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用于扫描电子显微镜检查的加载关节软骨的变形,采用快速冷冻和冷冻置换固定法制备。

Deformation of loaded articular cartilage prepared for scanning electron microscopy with rapid freezing and freeze-substitution fixation.

作者信息

Nötzli H, Clark J

机构信息

Orthopaedic Department, Inselspital, Bern, Switzerland.

出版信息

J Orthop Res. 1997 Jan;15(1):76-86. doi: 10.1002/jor.1100150112.

Abstract

To investigate the effect of joint loading on collagen fibers in articular cartilage, 45 knees of adult rabbits were examined by scanning electron microscopy. The knees were loaded at the patella with a simulated "quadriceps force" of 0.5-4 times body weight for 0.5 or 25 minutes, plunge-frozen, and fixed by freeze-substitution with aldehydes. Six knees were loaded for 3 hours and then fixed conventionally. Fixed tibial plateaus were examined and then freeze-fractured through the area of tibiofemoral contact, dried, coated, and examined by scanning electron microscopy to assess the overall deformation of the tibial articular surface and matrix collagen fibers. With tissue prepared by conventional fixation used as a standard, the quality of fixation was graded by light and transmission electron microscopy of patellar cartilage taken from half of the freeze-fixed knees. In loaded specimens, an indentation was present where the femur contacted the tibial plateau. The diameter and apparent depth of the dent were proportional to the magnitude and duration of the load; no dent was seen in the controls. The thickness of the cartilage at the center of the indentation was reduced 15-80%. Meniscectomy always produced larger deformations in otherwise equivalent conditions. Icecrystal damage to cells was evident by transmission electron microscopy and scanning electron microscopy, but at magnifications as high as x 30,000 the collagen fibrils prepared by freeze-substitution and conventional aqueous methods were identical. In loaded regions, the collagen matrix of the tibial cartilage was deformed in two ways: (a) radial collagen fibers exhibited a periodic crimp, and (b) in regions where an indentation was created by the femoral condyle, the radial fibers were bent, in effect creating a tangential zone where none had existed before. The radial fibers apparently are loaded axially and buckle under normal loads.

摘要

为研究关节负荷对关节软骨中胶原纤维的影响,对45只成年兔的膝关节进行了扫描电子显微镜检查。通过对髌骨施加相当于体重0.5 - 4倍的模拟“股四头肌力量”,持续0.5或25分钟对膝关节进行负荷,然后快速冷冻,并用醛类进行冷冻置换固定。6只膝关节负荷3小时后按常规方法固定。对固定后的胫骨平台进行检查,然后通过胫股接触区域进行冷冻断裂,干燥,镀膜,并通过扫描电子显微镜检查,以评估胫骨关节表面和基质胶原纤维的整体变形情况。以常规固定制备的组织作为标准,通过对取自一半冷冻固定膝关节的髌软骨进行光镜和透射电镜检查,对固定质量进行分级。在负荷标本中,股骨与胫骨平台接触处出现压痕。压痕的直径和表观深度与负荷的大小和持续时间成正比;对照组未见压痕。压痕中心处软骨厚度减少了15 - 80%。在其他条件相同的情况下,半月板切除术总是会产生更大的变形。通过透射电子显微镜和扫描电子显微镜可明显观察到细胞的冰晶损伤,但在高达30000倍的放大倍数下,通过冷冻置换和常规水相方法制备的胶原原纤维是相同的。在负荷区域,胫骨软骨的胶原基质以两种方式变形:(a) 径向胶原纤维呈现周期性卷曲,(b) 在股骨髁造成压痕的区域,径向纤维弯曲,实际上形成了一个以前不存在的切向区域。径向纤维显然是轴向加载并在正常负荷下发生屈曲。

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