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新鲜、冷冻和玻璃化关节软骨的机械性能。

Mechanical Properties of Fresh, Frozen and Vitrified Articular Cartilage.

机构信息

Department of Mechanical Engineering, University of Alberta, Edmonton, Canada.

Department of Surgery, University of Alberta, Edmonton, Canada.

出版信息

Ann Biomed Eng. 2023 Sep;51(9):2001-2012. doi: 10.1007/s10439-023-03220-2. Epub 2023 May 2.

Abstract

Osteochondral allograft transplantations are typically used to treat focal articular cartilage injuries where the damaged cartilage is replaced with fresh cadaveric donor grafts. Despite the notable success rate of this procedure, it is limited by fresh donor tissue availability which can only be stored for approximately 28 days after harvest. Vitrification, a form of cryopreservation, can extend the storage time of cartilage. Although it has shown to preserve chondrocyte viability, its effect on the mechanical properties of the tissue has not been thoroughly investigated. Therefore, in this study, the mechanical properties of fresh, frozen, and vitrified articular cartilage were evaluated through unconfined compression testing. Results showed that the peak modulus, equilibrium modulus, and relaxation time constants of the vitrified and control samples (tested one day after harvest) were similar and higher than the fresh (tested 21 days after harvest) and frozen samples. This demonstrated that vitrification does not adversely affect the mechanical properties of cartilage and can be used as an alternative to fresh allografts which are limited by storage time. The fresh samples also had inferior mechanical properties compared to the control samples suggesting that vitrified allografts could potentially improve clinical outcomes in addition to increasing donor tissue availability.

摘要

同种异体骨软骨移植通常用于治疗局灶性关节软骨损伤,其中受损的软骨被新鲜的异体供体移植物取代。尽管该手术的成功率显著,但它受到新鲜供体组织可用性的限制,这些组织在收获后只能储存大约 28 天。玻璃化是一种冷冻保存形式,可以延长软骨的储存时间。尽管它已被证明可以保持软骨细胞的活力,但它对组织机械性能的影响尚未得到彻底研究。因此,在这项研究中,通过无约束压缩测试评估了新鲜、冷冻和玻璃化关节软骨的机械性能。结果表明,玻璃化和对照样本(收获后一天测试)的峰值模量、平衡模量和弛豫时间常数与新鲜样本(收获后 21 天测试)和冷冻样本相似,且高于后两者。这表明玻璃化不会对软骨的机械性能产生不利影响,并且可以替代受储存时间限制的新鲜同种异体移植物。新鲜样本的机械性能也比对照样本差,这表明玻璃化同种异体移植物除了增加供体组织的可用性外,还有可能改善临床结果。

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