Xu Junjie, Han Kang, Su Wei, Zhao Jinzhong
Department of Sports Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Arthrosc Tech. 2022 May 11;11(6):e999-e1005. doi: 10.1016/j.eats.2022.02.001. eCollection 2022 Jun.
Understanding the pathophysiology of rotator cuff tears (RCTs) in animal models is of great importance, as it helps in the development of repair strategies and therapeutic treatments for rotator cuff diseases in humans. This Technical Note describes a comprehensive step-by-step description of an arthroscopic-assisted minimally invasive RCT model in rabbits. This technique is beneficial because the rabbit has rotator cuffs anatomically similar to those of humans, and it has been widely used as a preclinical animal model in the basic science literature. Compared with other small animals (e.g., mice and rats), the advantage of the rabbit model is that it can test the effectiveness and healing process of new surgical repair techniques that require relatively larger anatomical structures. Moreover, it is more cost-effective compared with larger animal models, such as sheep and canines. This arthroscopic-assisted mini-invasive technique to create an RCT model may have a better effect on simulating the degenerative and chronic RCT state in humans than the commonly used open surgery, along with an earlier return to activities, less scarring and tissue adhesion, fewer injuries to the deltoid, and fewer complications.
了解动物模型中肩袖撕裂(RCTs)的病理生理学非常重要,因为这有助于开发针对人类肩袖疾病的修复策略和治疗方法。本技术说明详细逐步描述了兔关节镜辅助微创RCT模型。该技术具有优势,因为兔的肩袖在解剖结构上与人类相似,并且在基础科学文献中已被广泛用作临床前动物模型。与其他小型动物(如小鼠和大鼠)相比,兔模型的优势在于它可以测试需要相对较大解剖结构的新手术修复技术的有效性和愈合过程。此外,与绵羊和犬等大型动物模型相比,它更具成本效益。这种创建RCT模型的关节镜辅助微创技术,与常用的开放手术相比,可能在模拟人类退行性和慢性RCT状态方面具有更好的效果,同时恢复活动更早、疤痕和组织粘连更少、三角肌损伤更少且并发症更少。