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山东大学学报(医学版)

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可调式外固定支架构建大鼠股骨骨质疏松骨不连模型

刘金伟1,刘海春1,武文亮1, 陈良2,李尚志1,曹聪1,陈允震1   

  1. 1.山东大学齐鲁医院骨一科, 山东 济南 250012; 2.聊城市人民医院骨创科, 山东 聊城  252002
  • 收稿日期:2014-01-05 出版日期:2014-06-10 发布日期:2014-06-10
  • 通讯作者: 陈允震。 E-mail:qilucyz@yeah.net
  • 基金资助:
    山东省科技攻关计划(2008GG10002057)

A femoral osteoporotic nonunion model established with an adjustable external fixator in rats

LIU Jinwei1, LIU Haichun1, WU Wenliang1, CHEN Liang2, LI Shangzhi1, CAO Cong1, CHEN Yunzhen1   

  1. 1. Department of Orthopaedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;
    2. Department of Orthopaedics, Liaocheng People’s Hospital, Liaocheng 252002, Shandong, China
  • Received:2014-01-05 Online:2014-06-10 Published:2014-06-10

摘要: 目的  为研究骨质疏松症造成的骨折骨不连构建可靠的动物模型。方法  选取6月龄雌性SD大鼠60只,随机分为实验组(n=45)和对照组(n=15),其中实验组大鼠摘除卵巢,对照组大鼠切除卵巢附近与之等量的脂肪组织。相同条件下喂养12周,两组各随机选取10只大鼠处死,行骨组织HE染色、血清学检测和股骨三点弯曲试验;然后将骨质疏松建模成功的大鼠于右侧股骨干截骨,采用可调式外固定支架固定,维持6mm缺损间距,分别于术后0、4、8、12周行影像学和组织学检测。 结果  术后大鼠外固定支架松动2只,针道感染2只;12周后实验组的股骨力学强度降低,Ⅰ型胶原氨基端肽(NTX)含量较对照组高,两组比较差异有统计学意义(P<0.05)。截骨12周后,影像学显示骨折断端间无骨性连接,髓腔骨性封闭,呈杵棒样改变;外固定支架稳定,断端处在同一水平面;组织学显示断端间结缔组织填充,无骨桥连接。结论  采用自制可调式外固定支架可成功构建骨质疏松症造成的骨折骨不连模型。

关键词: 外固定器, 骨质疏松, 大鼠模型, 骨不连

Abstract: Objective  To establish a reliable model to study osteoporotic nonunion. Methods  A total of 60 female rats were randomly divided into experimental group (n=45) and control group (n=15). The ovary of rats in the experimental group were resected, while equal volume of fat tissues around the ovary of rats in the control group were resected. After 12 weeks, 10 rats in either group were killed. Histochemical staining, serological indicator and mechanical strength of femur were used to identify the osteoporotic models. Then osteoectomy was operated in the other rats of the experimental group, with external fixators maintaining a 6mm critical defect. The model of osteoporotic nonunion was identified by histochemical staining and imaging observations. Results  Compared with the control group, mechanical strength of the femur had obviously decreased and NTX in the serum increased in the experimental group (P<0.05). The Results   of radiography and histology showed that the ends had been sealed by the woven bone, and connective tissues filled up the gap 12 weeks after osteoectomy. The external fixators were stable and could maintain the ends in the same horizontal plane.  Conclusion  The adjustable external fixator is stable enough to build a reliable animal model of the osteoporotic nonunion.

Key words: Osteoporosis, External fixator, Nonunion, Rat model

中图分类号: 

  • R687
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