Kassis B, Glorion C, Tabib W, Blanchard O, Pouliquen J C
Pediatric Orthopaedics and Traumatology Department, The Raymond Poincaré Hospital, Garches, France.
J Pediatr Orthop. 1998 Sep-Oct;18(5):586-8. doi: 10.1097/00004694-199809000-00005.
The purpose of this investigation was to determine whether induced micromovement during the elongation period could improve the consolidation of diaphyseal elongation obtained by callus distraction. Two series of paired rabbit hindlimbs were studied. The surgical procedure and the waiting period were identical. During elongation, one hindlimb was stimulated, and the other was the control. The consolidation period was 2 days. Reproducible tibial osteotomy and lengthening of the two tibiae was confirmed radiographically. The mineralized callus was quantified by dual-beam x-ray absorptiometry. The callus diameters were measured. Bones were axially compressed to failure. Callus volume, mineral quantity, mineral density, and resistance to failure were not different on the stimulated side compared with the unstimulated side, so micromovement applied during elongation had no effect on bone consolidation. For all tibiae, resistance to failure of the callus was significantly correlated to callus volume, to callus mineral content, and to callus mineral density.
本研究的目的是确定在延长期间诱导微动是否能改善通过骨痂牵张获得的骨干延长的巩固情况。研究了两组配对的兔后肢。手术程序和等待期相同。在延长期间,刺激一侧后肢,另一侧作为对照。巩固期为2天。通过X线摄影确认了两根胫骨可重复的截骨术和延长情况。通过双能X线吸收法对矿化骨痂进行定量分析。测量骨痂直径。对骨骼进行轴向压缩直至破坏。与未刺激侧相比,刺激侧的骨痂体积、矿物质含量、矿物质密度和抗破坏能力没有差异,因此延长期间施加的微动对骨巩固没有影响。对于所有胫骨,骨痂的抗破坏能力与骨痂体积、骨痂矿物质含量和骨痂矿物质密度显著相关。