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用于骨与矿物质研究的股骨骨折大鼠模型:粉碎程度、软愈骨量和并发症发生率的预期改善描述。

The rat model of femur fracture for bone and mineral research: An improved description of expected comminution, quantity of soft callus and incidence of complications.

机构信息

Trauma Training Center, New York Presbyterian Hospital, Department of Orthopaedic Surgery, Columbia University Medical Center, 622 West 168th Street, NewYork, New York 10032, USA.

出版信息

Bone Joint Res. 2013 Aug 8;2(8):149-54. doi: 10.1302/2046-3758.28.2000171. Print 2013.

Abstract

OBJECTIVES

One commonly used rat fracture model for bone and mineral research is a closed mid-shaft femur fracture as described by Bonnarens in 1984. Initially, this model was believed to create very reproducible fractures. However, there have been frequent reports of comminution and varying rates of complication. Given the importance of precise anticipation of those characteristics in laboratory research, we aimed to precisely estimate the rate of comminution, its importance and its effect on the amount of soft callus created. Furthermore, we aimed to precisely report the rate of complications such as death and infection.

METHODS

We tested a rat model of femoral fracture on 84 rats based on Bonnarens' original description. We used a proximal approach with trochanterotomy to insert the pin, a drop tower to create the fracture and a high-resolution fluoroscopic imager to detect the comminution. We weighed the soft callus on day seven and compared the soft callus parameters with the comminution status.

RESULTS

The mean operating time was 34.8 minutes (sd 9.8). The fracture was usable (transverse, mid-shaft, without significant comminution and with displacement < 1 mm) in 74 animals (88%). Of these 74 usable fractures, slight comminution was detected in 47 (63%). In 50 animals who underwent callus manipulation, slight comminution (n = 32) was statistically correlated to the amount of early callus created (r = 0.35, p = 0.015). Two complications occurred: one death and one deep infection.

CONCLUSIONS

We propose an accurate description of comminution and complications in order to improve experiments on rat femur fracture model in the field of laboratory research. Cite this article: Bone Joint Res 2013;2:149-54.

摘要

目的

在骨骼和矿物质研究中,一种常用的大鼠骨折模型是由 Bonnarens 于 1984 年描述的闭合型股骨干中段骨折。最初,这种模型被认为可以产生非常可重复的骨折。然而,粉碎性骨折的发生率较高,且并发症的发生率也各不相同。鉴于在实验室研究中准确预测这些特征的重要性,我们旨在准确估计粉碎性骨折的发生率、其重要性及其对软痂形成量的影响。此外,我们旨在准确报告诸如死亡和感染等并发症的发生率。

方法

我们基于 Bonnarens 的原始描述,对 84 只大鼠的股骨骨折模型进行了测试。我们使用经转子入路插入钢针、落体塔造成骨折和高分辨率荧光透视成像来检测粉碎性骨折的近端方法。我们在第 7 天称取软痂的重量,并将软痂参数与粉碎性骨折状态进行比较。

结果

平均手术时间为 34.8 分钟(标准差 9.8)。74 只动物(88%)的骨折是可用的(横断、骨干中段、无明显粉碎性骨折且移位<1mm)。在这 74 个可用骨折中,有 47 个(63%)检测到轻微粉碎性骨折。在 50 只接受骨痂处理的动物中,轻微粉碎性骨折(n=32)与早期骨痂形成量呈统计学相关(r=0.35,p=0.015)。发生了 2 种并发症:1 例死亡和 1 例深部感染。

结论

我们提出了一种对粉碎性骨折和并发症的准确描述,以改进实验室研究中大鼠股骨骨折模型的实验。

文献出处

Bone Joint Res 2013;2:149-54.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8413/3743403/bfaabc12312c/2000171-galleyfig1.jpg

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