ZESBO - Center for Research on Musculoskeletal Systems, Department of Orthopedic Surgery, Traumatology and Plastic Surgery, Leipzig University, Semmelweisstraße 14, 04103, Leipzig, Germany.
Department of Orthopedic Surgery, Traumatology and Plastic Surgery, Leipzig University, Liebigstraße. 20 Haus 4, 04103, Leipzig, Germany.
J Orthop Surg Res. 2022 Aug 6;17(1):376. doi: 10.1186/s13018-022-03265-4.
Physiological saline (0.9% NaCl) and acetone are extensively used for storage (as well as hydration) and removal of bone marrow, respectively, of cancellous bone during preparation and mechanical testing. Our study aimed to investigate the mechanical properties of cancellous bone subjected to short-term immersion in saline and acetone treatment with subsequent immersion in saline.
Cylindrical samples (Ø6 × 12 mm) were harvested from three positions (left, middle, and right) of 1 thoracic vertebral body, 19 lumbar vertebral bodies, and 5 sacral bones, as well as from 9 femoral heads. All samples were divided into two groups according to the different treatments, (i) samples from the left and middle sides were immersed in saline at 4℃ for 43 h (saline-immersed group, n = 48); (ii) samples from the respective right side were treated with a combination of acetone and ultrasonic bath (4 h), air-dried at room temperature (21℃, 15 h), and then immersed in saline at room temperature (21℃, 24 h) (acetone and saline-treated group, n = 38). All samples were subjected, both before and after treatment, to a non-destructive compression test with a strain of 0.45%, and finally destructive tests with a strain of 50%. Actual density (ρ), initial modulus (E), maximum stress (σ), energy absorption (W), and plateau stress (σ) were calculated as evaluation indicators.
Based on visual observation, a combination of acetone and ultrasonic bath for 4 h failed to completely remove bone marrow from cancellous bone samples. The mean values of ρ, σ, W, and σ were significantly higher in the femoral head than in the spine. There was no significant difference in E between non-treated and saline-immersed samples (non-treated 63.98 ± 20.23 vs. saline-immersed 66.29 ± 20.61, p = 0.132). The average E of acetone and saline-treated samples was significantly higher than that of non-treated ones (non-treated 62.17 ± 21.08 vs. acetone and saline-treated 74.97 ± 23.98, p = 0.043).
Short-term storage in physiological saline is an appropriate choice and has no effect on the E of cancellous bone. Treatment of cancellous bone with acetone resulted in changes in mechanical properties that could not be reversed by subsequent immersion in physiological saline.
生理盐水(0.9% NaCl)和丙酮分别广泛用于储存(以及水化)和去除松质骨中的骨髓。我们的研究旨在研究松质骨在短期浸泡在盐水中和丙酮处理后再浸泡在盐水中的力学性能。
从 1 个胸椎、19 个腰椎和 5 个骶骨以及 9 个股骨头的 3 个位置(左侧、中间和右侧)采集圆柱形样本(Ø6×12mm)。所有样本根据不同的处理方法分为两组,(i)左侧和中间侧的样本在 4℃下浸泡 43 小时(盐水浸泡组,n=48);(ii)相应右侧的样本用丙酮和超声浴(4 小时)处理,在室温(21℃,15 小时)下风干,然后在室温(21℃,24 小时)下浸泡在盐水中(丙酮和盐水处理组,n=38)。所有样本在处理前后均进行应变 0.45%的无损压缩试验,最后进行应变 50%的破坏性试验。实际密度(ρ)、初始模量(E)、最大应力(σ)、能量吸收(W)和平台应力(σ)被计算为评估指标。
基于视觉观察,4 小时的丙酮和超声浴联合处理未能完全去除松质骨样本中的骨髓。股骨头的ρ、σ、W 和σ的平均值明显高于脊柱。未处理样本和盐水浸泡样本之间的 E 无显著差异(未处理 63.98±20.23 与盐水浸泡 66.29±20.61,p=0.132)。丙酮和盐水处理样本的平均 E 明显高于未处理样本(未处理 62.17±21.08 与丙酮和盐水处理 74.97±23.98,p=0.043)。
短期储存在生理盐水中是一个合适的选择,对松质骨的 E 没有影响。用丙酮处理松质骨会导致力学性能发生变化,而这些变化不能通过随后浸泡在生理盐水中逆转。