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EXTRACORPOREAL SHOCKWAVE THERAPY FOR REFRACTORY GREATER TROCHANTERIC PAIN SYNDROME 体外冲击波治疗难治性大转子疼痛综合征
Pub Date : 2013-07-01 DOI: 10.15406/MOJOR.2015.02.00050
J. Sultan, M. Lovell
Introduction Greater trochanteric pain syndrome (GTPS) is a common and disabling condition characterised by pain and tenderness at or around the trochanteric area. Extracorporeal shockwave therapy (ESWT) has been described as a method of treatment. The National Institute for Clinical Excellence (NICE, UK) guidance suggests a possible benefit but with limited evidence. Materials and Methods We retrospectively identified 71 consecutive patients who underwent ESWT for refractory GTPS over a period of 16 months. The diagnosis was made clinically. ESWT was offered to patients with refractory symptoms despite conservative treatment. Telephone interviews were used to collect data including pain scores (0–10), change in symptoms, discomfort of the procedure, and complications. Results Fifty-nine patients (83%) were followed up. The mean time to follow up was 8 months (3 to 19). The mean age was 59 (29 to 88) with 86% females. Two-thirds had improvement in their symptoms with a significant drop of 6 points in their pain score (p Conclusion This study shows an improvement in the symptoms of 67% of patients with refractory GTPS, for up to 15 months, but with frequent relapsed. Further research is required to confirm whether MRI may be useful in selecting patients for ESWT.
大转子疼痛综合征(GTPS)是一种常见的致残性疾病,其特征是转子区或周围的疼痛和压痛。体外冲击波疗法(ESWT)已被描述为一种治疗方法。英国国家临床卓越研究所(NICE, UK)的指导建议可能有益处,但证据有限。材料和方法回顾性研究了71例连续16个月接受ESWT治疗难治性GTPS的患者。经临床诊断。ESWT被提供给顽固性症状的患者,尽管保守治疗。通过电话访谈收集数据,包括疼痛评分(0-10)、症状变化、手术不适和并发症。结果随访59例(83%)。平均随访时间8个月(3 ~ 19个月)。平均年龄59岁(29 ~ 88岁),女性占86%。三分之二的患者症状得到改善,疼痛评分显著下降6分(p)结论:本研究显示67%的难治性GTPS患者症状得到改善,持续时间长达15个月,但经常复发。MRI在选择ESWT患者方面是否有用还需要进一步的研究。
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引用次数: 16
Core values, new beginning 核心价值观,新的开始
Pub Date : 2013-07-01 DOI: 10.1302/0301-620X.95B7.32485
F. Haddad
I would like to begin with a big thank you to Ricky Villar, the outgoing Editor-in-Chief, who has brought tremendous energy to the leadership of The Bone & Joint Journal . This transition has come about slightly quicker than Ricky, myself or anybody else expected. This is a reflection of his
首先,我想对即将离任的总编辑Ricky Villar表示衷心的感谢,他为《骨与关节杂志》的领导工作带来了巨大的活力。这个转变比Ricky、我和其他人预期的要快一些。这是他的一个反映
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引用次数: 0
PRO-ANGIOGENIC AND PRO-SURVIVAL FUNCTIONS OF GLUCOSE IN HUMAN MESENCHYMAL STEM CELLS UPON TRANSPLANTATION 葡萄糖在人间充质干细胞移植后的促血管生成和促存活功能
Pub Date : 2013-05-01 DOI: 10.1530/BONEABS.1.PP114
M. Deschepper, J. Paquet, M. Manassero, D. Logeart-Avramoglou, M. Bensidhoum, H. Petite
Summary In this study, we challenged the current paradigm of human Mesenchymal Stem Cells survival, which assigned a pivotal role to oxygen, by testing the hypothesis that exogenous glucose may be key to their survival. Introduction The survival of human mesenchymal stem cells (hMSCs) has elicited a great deal of interest, because it is relevant to the efficacy of engineered tissues. However, to date, hMSCs have not met this promise, in part due to the high death rate of cells upon transplantation. In this study, we challenged the current paradigm of hMSC survival, which assigned a pivotal role to oxygen, by testing the hypothesis that exogenous glucose may be key to hMSC survival. Materials and methods In vitro model of ischemia 2.10 4 hMSCs from five donors, were seeded into individual wells of a 24-well plate, cultured overnight, washed twice with PBS and then maintained in hypoxia (0.1% oxygen) under serum (FBS) free αMEM medium in either the absence or in the presence (1 or 5 g/L) of glucose for 21 days. In vitro Cell viability: To assess the role of glucose on hMSCs viability, cells were cultured under hypoxia in the absence or in the presence of glucose (1 and 5g/L), At days 0, 3, 7, 14 and 21, cell viability was evaluated by flow cytometry and ATP content per cell quantified. In vivo effect of glucose supply on hMSCs viability 3.10 5 eGFG-luc hMSCs were seeded on a cylindrical AN-69 scaffolds. At the time of implantation, 100 µl of hyaluronic acide (HA) (2%) containing either 0g/L (negative control) or 10g/L of glucose was gently injected inside the construct. Cell- constructs were implanted subcutaneously in eight week-old mice (2 per animal) and were imaged by bioluminescence imaging (BLI) at day 1, 4, 7 and 14 until sacrifice. Results hMSCs were able to survive and to maintain their ATP content 21 days under sustained hypoxia providing that they were cultured in the presence of a sufficient glucose supply (i.e. 5g/L). In contrast, hMSCs cultured without or with 1g/L of glucose failed to survive. These results established that glucose depletion but not sustained hypoxia affected cell survival. In vivo results showed a striking increase of cell viability in cell constructs loaded with glucose. At day 14, a five-fold increase in cell number was observed in cell constructs loaded with glucose when compared to the control cell constructs without glucose. Discussion The present study challenge the current paradigm that gives a pivotal role to oxygen on hMSCs massive cell death. By using an in vitro model of hypoxia/ischemia, we demonstrated that in the presence of sufficient glucose, hMSCs were able to survive 21 days under sustained hypoxia. Most importantly, an appropriate glucose supply strongly increases cell viability of hMSCs implanted subcutaneously in a mice model. This study provides evidences that glucose depletion but not hypoxia affects hMSCs viability. Further investigations need to be performed to develop hydrogels that ensure
在这项研究中,我们通过测试外源性葡萄糖可能是人类间充质干细胞存活的关键假设,挑战了当前人类间充质干细胞存活的范式,该范式认为氧气起着关键作用。人间充质干细胞(hMSCs)的存活与工程组织的有效性有关,引起了人们极大的兴趣。然而,到目前为止,骨髓间充质干细胞还没有达到这一目标,部分原因是移植后细胞的死亡率很高。在这项研究中,我们通过测试外源性葡萄糖可能是hMSC存活关键的假设,挑战了当前hMSC存活的范式,该范式认为氧起着关键作用。材料与方法体外缺血模型2.10将5个供体的4个hMSCs分别接种于24孔板的单孔中,培养过夜,PBS洗涤2次,然后在无血清(FBS) αMEM培养基中缺氧(0.1%氧),在无葡萄糖或有葡萄糖(1或5 g/L)的情况下维持21天。体外细胞活力:为了评估葡萄糖对hMSCs活力的作用,我们将细胞在无葡萄糖或有葡萄糖(1和5g/L)的缺氧条件下培养,在第0、3、7、14和21天,通过流式细胞术评估细胞活力,并定量每个细胞的ATP含量。葡萄糖供应对骨髓间充质干细胞活力的影响3.10将5个eGFG-luc的骨髓间充质干细胞植入圆柱形AN-69支架上。植入时,将100µl含0g/ l(阴性对照)或10g/ l葡萄糖的透明质酸(HA)(2%)轻轻注射到构建体内。在8周龄小鼠(每只2只)皮下植入细胞构建物,并在第1、4、7和14天进行生物发光成像(BLI)成像,直到牺牲。结果hMSCs在持续缺氧条件下能够存活并维持其ATP含量21天,前提是在足够的葡萄糖供应(即5g/L)下培养。相比之下,不含或含1g/L葡萄糖培养的hMSCs均不能存活。这些结果证实,葡萄糖消耗而非持续缺氧影响细胞存活。体内实验结果显示,在葡萄糖负荷的细胞结构中,细胞活力显著增加。在第14天,与不含葡萄糖的对照细胞结构相比,加载葡萄糖的细胞结构中细胞数量增加了5倍。目前的研究挑战了目前认为氧在hMSCs大量细胞死亡中起关键作用的范式。通过体外缺氧/缺血模型,我们证明了在足够的葡萄糖存在下,hMSCs能够在持续缺氧下存活21天。最重要的是,在小鼠模型中,适当的葡萄糖供应可显著增加皮下植入的hMSCs的细胞活力。本研究提供了葡萄糖消耗而非缺氧影响hMSCs活力的证据。需要进行进一步的研究来开发水凝胶,以确保将葡萄糖持续输送到植入细胞。这些发现是特别相关的,因为它们为开发新的输送系统铺平了道路,以确保hMSCs的活力,以增加其植入后的治疗潜力。
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引用次数: 4
Exam Corner – April 2013 考试角- 2013年4月
Pub Date : 2013-04-01 DOI: 10.1302/0301-620X.95B4.31902
V. Khanduja
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引用次数: 0
OUTCOME MEASURES IN FLAT FOOT: ANALYSIS OF PEDOBAROGRAPHIC AND RADIOGRAPHIC TECHNIQUES 平足的结局测量:足镜和x线摄影技术分析
Pub Date : 2013-03-01 DOI: 10.1016/J.IJSU.2012.06.287
L. Athanatos, N. Nixon, G. Holmes, L. James, A. Bass
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引用次数: 1
Exam Corner – March 2013 考试角- 2013年3月
Pub Date : 2013-03-01 DOI: 10.1302/0301-620X.95B3.31744
V. Khanduja
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引用次数: 0
Comparison of Linear Wear Rate According to Femoral Head Sizes in Metal on Conventional UHMWPE Liner 金属股骨头尺寸对常规超高分子量聚乙烯衬垫线性磨损率的影响
Pub Date : 2013-03-01 DOI: 10.1007/978-3-642-45266-6_3
Y. Cho, Joo Hyun Lee, Eun Seong Sagong
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引用次数: 2
Effect of the Tensile Force Ratio of Gluteus Maximus and Hamstrings on the Knee Joint Force 臀大肌与腘绳肌拉伸力比对膝关节受力的影响
Pub Date : 2013-03-01 DOI: 10.1299/KIKAIC.78.1192
S. Hirokawa, Michihiko Fukunaga, M. Mawatari
The objective of this study is to investigate the effect of the tensile force ratio between the two extensor muscles for the hip joint on the forces acting on the knee joint. We have created a mathematical model of lower limb and have performed some simulations to introduce the forces acting on the knee joint for various daily activities. With only one exception, our results for knee joint forces were in good or close agreement involving all range of knee flexion either with the in vivo data or other literature data. The exception was that, at high knee flexion angle (knee bend), the tangential components of knee joint force became pretty larger than those from the in vivo data, while the normal components did not differ much with each other though as shown in Fig. 1. We considered that the above mentioned discrepancy was attributed to the fact that in order to solve an indeterminate problem, we had assumed the hamstrings and the gluteus maximus work together with the same force with each other, thereby introducing the hamstrings force too great. Then we expected that the above discrepancy could be eliminated if we change the tensile force ratio between the hamstrings and the gluteus maximus basing upon a certain biomechanical criterion, for example the biological cross-sectional areas. Thus we modified our model so that we could introduce the knee joint forces as a function of the tensile force ratio. Simulation was performed for the various tensile ratio values and it was found that the knee joint force was sensitively affected by the tensile ratio and the above mentioned discrepancy between the simulation results and the in vivo data could be eliminated if the ratio value was appropriately chosen. Figure 2 shows the situation; Variations of F n and F t as a function of knee angle q for the various tensile force ratio r between the hamstrings and the gluteus maximus. Where, r=1.56 was determined from the biological cross-sectional areas of the hamstrings and the gluteus maximus and r=4.5 was determined so that the simulation results best fit to the in vivo data. It has been criticized that there exist large variations of knee joint forces obtained from model analyses. And the reasons for this have been attributed to for example such facts that the model is 2D and the parameter values are incorrect. Yet, another important issue may be to find out the way how to determine the value of the synergetic muscles9 force ratio with reflecting a biological rationality.
本研究的目的是探讨髋关节的两个伸肌之间的拉伸力比对作用在膝关节上的力的影响。我们建立了下肢的数学模型,并进行了一些模拟,以介绍在各种日常活动中作用在膝关节上的力。除了一个例外,我们的膝关节受力结果与体内数据或其他文献数据在所有膝关节屈曲范围内都很好或接近一致。唯一的例外是,在高膝关节屈曲角度(膝关节弯曲)时,膝关节力的切向分量比体内数据大得多,而正常分量相差不大,如图1所示。我们认为上述差异是由于为了解决一个不确定的问题,我们假设腘绳肌和臀大肌以相同的力量相互作用,从而引入腘绳肌的力量过大。那么我们期望,如果根据一定的生物力学标准,如生物截面积,改变腘绳肌与臀大肌之间的拉力比,可以消除上述差异。因此,我们修改了我们的模型,以便我们可以引入膝关节力作为拉伸力比的函数。对不同的拉伸比值进行了仿真,发现膝关节受力受拉伸比的影响比较敏感,如果选择合适的拉伸比值,可以消除仿真结果与体内数据之间的上述差异。图2显示了这种情况;F n和F t的变化作为膝关节角度q对腿筋和臀大肌之间不同拉力比r的函数。其中,根据腘绳肌和臀大肌的生物截面积取r=1.56,取r=4.5,使模拟结果与体内数据最吻合。有人批评说,从模型分析中获得的膝关节力存在很大的变化。造成这种情况的原因是,例如,模型是二维的,参数值是不正确的。然而,另一个重要的问题可能是找出如何确定协同肌肉力比的值,并反映生物合理性的方法。
{"title":"Effect of the Tensile Force Ratio of Gluteus Maximus and Hamstrings on the Knee Joint Force","authors":"S. Hirokawa, Michihiko Fukunaga, M. Mawatari","doi":"10.1299/KIKAIC.78.1192","DOIUrl":"https://doi.org/10.1299/KIKAIC.78.1192","url":null,"abstract":"The objective of this study is to investigate the effect of the tensile force ratio between the two extensor muscles for the hip joint on the forces acting on the knee joint. We have created a mathematical model of lower limb and have performed some simulations to introduce the forces acting on the knee joint for various daily activities. With only one exception, our results for knee joint forces were in good or close agreement involving all range of knee flexion either with the in vivo data or other literature data. The exception was that, at high knee flexion angle (knee bend), the tangential components of knee joint force became pretty larger than those from the in vivo data, while the normal components did not differ much with each other though as shown in Fig. 1. We considered that the above mentioned discrepancy was attributed to the fact that in order to solve an indeterminate problem, we had assumed the hamstrings and the gluteus maximus work together with the same force with each other, thereby introducing the hamstrings force too great. Then we expected that the above discrepancy could be eliminated if we change the tensile force ratio between the hamstrings and the gluteus maximus basing upon a certain biomechanical criterion, for example the biological cross-sectional areas. Thus we modified our model so that we could introduce the knee joint forces as a function of the tensile force ratio. Simulation was performed for the various tensile ratio values and it was found that the knee joint force was sensitively affected by the tensile ratio and the above mentioned discrepancy between the simulation results and the in vivo data could be eliminated if the ratio value was appropriately chosen. Figure 2 shows the situation; Variations of F n and F t as a function of knee angle q for the various tensile force ratio r between the hamstrings and the gluteus maximus. Where, r=1.56 was determined from the biological cross-sectional areas of the hamstrings and the gluteus maximus and r=4.5 was determined so that the simulation results best fit to the in vivo data. It has been criticized that there exist large variations of knee joint forces obtained from model analyses. And the reasons for this have been attributed to for example such facts that the model is 2D and the parameter values are incorrect. Yet, another important issue may be to find out the way how to determine the value of the synergetic muscles9 force ratio with reflecting a biological rationality.","PeriodicalId":15048,"journal":{"name":"Journal of Bone and Joint Surgery-british Volume","volume":"119 4 1","pages":"198-198"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88751974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
SHORT-TERM PRECISION ERROR IN DUAL ENERGY X-RAY ABSORPTIOMETRY BONE-MINERAL-DENSITY AND TRABECULAR-BONE-SCORE MEASUREMENTS; AND EFFECTS OF OBESITY 双能x线骨密度和骨小梁评分测量的短期精度误差以及肥胖的影响
Pub Date : 2013-03-01 DOI: 10.5430/JBGC.V4N2P8
S. Hopkins, K. Knapp, D. Parker, R. Yusof
Introduction Precision error (PE) in Dual Energy X-Ray Absorptiometry (DXA) is important for accurate monitoring of changes in Bone-Mineral-Density (BMD). It has been demonstrated that BMD PE increases with increasing BMI. In vivo PE for the Trabecular-Bone-Score (TBS) has not been reported. This study aimed to evaluate the short-term PE (STPE)) of BMD and TBS and to investigate the effect of obesity on DXA PE. Method DXA lumbar spine scans (L1–L4) were performed using GE Lunar Prodigy. STPE was measured in 91 women (Group A) at a single visit by duplicating scans with repositioning in-between. PE was calculated as the percentage coefficient of variation (%CV). Group A was sub-divided into four groups based on BMI (A.1. 35kg/m2) to assess the effect of obesity on STPE. Abnormally different vertebrae were excluded from the analysis in accordance with The International Society for Clinical Densitometry (ISCD) recommendations. Results The Group A STPE was 1.26 % for BMD and 2.04% for TBS. Short-term PE for BMD and TBS respectively in the BMI subgroups was: A.1. 1.07% and 1.82%, A.2. 1.34% and 2.26%, A.3. 1.25% and 2.35%, A.4. 1.68% and 1.82%. Conclusion The results show that STPE is higher for TBS than for BMD. Short-term PE for both BMD and TBS are adversely affected by increasing BMI but this effect is mitigated in the highest BMI category where use of the ‘thick’ scanning mode improves signal to noise ratio.
双能x射线吸收仪(DXA)的精度误差(PE)对于准确监测骨矿物质密度(BMD)的变化非常重要。已经证明,BMD PE随着BMI的增加而增加。骨小梁评分(TBS)的体内PE尚未报道。本研究旨在评估BMD和TBS的短期PE (STPE),并探讨肥胖对DXA PE的影响。方法采用GE Lunar Prodigy进行腰椎(L1-L4) DXA扫描。91名女性(A组)在一次访问中通过重复扫描和中间重新定位来测量STPE。PE以变异百分率系数(%CV)计算。A组根据BMI (A.1)再分为4组。35kg/m2),评估肥胖对STPE的影响。根据国际临床密度测定学会(ISCD)的建议,排除了异常不同的椎骨。结果A组BMD组STPE为1.26%,TBS组为2.04%。BMI亚组BMD和TBS的短期PE分别为:A.1。1.07%和1.82%,A.2。1.34%和2.26%,A.3。1.25%和2.35%,A.4。1.68%和1.82%。结论TBS患者的STPE高于BMD患者。BMD和TBS的短期PE都受到BMI增加的不利影响,但在BMI最高的类别中,使用“厚”扫描模式可以改善信噪比,从而减轻了这种影响。
{"title":"SHORT-TERM PRECISION ERROR IN DUAL ENERGY X-RAY ABSORPTIOMETRY BONE-MINERAL-DENSITY AND TRABECULAR-BONE-SCORE MEASUREMENTS; AND EFFECTS OF OBESITY","authors":"S. Hopkins, K. Knapp, D. Parker, R. Yusof","doi":"10.5430/JBGC.V4N2P8","DOIUrl":"https://doi.org/10.5430/JBGC.V4N2P8","url":null,"abstract":"Introduction Precision error (PE) in Dual Energy X-Ray Absorptiometry (DXA) is important for accurate monitoring of changes in Bone-Mineral-Density (BMD). It has been demonstrated that BMD PE increases with increasing BMI. In vivo PE for the Trabecular-Bone-Score (TBS) has not been reported. This study aimed to evaluate the short-term PE (STPE)) of BMD and TBS and to investigate the effect of obesity on DXA PE. Method DXA lumbar spine scans (L1–L4) were performed using GE Lunar Prodigy. STPE was measured in 91 women (Group A) at a single visit by duplicating scans with repositioning in-between. PE was calculated as the percentage coefficient of variation (%CV). Group A was sub-divided into four groups based on BMI (A.1. 35kg/m2) to assess the effect of obesity on STPE. Abnormally different vertebrae were excluded from the analysis in accordance with The International Society for Clinical Densitometry (ISCD) recommendations. Results The Group A STPE was 1.26 % for BMD and 2.04% for TBS. Short-term PE for BMD and TBS respectively in the BMI subgroups was: A.1. 1.07% and 1.82%, A.2. 1.34% and 2.26%, A.3. 1.25% and 2.35%, A.4. 1.68% and 1.82%. Conclusion The results show that STPE is higher for TBS than for BMD. Short-term PE for both BMD and TBS are adversely affected by increasing BMI but this effect is mitigated in the highest BMI category where use of the ‘thick’ scanning mode improves signal to noise ratio.","PeriodicalId":15048,"journal":{"name":"Journal of Bone and Joint Surgery-british Volume","volume":"35 1","pages":"54-54"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74110423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
THE INFLUENCE OF OSTEOPOROSIS ON WEAR PARTICLES INDUCED OSTEOLYSIS IN ANIMAL MODEL 骨质疏松对磨损颗粒诱导的骨溶解的影响
Pub Date : 2013-02-08 DOI: 10.3760/CMA.J.ISSN.1001-9030.2013.02.053
Yue Ding, Zhong-ning Guan, Jie Xu, Ruofan Ma
Summary Osteoporosis reduces particle-induced osteolysis in rat model.Introduction Wear particle induced osteolysis is considered to be a vital factor that reduces the life span of joint prosthesis. Osteoporosis is not rare in patients with indication for arthroplasty. However, the influence of osteoporosis on wear particles induced osteolysis is not clear. This study is aimed to explore on this issue by using animal model.Methods 42 female Sprague-Dawley (SD) rats aged 6 months were randomly divided into 3 groups: A, B and C group. Group A and B contained 18 rats each, and group C contained 6 rats. The rats in group A underwent bilateral ovariectomy. Group B was normal control, and group C was sham control. After 3 months, 6 rats in group A, 6 rats in group B and all the rats of group C were sacrificed. Bone mineral density (BMD), μCT and bone histomorphometry were conducted. The rest of rats in group A were randomly divided into 2 groups: group A1 and group A2, and so were the rats in group B. 5mg titanium particles were implanted onto the calvaria of groups A1 and B1, and isometric PBS solution were injected to group A2 and B2. Calvaria were harvested after 14 days. Calvaria were analyzed by μCT and histomorphometry to measure the osteolysis area of calvarial sagittal suture.Results Compared with B and C group, BMD and bone histomorphometry index of group A was significantly reduced ( P <0.05), and tibial trabeculae of group A was slimmer. Area of calvarial sagittal suture osteolysis were 0.262±0.009mm2, 0.130±0.013mm2, 0.307±0.013mm2 and 0.178±0.011mm2 in A1, A2, B1and B2 groups, respectively. There was significant difference among the groups.Conclusions Osteoporosis may reduce particle-induced osteolysis in rat model.
骨质疏松症在大鼠模型中减少颗粒性骨溶解。磨损颗粒引起的骨溶解被认为是降低人工关节使用寿命的重要因素。骨质疏松症在有关节置换术指征的患者中并不罕见。然而,骨质疏松对磨损颗粒诱导的骨溶解的影响尚不清楚。本研究拟通过动物模型对这一问题进行探讨。方法42只6月龄雌性SD大鼠随机分为A、B、C组。A、B组各18只,C组6只。A组行双侧卵巢切除术。B组为正常对照组,C组为假对照组。3个月后处死A组6只,B组6只,C组全部处死。骨密度(BMD)、μCT及骨组织形态学测定。将A组剩余大鼠随机分为A1组和A2组,b组大鼠也随机分为A1组和B1组大鼠颅骨内植入5mg钛颗粒,A2组和B2组大鼠分别注射等量PBS溶液。14天后收获髑髅地。采用μCT和组织形态学对颅骨进行分析,测量颅骨矢状缝的骨溶解面积。结果与B、C组比较,A组骨密度、骨组织形态学指标显著降低(P <0.05), A组胫骨小梁更细。A1、A2、b1、B2组颅骨矢状缝骨溶解面积分别为0.262±0.009mm2、0.130±0.013mm2、0.307±0.013mm2、0.178±0.011mm2。两组间差异有统计学意义。结论骨质疏松可减轻颗粒性骨溶解大鼠模型。
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引用次数: 0
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Journal of Bone and Joint Surgery-british Volume
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