个体种植体与标准种植体骨整合特性的比较

N. Ulianchych, S. Firstov, V. Kolomiiets, O. Koryak, L. Strilets, S. Rublenko, V. Chemerovskiy, T. Todosiuk, S. Shevchenko, M. Chornozub
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摘要

根据临床和放射学研究,所提出的磷酸钙陶瓷植入物样品充分发挥了骨传导功能。然而,在与骨缺损边缘紧密接触的情况下(实验组),修复性成骨的初级炎症-吸收阶段更加强烈,时间更长,母骨的骨吸收现象明显,骨膜体积反应作为代偿机制。同时,在种植体周围形成类骨组织,而对照种植体部分被吸收并被类骨组织取代。结果,从宏观形态学上看,致密骨中的实验种植体在第42天可见,松质骨中的实验种植体在第30天可见,而对照种植体在第14天已经被骨再生覆盖,后者表明存在骨整合过程。实验植入物的组织学图证实了炎症-吸收期的延长,周围形成软骨-骨再生,即植入物的密集放置导致骨缺损壁上的生物力学压力,主要是对异物的反应。基于临床放射学、宏观形态学和组织形态学的理由,研究新开发的个体和标准尺寸生物活性陶瓷植入物的骨整合特性对修复性成骨的影响是有意义的,因为它将有可能评估它们在管状骨复杂缺陷骨折的巩固方面的优势,并减少动物并发症的发生频率。关键词:家兔,生物陶瓷,修复性成骨,骨缺损
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Comparison of osseointegration properties of individual and standard sized implants
According to clinical and radiological studies,the presented samples of calcium-phosphate ceramicimplants fully perform the osteoconductive function.However, in the case of their dense contact with theedges of the bone defect (experimental group), the primary inflammatory-resorptive stage of reparative osteogenesis turned out to be more intense and prolongedin time with pronounced phenomena of osteoresorptionof the mother bone and volumetric periosteal reactionas a compensatory mechanism. At the same time, osteoid formation is formed around the implant, while thecontrol implants are partially resorbed and replaced byosteoid tissue. As a result, macromorphologically, experimental implants in compact bone are visualized upto the 42nd day, and in cancellous bone - up to the 30thday, while the control implants are covered with boneregenerate already on the 14th day, which in the lattercase indicates the presence of osseointegration processes. The histological picture in the case of experimentalimplants confirms the prolongation of the inflammatory-resorptive stage with the formation of cartilage-boneregenerate around them, i.e. the dense placement of theimplants causes biomechanical pressure on the walls ofthe bone defect with the development of a reaction inthem, primarily to a foreign body.The study of the effect on reparative osteogenesis of the osseointegration properties of the developednew individual and standard-sized bioactive ceramicimplants based on clinical-radiological, macromorphological and histomorphological justification is relevant,as it will make it possible to evaluate their advantagesin terms of consolidation of complex defective fractures of tubular bones and reduce the frequency of theircomplications in animals. Key words: rabbits, bioceramics, reparative osteogenesis, bone defects.
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