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马掌指关节骨关节炎诱导的骨软骨碎片-凹槽手术评估

Evaluation of an osteochondral fragment-groove procedure for induction of metacarpophalangeal joint osteoarthritis in horses.

作者信息

Broeckx Sarah Y, Pille Frederik, Buntinx Simon, Van Brantegem Leen, Duchateau Luc, Oosterlinck Maarten, Chiers Koen, Bertone Alicia L, Spaas Jan H, Martens Ann M

出版信息

Am J Vet Res. 2019 Mar;80(3):246-258. doi: 10.2460/ajvr.80.3.246.

Abstract

OBJECTIVE To evaluate lameness and morphological changes associated with an osteochondral fragment-groove procedure as a means of experimental induction of metacarpophalangeal (MCP) joint osteoarthritis within an 11-week period in horses. ANIMALS 6 nonlame adult warmbloods. PROCEDURES The right MCP joint of each horse underwent an osteochondral fragment-groove procedure (day 0). After 1 week of stall rest (ie, starting day 7), each horse was trained daily on a treadmill. Weekly, horses underwent visual and inertial sensor-based assessments of lameness. Both MCP joints were assessed radiographically on days 0 (before surgery), 1, 35, and 77. A synovial fluid sample was collected from the right MCP joint on days 0 (before surgery), 35, 36, 49, 63, and 77 for cytologic and biomarker analyses. On day 77, each horse was euthanized; both MCP joints were evaluated macroscopically and histologically. RESULTS Right forelimb lameness was detected visually and by the inertial sensor system when horses were moving on a straight line after distal forelimb flexion or circling left on days 14 to 77. Compared with presurgical values, synovial fluid interleukin-6, prostaglandin E2, hyaluronic acid, and interleukin-1 receptor antagonist protein concentrations were increased at 2 or 3 time points, whereas tumor necrosis factor-α and interleukin-10 concentrations were decreased at 1 time point. Gross examination of all right MCP joints revealed synovitis and wear lines; synovitis was confirmed histologically. CONCLUSIONS AND CLINICAL RELEVANCE Results indicated that a combined osteochondral fragment-groove procedure can be used to induce clinically and grossly observable early MCP joint osteoarthritis during an 11-week period in horses.

摘要

目的 评估骨软骨碎片-凹槽手术作为在11周内实验性诱导马掌指关节(MCP)骨关节炎的一种方法所导致的跛行及形态学变化。动物 6匹无跛行的成年温血马。方法 每匹马的右MCP关节接受骨软骨碎片-凹槽手术(第0天)。在厩内休息1周后(即从第7天开始),每匹马每天在跑步机上训练。每周对马进行基于视觉和惯性传感器的跛行评估。在第0天(手术前)、1天、35天和77天对两个MCP关节进行放射学评估。在第0天(手术前)、35天、36天、49天、63天和77天从右MCP关节采集滑液样本进行细胞学和生物标志物分析。在第77天,对每匹马实施安乐死;对两个MCP关节进行大体和组织学评估。结果 当马在第14至77天进行前肢远端屈曲后直线行走或向左转圈时,通过视觉和惯性传感器系统检测到右前肢跛行。与术前值相比,滑液白细胞介素-6、前列腺素E2、透明质酸和白细胞介素-1受体拮抗剂蛋白浓度在2或3个时间点升高,而肿瘤坏死因子-α和白细胞介素-10浓度在1个时间点降低。对所有右MCP关节的大体检查显示滑膜炎和磨损线;组织学证实为滑膜炎。结论及临床意义 结果表明,骨软骨碎片-凹槽联合手术可用于在11周内诱导马出现临床和大体可观察到的早期MCP关节骨关节炎。

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