Yamamoto S
Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1995 Apr;69(4):209-21.
To evaluate the effects of 2 beta-(3-hydroxypropoxy)-1 alpha, 25-dihydroxyvitamin D3 (ED-71) on callotasis, we measured the bone mineral content (BMC) using dual energy X-ray absorptiometry (DXA) and compared the results with radiographical and histological findings, in an experimental model. Leg lengthening by callotasis was performed on 37 10-week-old Japanese white rabbits. The rabbits were divided into two groups; those in Group A (n = 19) received no medication and those in Group B (n = 18) received ED-71 (0.05 micrograms/kg body weight) twice a week following osteotomy. In both groups, from 10 days after the osteotomy, the bone was lengthened a total of 10 mm at a rate of 0.5 mm every 12 hours (1.0 mm/day) for a further 10 days. After completion of distraction, the bone mineral content (BMC) of the newly formed bone at the site of lengthening was then measured by DXA each week for 15 weeks, and the DXA findings were compared with those from radiographical and histological studies. The BMC of the newly formed bone at the site of the lengthening in both groups increased and reached a peak at two weeks after completion of the distraction. Then, the BMC gradually decreased and reached a plateau after a further 8 weeks. The BMC in Group B was significantly higher than that in Group A, and this correlated with the radiographical and histological findings. We concluded that the change in BMC at the site of the lengthening corresponded with the radiographical and histological findings, and that ED-71 administration may increase the callus formation at the site of leg lengthening.
为评估2β-(3-羟丙氧基)-1α,25-二羟基维生素D3(依降钙素,ED-71)对骨痂延长术的影响,我们在一个实验模型中,使用双能X线吸收法(DXA)测量骨矿物质含量(BMC),并将结果与影像学和组织学检查结果进行比较。对37只10周龄的日本白兔进行骨痂延长术。将兔子分为两组;A组(n = 19)不接受药物治疗,B组(n = 18)在截骨术后每周两次接受ED-71(0.05微克/千克体重)治疗。在两组中,从截骨术后10天开始,在接下来的10天里,以每12小时0.5毫米(1.0毫米/天)的速度将骨总共延长10毫米。牵张完成后,每周一次使用DXA测量延长部位新形成骨的骨矿物质含量(BMC),持续15周,并将DXA检查结果与影像学和组织学研究结果进行比较。两组延长部位新形成骨的BMC均增加,并在牵张完成后两周达到峰值。然后,BMC逐渐下降,并在再过8周后达到平台期。B组的BMC显著高于A组,这与影像学和组织学检查结果相关。我们得出结论,延长部位的BMC变化与影像学和组织学检查结果一致,并且给予ED-71可能会增加腿部延长部位的骨痂形成。