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机械适应性骨重塑

Mechanically adaptive bone remodelling.

作者信息

Lanyon L E, Goodship A E, Pye C J, MacFie J H

出版信息

J Biomech. 1982;15(3):141-54. doi: 10.1016/0021-9290(82)90246-9.

Abstract

Removal of the ulna in mature sheep causes a slight increase in peak principal walking strains in the radius which can be recorded by rosette strain gauges. The overstrain on the cranial surface of the radius (20%) was more than twice that on the caudal surface (8%) yet over the 50 weeks following ulnar osteotomy new bone was deposited predominantly on the bone's caudal periosteal surface. The total amount of new bone deposited on the radius replaced the area of bone in the removed ulna, thus equilibrating strains due to compression between osteotomised and non-osteomised limbs. Strains due to bending, and consequently total strains, were reduced to below normal suggesting that mechanically adaptive bone remodelling may not be related to absolute strain levels but to the relative distribution of strain. New bone formation can therefore be stimulated as the result of a mechanical reorganization in which total strains are lower than those which normally occur. The new bone deposited on the caudal cortex of the radius became intensively remodelled with secondary osteons while that on the cranial surface remained in its primary form. This suggests that osteonal remodelling may not always be a simple reparative process but may be one influenced by the strain situation possibly to improve the structure and physical properties of the tissue.

摘要

在成年绵羊中切除尺骨会导致桡骨主行走应变峰值略有增加,这可以通过应变片式应变计记录下来。桡骨颅面的过度应变(20%)是尾面(8%)的两倍多,但在尺骨截骨术后的50周内,新骨主要沉积在骨的尾侧骨膜表面。桡骨上沉积的新骨总量替代了切除的尺骨的骨面积,从而平衡了截骨和未截骨肢体之间由于压缩产生的应变。由于弯曲产生的应变以及因此产生的总应变降低到正常水平以下,这表明机械适应性骨重塑可能与绝对应变水平无关,而是与应变的相对分布有关。因此,新骨形成可以作为一种机械重组的结果而被刺激,在这种重组中总应变低于正常情况下发生的应变。沉积在桡骨尾侧皮质上的新骨随着二级骨单位而进行大量重塑,而颅面的新骨则保持其原始形态。这表明骨单位重塑可能并不总是一个简单的修复过程,而是可能受到应变情况影响的过程,可能是为了改善组织的结构和物理特性。

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