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动态负荷对跟骨内木质植入物及其周围组织的影响。

The effects of dynamic loading on intracalcaneal wood implants and on the tissues surrounding them.

作者信息

Kristen H, Bösch P, Bednar H, Plenk H

出版信息

Arch Orthop Trauma Surg (1978). 1979 Apr 30;93(4):287-92. doi: 10.1007/BF00450228.

Abstract

The dorsal parts of the calcanei of rabbits were resected and replaced with similarly-shaped implants made of ash wood. In each case the Achilles tendon was reinserted into the projecting part of the implant so as to subject the latter to the dynamic loads generated by use of the limb. The implants were removed from some of the animals after 5 weeks and from the others after 14 weeks. They were evaluated by preparing undecalcified microtome sections and ground sections which were examined by light microscopy and microradiography. Some of the animals underwent vital staining so as to produce polychromatic sequential labelling of the calcaneal specimens. In the area of insertion of the Achilles tendon soft tissue grew into the larger pores of the wood and, in some cases, differentiated into cartilage. Every implant remained stably anchored in the calcaneus. In every animal the intracalcaneal part of the implant became surrounded by new bone which was in direct contact with the surface of the implant and which also formed in the pores of the wood, even all rabbits loaded the operated foot. The formation of new bone in and around the implants demonstrates the basic feasibility of using ash wood as an isoelastic implant material in bone.

摘要

切除兔子跟骨的背侧部分,并用形状相似的白蜡木植入物进行替换。在每种情况下,跟腱都重新附着在植入物的突出部分,以使植入物承受肢体活动产生的动态负荷。5周后从部分动物身上取出植入物,14周后从其他动物身上取出。通过制备不脱钙切片和磨片进行评估,并用光学显微镜和显微放射ography进行检查。对部分动物进行活体染色,以便对跟骨标本进行多色连续标记。在跟腱附着区域,软组织长入木材的较大孔隙中,在某些情况下分化为软骨。每个植入物都稳定地固定在跟骨中。在每只动物中,植入物的跟骨内部分都被新骨包围,新骨与植入物表面直接接触,并且也在木材孔隙中形成,即使所有兔子都使用手术过的脚负重。植入物内部及其周围新骨的形成证明了使用白蜡木作为骨的等弹性植入材料的基本可行性。

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