[兔胫骨截骨钢板接骨术后组织学和组织形态学的变化]。

W Gördes, W Kossyk, H Holländer
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引用次数: 0

摘要

在所有标本中,在4个标记点取的骨横截面显示皮质骨萎缩,这是典型的萎缩方式。在1周的标本中,普通光镜未见质变。然而,在第二周,从内侧皮质开始具有宽哈弗氏管和血管的活跃骨重塑,这在我们的每一系列实验中都可以看到相同的结果。在第4周,特别是在第6周,它在侧面,背侧和腹壁也变得明显。在第12周骨重塑仍然活跃,但可以观察到内外板之间的骨明显减少。在第24周时,仅发现孤立的增大的窦和少量的骨内外侧。总的来说,皮质骨变得非常薄。骨重塑已经停止,这种状态的特征是骨丢失和大量的中间板。在第一周的时候,偏光显微镜已经显示胶原纤维在板对面有一定程度的破坏。对照标本未见该部位胶原结构的变化。除了这些结果外,1周标本的组织形态学调查显示,哈弗氏管数量增加,哈弗氏管位于靠近髓腔和对侧钢板的一侧。这一结果是由于骨重塑从金属植入物对面的皮质开始。
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[Histological and Histomorphometric Changes after Osteotomies of Rabbit Tibiae Treated with Plate Osteosynthesis (author's transl)].

In all specimens the cross-sections of bone taken at 4 marked points showed atrophy of the cortical bone which had occured in a typical manner. In the 1-week specimens no qualitative changes could be observed by normal light microscopy. In the 2nd week, however, a vivacious bone remodelling with wide Haversian canals and vessels starts from the medial cortex as could be seen identically in every series of our experiments. In the 4th week and especially in the 6th week it becomes also apparent on the lateral, dorsal and ventral wall. In the 12th week bone remodelling is still active but obvious diminishing of the osteons can be observed between internal and external lamellae. In the 24th week only solitary enlarged sinus and few osteons are found medially and laterally. Alltogether the cortical bone has become very thin. The bone remodelling has stopped and this state is characterized by loss of osteons and abundance of intermediate lamellae. Already in the 1st week polarisation microscopy shows a certain demascating of the collagenous fibres opposite to the plate. The control specimens do not show changes of the collagenous structure in this area. In addition to these results histomorphometric investigations of 1-week specimens revealed a quantitative increase of Haversian canals which are located closer to the medullary space as well as to the side opposite the plate. This result is due to the fact that the bone remodelling starts from the cortex opposite to the metal implant.

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