Erivan Roger, Aubret Sylvain, Villatte Guillaume, Cueff Régis, Mulliez Aurélien, Descamps Stéphane, Boisgard Stéphane
Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA Clermont, ICCF, F-63000 Clermont-Ferrand, France.
Université Clermont Auvergne, CHU Clermont-Ferrand, F-63000 Clermont-Ferrand, France.
Clin Biomech (Bristol). 2018 Dec;60:100-107. doi: 10.1016/j.clinbiomech.2018.10.016. Epub 2018 Oct 12.
The objective of this study was to determine the biomechanical properties of the fascia lata and the effects of three preservation methods: freezing, cryopreservation with dimethylsulfoxide solution and lyophilization; and to compare the effects of low-dose (11 kGy) and normal-dose (25 kGy) gamma-ray sterilization versus no irradiation. 248 samples from 14 fasciae latae were collected. Freezing samples were frozen at -80 °C. Cryopreservation with dimethylsulfoxide solution samples were frozen with 10 cl dimethylsulfoxide solution at -80 °C. Lyophilization samples were frozen at -22 °C and lyophilized. Each preservation group were then randomly divided into 3 irradiation groups. The cryopreservation with dimethylsulfoxide solution samples had significantly worse results in all 3 irradiation conditions. Young's modulus was lower for the freezing samples (p < 0.001) and lyophilization samples groups (p < 0.001). Tear deformation was lower for the freezing samples (p = 0.001) and lyophilization samples groups (p = 0.003), as was stress at break (p < 0.001 and p < 0.001). Taking all preservation methods together, samples irradiated at 25 kGy had worse results than the 0 kGy and 11 kGy groups in terms of Young's modulus (p = 0.007 and p = 0.13) and of stress at break (p = 0.006 and p = 0.06). The biomechanical properties of fascia lata allografts were significantly worse under dimethylsulfoxide cryopreservation. The deleterious effects of irradiation were dose-dependent.
本研究的目的是确定阔筋膜的生物力学特性以及三种保存方法(冷冻、用二甲亚砜溶液冷冻保存和冻干)的效果;并比较低剂量(11 kGy)和正常剂量(25 kGy)γ射线灭菌与未辐照的效果。从14块阔筋膜中收集了248个样本。冷冻样本在-80 °C下冷冻。用二甲亚砜溶液冷冻保存的样本用10 cl二甲亚砜溶液在-80 °C下冷冻。冻干样本在-22 °C下冷冻然后冻干。然后将每个保存组随机分为3个辐照组。在所有3种辐照条件下,用二甲亚砜溶液冷冻保存的样本结果明显更差。冷冻样本组(p < 0.001)和冻干样本组(p < 0.001)的杨氏模量较低。冷冻样本组(p = 0.001)和冻干样本组(p = 0.003)的撕裂变形较低,断裂应力也较低(p < 0.001和p < 0.001)。综合所有保存方法来看,在杨氏模量(p = 0.007和p = 0.13)和断裂应力(p = 0.006和p = 0.06)方面,接受25 kGy辐照的样本比0 kGy和11 kGy组的结果更差。在二甲亚砜冷冻保存下,阔筋膜同种异体移植物的生物力学特性明显更差。辐照的有害影响具有剂量依赖性。