Engh G A, Chrisman O D
Clin Orthop Relat Res. 1977 Jun(125):221-6.
The Hall model of experimental arthritis of the knee (excision of the lateral femoral condyle) offers a unique way of investigating the earliest changes of degenerative arthritis. Predictable degeneration of the lateral tibial plateau occurs when there is lack of contact with an opposing surface. Previous work by Hall and Thompson has not concentrated upon the early changes in proven mature animals of optimum age for a study of simulated osteoarthritis. In this work using mature rabbits, two important findings are documented. The earliest observed change in the joint, beginning at 7 days is loss of matrix protein-polysaccharides from the lateral plateau, with no evidence of change in the subchondral bone until much later; in this respect mature differ from immature animals. Furthermore, there is strong evidence for late (three to 6 months) protein-polysaccharide synthesis in the previously degeneraing articular cartilage in which the residual cells reconstitute an effective matrix.
膝关节实验性关节炎的霍尔模型(切除外侧股骨髁)为研究退行性关节炎的最早变化提供了一种独特的方法。当与相对表面缺乏接触时,外侧胫骨平台会发生可预测的退变。霍尔和汤普森之前的研究工作并未专注于对模拟骨关节炎研究而言年龄适宜、已证实成熟的动物的早期变化。在这项使用成熟兔子的研究中,记录了两项重要发现。最早在第7天观察到的关节变化是外侧平台的基质蛋白多糖丢失,直到很久以后才有软骨下骨变化的证据;在这方面,成熟动物与未成熟动物不同。此外,有强有力的证据表明,在先前退变的关节软骨中存在后期(3至6个月)的蛋白多糖合成,其中残留细胞重新构成了有效的基质。