and promoted graft-bone tunnel healing with minimal systemic effect on bone in contralateral knee.

机构信息

Headquarter, Hospital Authority, 9/F, Rumsey Street Multi-Storey Carpark Building, 2 Rumsey Street, Sheung Wan, Hong Kong SAR, China.

出版信息

J Orthop Res. 2013 Dec;31(12):1897-906. doi: 10.1002/jor.22442. Epub 2013 Jul 22.

Abstract

Continued systemic administration of alendronate was reported to reduce peri-tunnel bone resorption and promoted graft-bone tunnel healing at the early stage post-anterior cruciate ligament (ACL) reconstruction. However, systemic increase in bone mineral density (BMD) in the contralateral intact knee was observed. We tested if single local administration of alendronate into the bone tunnel during ACL reconstruction could achieve similar benefits yet without the systemic effect on bone. Seventy-two rats with unilateral ACL reconstruction were divided into three groups: saline, low-dose (6 μg/kg) and mid-dose (60 μg/kg) alendronate. For local administration, alendronate was applied to the bone tunnels for 2 min before graft insertion and repair. At weeks 2 and 6, the reconstructed complex was harvested for high-resolution computed tomography (vivaCT) imaging followed by biomechanical test or histology. Our results showed that local administration of low-dose alendronate showed comparable benefits on the reduction of peri-tunnel bone loss, enhancement of bone tunnel mineralization, tunnel graft integrity, graft osteointegration and mechanical strength of the reconstructed complex at early stage post-reconstruction, yet with minimal systemic effect on mineralized tissue at the contralateral intact knee. A single local administration of alendronate at the low-dose therefore might be used to promote early tunnel graft healing post-reconstruction.

摘要

续贯给予阿伦膦酸盐被报道可减少隧道周围骨吸收,并在 ACL 重建后早期促进移植物-骨隧道愈合。然而,对侧完整膝关节的骨矿物质密度(BMD)会出现系统增加。我们检测了 ACL 重建时单次局部给予阿伦膦酸盐到骨隧道内是否可获得相似的益处,而没有对骨的系统影响。72 只 ACL 重建的大鼠被分为三组:生理盐水、低剂量(6μg/kg)和中剂量(60μg/kg)阿伦膦酸盐。局部给药时,在移植物插入和修复前,阿伦膦酸盐应用于骨隧道 2 分钟。在第 2 周和第 6 周,收获重建复合体进行高分辨率 CT(vivaCT)成像,随后进行生物力学测试或组织学检查。我们的结果表明,低剂量局部给予阿伦膦酸盐在减少隧道周围骨丢失、增强骨隧道矿化、隧道移植物完整性、移植物骨整合和重建复合体的机械强度方面具有相似的益处,在重建后早期对侧完整膝关节的矿化组织仅有最小的系统影响。因此,单次局部给予低剂量的阿伦膦酸盐可能可用于促进重建后早期隧道移植物愈合。

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