Coates Brandon A, Silva Matthew J
Department of Orthopaedic Surgery, Washington University in St. Louis, MO, United States; Department of Biomedical Engineering, Washington University in St. Louis, MO, United States.
Department of Orthopaedic Surgery, Washington University in St. Louis, MO, United States; Department of Biomedical Engineering, Washington University in St. Louis, MO, United States.
J Biomech. 2020 Jul 17;108:109866. doi: 10.1016/j.jbiomech.2020.109866. Epub 2020 Jun 20.
Microdamage accumulates in bone matrix and is repaired through bone remodeling. Conditions such as osteoporosis and treatment with antiresorptive bisphosphonates can influence this remodeling process. In order to study microdamage accrual and repair in the context of osteoporosis and osteon structures, we set out to modify the rabbit forelimb fatigue model. New Zealand White rabbits (N = 43, 10 months old) received either ovariectomy (OVX) or sham surgeries and were used for forelimb fatigue loading. OVX increased fluorochrome labeling of intracortical and periosteal bone of the ulna, without changes in bone mass. Monotonic and cyclic loading of the forelimb did not reveal any statistical differences between stiffness, ultimate force, or displacement to failure between sham and OVX rabbits. Two levels of fatigue loading, chosen to represent "low" and "moderate" fatigue (25% and 40% of total displacement to failure, respectively), were used on OVX forelimbs to examine microdamage creation. However, neither group showed increased damage burden as compared to non-loaded controls. Following fatigue loading rabbit ulnae had increased intracortical remodeling and periosteal lamellar bone formation in "moderate" fatigue limbs, although no basic multicellular units or microdamage-targeted remodeling was observed. In summary, we adapted the rabbit forelimb fatigue model to accommodate OVX animals. However, loading parameters that could induce repeatable microdamage burden were not identified. Thus, while increased intracortical remodeling and periosteal bone formation were induced by our fatigue loading regimen, this preliminary study did not establish conditions to allow future study of the interactions between microdamage accrual and repair.
微损伤在骨基质中积累,并通过骨重塑进行修复。骨质疏松症和抗吸收双膦酸盐治疗等情况会影响这一重塑过程。为了研究骨质疏松症和骨单位结构背景下的微损伤累积和修复,我们着手修改兔前肢疲劳模型。新西兰白兔(N = 43,10个月大)接受卵巢切除术(OVX)或假手术,并用于前肢疲劳加载。OVX增加了尺骨皮质内和骨膜骨的荧光染料标记,但骨量没有变化。前肢的单调和循环加载未显示假手术组和OVX组在刚度、极限力或破坏位移方面有任何统计学差异。在OVX前肢上使用两个疲劳加载水平,分别代表“低”和“中”疲劳(分别为总破坏位移的25%和40%),以检查微损伤的产生。然而,与未加载的对照组相比,两组均未显示损伤负担增加。疲劳加载后,“中”疲劳肢体的兔尺骨皮质内重塑增加,骨膜板层骨形成增加,尽管未观察到基本多细胞单位或微损伤靶向重塑。总之,我们修改了兔前肢疲劳模型以适应OVX动物。然而,未确定能诱导可重复微损伤负担的加载参数。因此,虽然我们的疲劳加载方案诱导了皮质内重塑增加和骨膜骨形成增加,但这项初步研究并未确定条件以允许未来研究微损伤累积与修复之间的相互作用。