Goertzen M J, Clahsen H, Bürrig K F, Schulitz K P
Heinrich Heine University, Düsseldorf, Germany.
J Bone Joint Surg Br. 1995 Mar;77(2):205-12.
Bone-ACL-bone allograft transplantation is a potential solution to the problem of reconstruction of the anterior cruciate ligament (ACL), but sterilisation by gamma irradiation or ethylene oxide causes degradation of the graft. We have studied the biomechanical and histological properties of deep-frozen canine bone-ACL-bone allografts sterilised by gamma irradiation (2.5 Mrad) under argon gas protection. Particular attention was paid to their collagen structure and neuroanatomy compared with those of non-irradiated allografts. We used 60 skeletally mature foxhounds. In 30 animals one ACL was replaced by an irradiated allograft and in the other 30 a non-irradiated graft was used. In both groups the graft was augmented by a Kennedy Ligament Augmentation Device. Examination of the allografts at 3, 6 and 12 months after implantation included mechanical testing, histology, collagen morphometry, neuroanatomical morphology (silver and gold chloride stain) and studies of the microvasculature (modified Spalteholz technique). At 12 months the irradiated ACL allografts failed at a mean maximum load of 718.3 N, 63.8% of the strength of the normal canine ACL. The non-irradiated allografts failed at 780.1 N, 69.1% of normal. All the allografts showed a well-orientated collagen structure one year after transplantation and there was no difference between the irradiated grafts and the others. The silver staining technique demonstrated Golgi tendon organs and free nerve endings within both groups of allografts. As in the normal ACL these structures were most commonly found near the surface of the graft and at its bony attachments. At 12 months the irradiated allografts showed slight hypervascularity compared with the non-irradiated grafts.(ABSTRACT TRUNCATED AT 250 WORDS)
骨-前交叉韧带-骨同种异体移植是解决前交叉韧带(ACL)重建问题的一种潜在方法,但通过伽马射线照射或环氧乙烷灭菌会导致移植物降解。我们研究了在氩气保护下经伽马射线照射(2.5兆拉德)灭菌的深冻犬骨-ACL-骨同种异体移植物的生物力学和组织学特性。与未照射的同种异体移植物相比,特别关注了它们的胶原结构和神经解剖学。我们使用了60只骨骼成熟的猎狐犬。在30只动物中,一条ACL被照射的同种异体移植物替代,在另外30只动物中使用未照射的移植物。两组中移植物均通过肯尼迪韧带增强装置进行增强。植入后3个月、6个月和12个月对同种异体移植物的检查包括力学测试、组织学、胶原形态测量、神经解剖学形态(银染和氯化金染色)以及微血管系统研究(改良的斯帕尔托霍尔兹技术)。12个月时,照射的ACL同种异体移植物在平均最大负荷718.3牛时失效,为正常犬ACL强度的63.8%。未照射的同种异体移植物在780.1牛时失效,为正常强度的69.1%。所有同种异体移植物在移植一年后均显示出排列良好的胶原结构,照射的移植物与其他移植物之间没有差异。银染技术在两组同种异体移植物中均显示出高尔基腱器官和游离神经末梢。与正常ACL一样,这些结构最常见于移植物表面及其骨附着处附近。12个月时,与未照射的移植物相比,照射的同种异体移植物显示出轻微的血管增多。(摘要截短于250字)