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正常和骨质疏松犬股骨在半关节置换术前和术后的力学行为。

The mechanical behavior of normal and osteoporotic canine femora before and after hemiarthroplasty.

作者信息

Cook S D, Skinner H B, Weinstein A M, Lavernia C J, Midgett R J

出版信息

Clin Orthop Relat Res. 1982 Oct(170):303-12.

PMID:7127961
Abstract

Nutritional secondary hyperparathyroidism (NSH) was induced in adult beagle dogs through nutritional control by feeding them a diet containing high phosphorus (1.2%) and low calcium (0.12%). A control group was fed a diet containing 0.42% phosphorus and 0.54% calcium. An osteoporotic condition was produced by NSH, which was verified with histologic, histomorphometric, and biochemical analyses. A significant increase in i-PTH level was measured at both ten and 20 weeks after initiation of the diet in experimental animals when compared with control animals. A 25% reduction in volume fraction cancellous bone and increased osteoclastic activity was found in histologic sections from the femoral heads of the NSH animals when compared with control animals. No abnormally large osteoid seam was found in the cancellous bone of the experimental animals. The results of energy dispersive radiographic analysis and bone ash analysis revealed no significant differences in calcium-to-phosphorus or mineral-to-matrix ratios between the two groups. The results of in vitro mechanical testing indicated significant differences in the strain state for the NSH and control animal femora, with the highest strains being observed in the calcar region of the NSH femora. The presence of a Co-Cr-Mo alloy femoral head prosthesis was found to alter the strain distribution significantly in both the control and NSH femora.

摘要

通过营养控制诱导成年比格犬患营养性继发性甲状旁腺功能亢进症(NSH),方法是给它们喂食含高磷(1.2%)和低钙(0.12%)的日粮。对照组喂食含0.42%磷和0.54%钙的日粮。NSH导致了骨质疏松症,这通过组织学、组织形态计量学和生化分析得到了证实。与对照动物相比,实验动物在开始喂食日粮后的10周和20周时,测量到i-PTH水平显著升高。与对照动物相比,NSH动物股骨头的组织学切片显示松质骨体积分数减少25%,破骨细胞活性增加。实验动物的松质骨中未发现异常大的类骨质缝。能量色散射线照相分析和骨灰分析结果显示,两组之间钙磷比或矿物质与基质比无显著差异。体外力学测试结果表明,NSH动物和对照动物股骨的应变状态存在显著差异,NSH股骨的转子间区域观察到最高应变。发现钴铬钼合金股骨头假体的存在会显著改变对照股骨和NSH股骨的应变分布。

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