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[使用关节镜切除犬膝关节前交叉韧带会诱发关节病。庞特-努基模型的有效性]

[Resection of the anterior cruciate ligament of the knee using arthroscopy induces arthrosis in dogs. Validity of the Pond-Nuki model].

作者信息

Fernandes J C, Jovanovic D, Dehnade F, Martel-Pelletier J, Pelletier J P

机构信息

Service d'Orthopédie, Centre de Recherche Louis-Charles-Simard, CHUM, Québec, Canada.

出版信息

Ann Chir. 1998;52(8):768-75.

PMID:9846427
Abstract

INTRODUCTION AND GOAL

The dog model of osteoarthritis is the one most used for the study of the pathophysiology of this disease, given its resemblance to human osteoarthritis. Although the percutaneous section of the ligament is the most known technique, variability of and iatrogenic lesions might occur. The goal of this study was to validate the arthroscopic technique regarding the osteaorthritic lesions found in the percutaneous Pond-Nuki dog model.

METHODS

The arthroscopic section of the canine anterior cruciate ligament (ACL) was compared to the percutaneous technique. Six dogs were operated percutaneously (Group I) and another six by arthroscopy (Group II). At eight weeks, animals were sacrificed and analysis were done on the osteophytes (mm) and cartilage lesions [macroscopy (Pelletier scale: grade 0-4, and size, mm2)] and [microscopy (Mankin scale: 0-14)] on femoral condyles and tibial plateaus.

RESULTS

Osteophytes (Group I: 3.4 mm, Group II: 4.4 mm) and cartilage lesions (grade: 2.07 and 1.67; size: 27.9 and 33.9 m, respectively) on both femoral condyles and tibial plateaus are similar and not statistically different. Total microscopic scoring for both groups (6.2 and 6.5, respectively) are also similar and not statistically significant.

DISCUSSION

Experimental osteoarthritis induced by arthroscopic transection of the ACL in dogs is characterised by macroscopic and microscopic lesions that resemble those found after percutaneous stab transection. Arthroscopic technique is more reliable and the present results allow its validation regarding the classical percutaneous technique.

摘要

引言与目的

骨关节炎的犬类模型因其与人类骨关节炎相似,是研究该疾病病理生理学最常用的模型。尽管经皮切断韧带是最广为人知的技术,但可能会出现变异性和医源性损伤。本研究的目的是验证关节镜技术在经皮庞德 - 努基犬模型中发现的骨关节炎病变方面的效果。

方法

将犬前交叉韧带(ACL)的关节镜切断术与经皮技术进行比较。六只犬接受经皮手术(第一组),另外六只接受关节镜手术(第二组)。八周后,处死动物并对股骨髁和胫骨平台的骨赘(毫米)、软骨损伤[大体观察(佩利捷分级:0 - 4级,大小,平方毫米)]以及[显微镜观察(曼金分级:0 - 14级)]进行分析。

结果

股骨髁和胫骨平台的骨赘(第一组:3.4毫米,第二组:4.4毫米)以及软骨损伤(分级:2.07和1.67;大小:分别为27.9和33.9平方毫米)相似,且无统计学差异。两组的显微镜总评分(分别为6.2和6.5)也相似,无统计学意义。

讨论

犬类中通过关节镜切断ACL诱导的实验性骨关节炎的特征是宏观和微观损伤,与经皮刺伤切断后发现的损伤相似。关节镜技术更可靠,目前的结果使其在经典经皮技术方面得到验证。

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