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兔松质骨截骨术的愈合——第一部分:正常骨中骨体积的调节及局部加速现象

Healing of cancellous bone osteotomy in rabbits--Part I: Regulation of bone volume and the regional acceleratory phenomenon in normal bone.

作者信息

Bogoch E, Gschwend N, Rahn B, Moran E, Perren S

机构信息

Department of Surgery, University of Toronto, Ontario, Canada.

出版信息

J Orthop Res. 1993 Mar;11(2):285-91. doi: 10.1002/jor.1100110216.

Abstract

We performed a simple, undisplaced, incomplete osteotomy of the distal medial condyle of mature New Zealand White rabbits and permitted healing without fixation for 4 weeks. During the recovery period, the rabbits received the bone label calcein in their drinking water. From ground stained and unstained sections, we determined histomorphometric parameters in five zones: osteotomy gap, juxtaosteotomy, lateral condyle, metaphysis, and diaphysis. At 4 weeks, newly formed cancellous bone had obliterated the osteotomy gap. Osteotomy also stimulated new bone formation in cancellous bone of the medial condyle around the osteotomy. At that site, we found a fivefold increase in new bone without a change in bone volume (BV). Stimulation of bone formation was not observed in cancellous bone of the lateral condyle that had not been operated on or in cortical bone of the metaphysis or diaphysis. The maintenance of BV, despite increased new bone formation in the osteotomized medial femoral condyle, was probably due to a local acceleration of bone remodeling.

摘要

我们对成年新西兰白兔的内侧髁远端进行了简单、无移位、不完全截骨术,且不进行固定让其愈合4周。在恢复期,兔子饮用含有骨标记物钙黄绿素的水。从染色和未染色的磨片上,我们测定了五个区域的组织形态计量学参数:截骨间隙、截骨旁、外侧髁、干骺端和骨干。4周时,新形成的松质骨已填充截骨间隙。截骨术还刺激了截骨周围内侧髁松质骨中的新骨形成。在该部位,我们发现新骨增加了五倍,而骨体积(BV)没有变化。在未手术的外侧髁松质骨或干骺端及骨干的皮质骨中未观察到骨形成的刺激。尽管截骨后的内侧股骨髁新骨形成增加,但BV的维持可能是由于局部骨重塑加速所致。

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