Schneider U
Abteilung Orthopädie I, Stiftung Orthopädische Universitätsklinik Heidelberg.
Orthopade. 1998 Feb;27(2):143-6. doi: 10.1007/PL00003480.
In this study the outcome of autologous bone cell transplantation in artificial femur defects was tested within an animal study in sheep. The bone cells were harvested by a small ilium biopsy and cultivated in an individual medium with 10% autogenous serum and 90% X-Vivo 10. After two weeks 4 millions of the cultured bone cells were transplanted in artificial femur defects with bone gelatin as carrier. The remaining cells were characterized by various tests (Alkaline phosphatase, osteocalcin, collagen type I, calcification). This procedure was tested in 24 adult male sheep. The side of transplantation was randomized by plan. The corresponding femur side represents the control side. After 10 days, 4, 8 and 12 weeks animals were killed and the femura were taken for the following evaluation: histology, radiology, bone density and mechanical testing. The results show that the autologous bone transplantation leads to a significant higher bone regeneration in the bone defects. After ten days there was a lower migration of inflammation cells. After 4 weeks we find a significant increase of new bone formation on the transplanted side in the histological examination. After 8 weeks this significant difference was found even in the bone density. This difference increased in the 12 weeks group further on. The autogenous bone cell transplantation in the described way seems to be an potent method in the treatment of bone defects.
在本研究中,在绵羊的动物实验中测试了自体骨细胞移植治疗人工股骨缺损的效果。通过小切口髂骨活检采集骨细胞,并在含有10%自体血清和90%X-Vivo 10的个体化培养基中培养。两周后,将400万个培养的骨细胞与骨明胶作为载体移植到人工股骨缺损处。其余细胞通过各种测试(碱性磷酸酶、骨钙素、I型胶原、钙化)进行表征。该程序在24只成年雄性绵羊中进行测试。移植侧通过随机方案确定。相应的股骨侧作为对照侧。在10天、4周、8周和12周后处死动物,取出股骨进行以下评估:组织学、放射学、骨密度和力学测试。结果表明,自体骨移植导致骨缺损处骨再生显著增加。10天后炎症细胞迁移减少。4周后,组织学检查发现移植侧新骨形成显著增加。8周后,甚至在骨密度方面也发现了这种显著差异。在12周组中这种差异进一步增大。以所述方式进行的自体骨细胞移植似乎是治疗骨缺损的一种有效方法。