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长骨干骺端松质骨自体移植的实验研究(作者译)

[Experimental studies of autograft with cancellous bone in the diaphysis of long bone (author's transl)].

作者信息

Saur K, Dambe L T, Schweiberer L

出版信息

Arch Orthop Trauma Surg (1978). 1978 Aug 30;92(2-3):211-9. doi: 10.1007/BF00397961.

Abstract

The acceptance of fresh autologous cancellous bone in a wedge-shaped diaphysial cortical defect was examined in 2 groups of 5 dogs microangiographically and histologically 1,2,3,4 and 6 weeks after transplantation. The main recanalisation takes place after one week from the medullary canal, two weeks later periosteal vessels are connected and finally three weeks later the tender vessels of the Haversian canal system within the cortex are being integrated. Histologically, after one week active formation of fibrous bone can be seen adjacent to numerous capillaries originating within the medullary canal. Simultaneously, considerable degradation of transplanted trabeculae by mono- or polynuclear osteoclasts takes place. Formation of new bone occurs according to newly built capillaries. After 4 weeks, transplanted trabeculae can be found only sparsely, the new fibrous bone is being remodelled into lamellar bone. After 6 weeks, the entire fibrous bone has been transformed into lamellar bone and is calcified. A trajectorial orientation of the Haversian system according to that of the host cortical bone can be recognized vaguely.

摘要

在两组各5只犬中,于移植后1、2、3、4和6周通过微血管造影和组织学方法检查楔形骨干皮质缺损中新鲜自体松质骨的接受情况。主要的再通在移植后1周从髓腔开始,2周后骨膜血管相连,最后3周后皮质内哈弗斯管系统的细小血管开始整合。组织学上,1周后可见在髓腔内起源的大量毛细血管旁有活跃的纤维骨形成。同时,单核或多核破骨细胞对移植的小梁进行相当程度的降解。新骨的形成根据新建的毛细血管进行。4周后,仅能稀疏地发现移植的小梁,新的纤维骨正在重塑为板层骨。6周后,整个纤维骨已转化为板层骨并钙化。可隐约辨认出哈弗斯系统与宿主皮质骨的走行方向一致。

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