Faculty of Engineering Department of Mechanical Engineering, Ege University, 35100, Bornova, Izmir, Turkey.
Faculty of Medicine Department of Anatomy, Mugla Sitki Kocman University, Kotekli quarter, Marmaris road boulevard, No:50, 48000, Mentese-Mugla, Turkey.
Surg Radiol Anat. 2021 Dec;43(12):1933-1943. doi: 10.1007/s00276-021-02762-1. Epub 2021 May 5.
Although the fresh frozen (FF) cadaver is preferred for surgical applications, it is limited due to short usage time, unsuitable for reuse and the risk of infection. Due to its limited use, FF cadavers, which are covered by import in countries with insufficient body donation cause low-cost effectiveness. With the increase of real human tissue specimen necessities for surgical training, long-term preservation of the cadavers is crucial due to changes in mechanical properties. Therefore, studies on embalming solutions have increased in recent years.
We quantify the biomechanical properties of human parietal bones preserved via modified larssen solution (MLS) and compare the results with the specimens preserved as FF and fixed with 10% formalin-based solution (F10). The rectangular samples of 24 parietal bones of male individuals were resected from MLS-embalmed, F10-embalmed and FF cadavers to form three groups each containing eight samples. These specimens were tested longitudinally to identify mechanical properties.
The tensile test results showed that there is not a significant difference between the groups in terms of stiffness, elastic modulus, strain at ultimate stress, failure strain and effective plastic strain. However, the yield stress, ultimate stress, yield strain, failure stress and total energy and post-yield properties are significantly lower in F10 than MLS and FF groups.
It is observed that the mechanical properties of MLS preserved and FF parietal bones have almost similar properties. Thus, it can be concluded that MLS is a suitable fixative solution for bone studies and bone-related surgical anatomy training applications.
尽管新鲜冷冻(FF)尸体更适合用于外科应用,但由于使用时间短、不适合重复使用以及存在感染风险,其应用受到限制。由于其使用受限,进口 FF 尸体在捐赠不足的国家会导致成本效益低下。随着手术培训对真实人体组织标本需求的增加,由于机械性能的变化,长期保存尸体至关重要。因此,近年来有关防腐液的研究有所增加。
我们量化了通过改良拉森溶液(MLS)保存的人类顶骨的生物力学特性,并将结果与作为 FF 保存的标本以及用 10%基于甲醛的溶液(F10)固定的标本进行比较。从 MLS 防腐、F10 防腐和 FF 尸体中切除了 24 块男性个体顶骨的 24 个矩形样本,每组 8 个样本,共形成三组。这些标本进行纵向测试以确定机械性能。
拉伸试验结果表明,在刚度、弹性模量、极限应力下的应变、破坏应变和有效塑性应变方面,各组之间没有显著差异。然而,屈服应力、极限应力、屈服应变、破坏应力以及总能量和屈服后性能在 F10 组中明显低于 MLS 和 FF 组。
观察到 MLS 保存和 FF 顶骨的机械性能几乎具有相似的特性。因此,可以得出结论,MLS 是一种适用于骨骼研究和骨骼相关手术解剖培训应用的固定液。