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莱-卡-佩病山羊模型中的生长曲线及关节软骨特征

Growth profiles and articular cartilage characterization in a goat model of Legg-Calve-Perthes disease.

作者信息

Crawford C J, LaBerge M, Allen B L, Powers D L

机构信息

Department of Bioengineering, Clemson University, Clemson, South Carolina, USA.

出版信息

J Invest Surg. 1995 Nov-Dec;8(6):391-408. doi: 10.3109/08941939509031606.

Abstract

Numerous animal species, including the goat, have been evaluated as potential models for human Legg-Calve-Perthes disease (LCPD). These models disrupt the vasculature of the femoral head, causing it to collapse, and therefore do not mimic all the clinical patterns of the human disease. Baseline data regarding the weight and femoral length in the growing goat are not available. This study characterized the goat's normal growth for comparison with that of humans. The growth aberrations in the proximal femur created by surgically ablating the capital physis were described and compared with the aberrations observed in human LCPD cases. Age, weight, and femoral length (test and control) data were obtained for goats approximately 1 to 14 months of age. At 4 months of age, a craniolateral surgical approach was used to expose the cranial lateral capital physis so that it could be cauterized. Postoperative radiographs were evaluated by graphic analysis to assess the resultant changes in the morphology of the proximal femur. The articular cartilage of the femoral head and acetabulum was evaluated mechanically, using indentation testing, to determine the apparent modulus of elasticity, and histopathologically regarding its thickness and proteoglycan content. The proximal femurs of goats and humans exhibit similar morphology and growth patterns. There was a positive correlation between age, weight, and femoral lengths in the goat. The surgical procedure was effective in ablating the capital femoral physis as indicated by shorter femoral lengths and fragmented, flattened, and mushroomed femoral heads. The histopathological data revealed that the articular cartilage was significantly thicker in the operated hip joints at the ventrocaudal and cranial acetabula and the dorsal and ventral femoral heads. The test cartilage exhibited significantly less positive staining for proteoglycans in the dorsocaudal and the cranial acetabula as well as the ventral femoral head. The apparent modulus of elasticity, of the test cartilage was significantly lower than the control value at the dorsocaudal acetabulum. These data show that the surgical procedure produced morphological changes that mimic those in human LCPD. The increased thickness of the articular cartilage of the LCPD femoral head may account for the articular degeneration observed in older patients with LCPD, as increased cartilage thickness is associated with decreased tissue quality.

摘要

包括山羊在内的众多动物物种已被评估为人类Legg-Calve-Perthes病(LCPD)的潜在模型。这些模型破坏了股骨头的血管系统,导致其塌陷,因此无法模拟人类疾病的所有临床模式。目前尚无关于生长中山羊体重和股骨长度的基线数据。本研究对山羊的正常生长进行了特征描述,以便与人类进行比较。描述了通过手术切除股骨头骨骺在近端股骨产生的生长异常,并与人类LCPD病例中观察到的异常进行了比较。获取了约1至14月龄山羊的年龄、体重和股骨长度(试验组和对照组)数据。在4月龄时,采用颅外侧手术入路暴露颅外侧股骨头骨骺,以便进行烧灼。通过图形分析评估术后X线片,以评估近端股骨形态的变化。使用压痕试验对股骨头和髋臼的关节软骨进行力学评估,以确定表观弹性模量,并对其厚度和蛋白聚糖含量进行组织病理学评估。山羊和人类的近端股骨表现出相似的形态和生长模式。山羊的年龄、体重和股骨长度之间存在正相关。手术操作有效地切除了股骨头骨骺,表现为股骨长度缩短以及股骨头碎裂、扁平并呈蘑菇状。组织病理学数据显示,在手术髋关节的腹尾侧和颅侧髋臼以及背侧和腹侧股骨头处,关节软骨明显增厚。试验组软骨在背尾侧和颅侧髋臼以及腹侧股骨头处对蛋白聚糖的阳性染色明显减少。试验组软骨在背尾侧髋臼处的表观弹性模量明显低于对照组值。这些数据表明,手术操作产生了模拟人类LCPD的形态学变化。LCPD股骨头关节软骨厚度增加可能解释了老年LCPD患者中观察到的关节退变,因为软骨厚度增加与组织质量下降有关。

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