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可降解镁合金(WE43)在骨固定板和螺钉中的应用。

Biodegradable magnesium alloy (WE43) in bone-fixation plate and screw.

机构信息

Department of Oral and Maxillofacial Surgery, Hallym University Medical Center, Dongtan Sacred Heart Hospital, Hwaseong, Korea.

Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital, Seoul, Korea.

出版信息

J Biomed Mater Res B Appl Biomater. 2020 Aug;108(6):2505-2512. doi: 10.1002/jbm.b.34582. Epub 2020 Feb 12.

Abstract

The purpose of the present study was to evaluate the mechanical strength and the absorption rate of WE43 material and to develop an absorbable metallic plate and screw for craniofacial application. The extruded WE43 plate and screw were evaluated using a LeFort I osteotomy canine model of 10 beagle dogs. Animals were divided into two groups: five dogs in the experimental group and five dogs in the control group. μCT was acquired at 4, 12, and 24 weeks. At 24 weeks after the operation, all animals were sacrificed, and histologic evaluation was performed. Swelling and gas formation were observed in three dogs in the experimental groups at 8 weeks. From 12 weeks, infraorbital fistula and inflammation were observed in three dogs in the experimental group, which gradually decreased and disappeared at 24 weeks. Other two dogs showed less gas formation at 12 weeks. The plates were completely absorbed, and gas formation was not observed at 24 weeks in these two dogs. New bone was well formed around the plates and screws in both groups. Histologic examination showed no specific differences between two groups. The mechanical strength of extruded WE43 was sufficient for mid-facial application. Plates and screws made with appropriately treated WE43 have the potential to be useful clinically.

摘要

本研究旨在评估 WE43 材料的机械强度和吸收率,并开发用于颅面应用的可吸收金属板和螺钉。使用 10 只比格犬的 LeFort I 截骨犬模型评估了挤出的 WE43 板和螺钉。动物分为两组:实验组 5 只,对照组 5 只。在第 4、12 和 24 周采集 μCT。术后 24 周,所有动物均被处死,进行组织学评估。在实验组的 3 只狗中,在第 8 周观察到肿胀和气形成。从第 12 周开始,在实验组的 3 只狗中观察到眶下瘘管和炎症,这些症状在第 24 周逐渐减少并消失。另外两只狗在第 12 周时气形成较少。所有的板都被完全吸收,在这两只狗中,第 24 周没有观察到气形成。两组均在板和螺钉周围形成了良好的新骨。组织学检查显示两组之间没有明显差异。挤出的 WE43 的机械强度足以用于中面部应用。经过适当处理的 WE43 制成的板和螺钉具有潜在的临床应用价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1302/7383574/7f740b008f6a/JBM-108-2505-g001.jpg

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