Effect of 3D printing technology-assisted TKA on cartilage tissue in rabbit with knee osteoarthritis.

IF 2.5 4区 生物学 Q3 CELL BIOLOGY Histology and histopathology Pub Date : 2024-12-01 Epub Date: 2024-04-05 DOI:10.14670/HH-18-743
Guoliang Wang, Feng Cheng, Jianxun Cui, Nan Chen, Qing Li
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Abstract

Background: Knee osteoarthritis (KOA) is a common chronic degenerative joint disease. 3D printing technology has become one of the important directions of medical development along with individualized precision treatment in orthopedics.

Objective: To investigate the effect of 3D printing technology-assisted total knee arthroplasty (TKA) on cartilage in rabbits with KOA.

Methods: A rabbit model of KOA was established and treated by TKA or 3D printing-assisted TKA. Four weeks after treatment, radiological evaluation of rabbit knees was performed by X-ray examination, in order to observe the severity of osteoarthritic lesions. Then the knee joints of rabbits were collected for Hematoxylin-eosin, Toluidine blue, and Safranin O-Fast green staining. The expressions of cartilage matrix metabolism-related and apoptosis-related genes were scrutinized by real-time quantitative reverse transcription-polymerase chain reaction, Western blot, and immunohistochemistry. The levels of inflammatory-related factors in the cartilage tissues of rabbits were tested by enzyme-linked immunosorbent assay.

Results: In rabbits with KOA, 3D printing technology-assisted TKA alleviated the inflammation and bone remodeling of the knee joint, relieved synovial hyperplasia and inflammatory cell infiltration in the articular cartilage, reduced articular cartilage degradation, suppressed cartilage matrix metabolism, and mitigated the inflammatory response and apoptosis of cartilage cells.

Conclusion: 3D printing technology-assisted TKA exhibits a good treatment effect in rabbit KOA. This study provides an important basis for the clinical application of 3D printing technology-assisted TKA in KOA treatment.

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三维打印技术辅助膝关节置换术对膝关节骨性关节炎兔软骨组织的影响。
背景:膝关节骨关节炎(KOA)是一种常见的慢性退行性关节疾病。3D打印技术与骨科的个体化精准治疗已成为医学发展的重要方向之一:研究3D打印技术辅助全膝关节置换术(TKA)对KOA兔软骨的影响:方法:建立 KOA 兔子模型,并采用全膝关节置换术或 3D 打印辅助全膝关节置换术进行治疗。治疗四周后,通过 X 射线检查对兔子膝关节进行放射学评估,以观察骨关节炎病变的严重程度。然后采集兔子的膝关节,进行苏木精-伊红、甲苯胺蓝和赛福宁 O-快绿染色。通过实时定量反转录聚合酶链反应、Western 印迹和免疫组化等方法检测软骨基质代谢相关基因和细胞凋亡相关基因的表达。用酶联免疫吸附试验检测了兔子软骨组织中炎症相关因子的水平:结论:3D 打印技术辅助 TKA 对兔 KOA 具有良好的治疗效果。本研究为 3D 打印技术辅助 TKA 在 KOA 治疗中的临床应用提供了重要依据。
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来源期刊
Histology and histopathology
Histology and histopathology 生物-病理学
CiteScore
3.90
自引率
0.00%
发文量
232
审稿时长
2 months
期刊介绍: HISTOLOGY AND HISTOPATHOLOGY is a peer-reviewed international journal, the purpose of which is to publish original and review articles in all fields of the microscopical morphology, cell biology and tissue engineering; high quality is the overall consideration. Its format is the standard international size of 21 x 27.7 cm. One volume is published every year (more than 1,300 pages, approximately 90 original works and 40 reviews). Each volume consists of 12 numbers published monthly online. The printed version of the journal includes 4 books every year; each of them compiles 3 numbers previously published online.
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