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小动物模型下肢骨折后的步态分析和肌肉重量分析。

Gait analysis and muscle weight analysis after lower extremity fractures in a small animal model.

机构信息

Department of Orthopaedic Trauma and Reconstructive Surgery, University of Aachen Medical Center, Pauwelsstraße 30, 52074, Aachen, Germany.

Institute of Laboratory Animal Science, University of Aachen Medical Center, Pauwelsstraße 30, 52074, Aachen, Germany.

出版信息

Gait Posture. 2020 Mar;77:207-213. doi: 10.1016/j.gaitpost.2020.01.022. Epub 2020 Feb 6.

Abstract

BACKGROUND

Besides adequate healing of bone and soft tissues, mobility represents a significant factor in functional outcome after lower extremity fractures. Although gait analysis is gaining clinical interest and importance in the rehabilitation of patients with fractures, it is rarely used in experimental fracture healing research. The aim of this study is to establish an accurate gait analysis method for fracture healing research in small animal models and to evaluate the influence of a lower extremity fracture on gait pattern and muscle atrophy in rats.

RESEARCH QUESTION

How does an intramedullary stabilized femur fracture influence the gait pattern and muscle atrophy during fracture healing in rats?

METHODS

An isolated femur fracture with intramedullary stabilization was induced in 26 Sprague Dawley rats. Different gait parameters (e.g. intensity, print area, stand duration, duty cycle, and swing speed) were evaluated with the CatWalk gait analysis system during the fracture healing process. Furthermore, muscle weight analysis was performed at different time points.

RESULTS

The gait analyses with the CatWalk system showed a high correlation with the osteogenesis of fracture healing in this model. Muscle atrophy increased during the early fracture healing stages and then decreased in the later stages.

SIGNIFICANCE

We are the first to show that the CatWalk system is a useful tool to perform gait analyses after lower extremity fractures in a murine model. These results could form a basis for future gait analyses research in fracture healing studies to improve knowledge about bone regeneration and rehabilitation after lower extremity fractures.

摘要

背景

除了骨骼和软组织的充分愈合外,下肢骨折后功能恢复的一个重要因素是活动能力。尽管步态分析在骨折患者的康复中越来越受到临床关注和重视,但在骨折愈合的实验研究中很少使用。本研究的目的是建立一种精确的小动物模型骨折愈合研究中的步态分析方法,并评估下肢骨折对大鼠步态模式和肌肉萎缩的影响。

研究问题

髓内固定股骨骨折如何影响大鼠骨折愈合过程中的步态模式和肌肉萎缩?

方法

在 26 只 Sprague Dawley 大鼠中诱导髓内稳定的股骨骨折。使用 CatWalk 步态分析系统在骨折愈合过程中评估不同的步态参数(例如强度、脚印面积、站立持续时间、占空比和摆动速度)。此外,还在不同时间点进行肌肉重量分析。

结果

CatWalk 系统的步态分析与该模型中骨折愈合的成骨具有高度相关性。肌肉萎缩在骨折愈合的早期阶段增加,然后在后期阶段减少。

意义

我们是第一个证明 CatWalk 系统是一种在鼠模型中进行下肢骨折后步态分析的有用工具的人。这些结果可以为未来的骨折愈合研究中的步态分析研究奠定基础,以提高对下肢骨折后骨再生和康复的认识。

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