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锁定加压钢板固定绵羊临界尺寸骨缺损。兽医骨组织工程模型的建立。

Locking compression plate fixation of critical-sized bone defects in sheep. Development of a model for veterinary bone tissue engineering.

机构信息

PhD. Department of Surgery - School of Veterinary Medicine and Animal Science - Universidade de São Paulo - Sao Paulo (SP), Brazil.

MSc. Department of Surgery - School of Veterinary Medicine and Animal Science - Universidade de São Paulo - Sao Paulo (SP), Brazil.

出版信息

Acta Cir Bras. 2021 Jun 25;36(6):e360601. doi: 10.1590/ACB360601. eCollection 2021.

Abstract

PURPOSE

To develop a segmental tibial bone defect model for tissue engineering studies in veterinary orthopedics using single locking compression plate (LCP) fixation and cast immobilization.

METHODS

A 3-cm bone defect was created in the right tibia of 18 adult Suffolk sheep. A 10-hole, 4.5-mm LCP was applied to the dorsomedial aspect of the bone. Four locking screws were inserted into the proximal and three into the distal bone fragment. Operated limbs were immobilized with casts. Animals were submitted to stall rest, but were allowed to bear weight on the operated limb. During the recovery period, animals were checked daily for physiological parameters, behavior and lameness. Follow-up radiographs were taken monthly.

RESULTS

Surgical procedures and postoperative recovery were uneventful. Animals adapted quickly to casts and were able to bear weight on the operated limb with no signs of discomfort or distress. No clinical or radiographic complications were detected over a 90-day follow-up period.

CONCLUSIONS

Surgical creation of tibial segmental bone defects followed by fixation with single LCP and cast immobilization was deemed a feasible and appropriate model for veterinary orthopedic research in tissue engineering.

摘要

目的

使用单锁定加压钢板(LCP)固定和石膏固定在兽医骨科中为组织工程研究开发胫骨节段性骨缺损模型。

方法

在 18 只成年萨福克羊的右侧胫骨中创建 3 厘米的骨缺损。将 10 孔、4.5 毫米 LCP 应用于骨的背内侧。将四个锁定螺钉插入近侧骨段,三个螺钉插入远侧骨段。手术肢体用石膏固定。动物被置于厩栏休息,但允许在手术肢体上负重。在恢复期,每天检查动物的生理参数、行为和跛行情况。每月拍摄随访 X 光片。

结果

手术过程和术后恢复均顺利。动物很快适应了石膏,能够在手术肢体上负重,没有不适或痛苦的迹象。在 90 天的随访期间,未发现临床或影像学并发症。

结论

胫骨节段性骨缺损的手术创建,随后使用单 LCP 和石膏固定,被认为是兽医骨科组织工程研究的一种可行且合适的模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/720f/8232063/3f6836d4a1fd/1678-2674-acb-36-6-e360601-gf01.jpg

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