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髓内固定的小鼠胫骨开放骨折模型与股骨闭合骨折模型的比较研究

Comparative study between open tibial fracture mouse model andclosed femoral fracture mouse model with intramedullary fixation

作者: 米萌  周力  金红婷  韩巍  李宁  朱仕文 
单位:北京积水潭医院创伤骨科(北京100035)
关键词: 骨折;动物模型;股骨;胫骨;骨痂 
分类号:R318.01
出版年·卷·期(页码):2017·36·4(383-389)
摘要:

目的 探讨小鼠骨折模型的建立难点、术式特点,分析模型建立后不同时相的骨折愈合特点,确定更具优势的小鼠骨折模型。方法 以C57BL/6野生型小鼠为平台建立胫骨开放横形骨折髓内固定模型及股骨闭合横形骨折髓内固定模型。术后连续观察并在术后第4、7、10、14、21、28、35天收取骨折部位标本,采用X线、micro-CT、组织形态计量学等方法对上述骨折模型进行比较分析,并连续观察小鼠活动能力。结果 开放性胫骨骨干横形骨折模型单批建立成功率为94.2%,无新发现骨折,无固定针移位现象。闭合性股骨骨干横形骨折模型单批建立成功率为80.0%,17.9%的小鼠发现粉碎性骨折或手术区域外骨折,14.3%出现固定针向近端移位现象。胫骨骨折组小鼠骨性骨痂体积百分比及骨连接密度在术后第10、14、21及28天均显著高于股骨骨折组小鼠(P<0.05)。术后第7天,胫骨骨折组小鼠软骨骨痂面积百分比显著高于股骨骨折组小鼠;术后第10、14、21、28天,胫骨骨折组小鼠骨性骨痂面积百分比显著高于股骨骨折组小鼠(P<0.05)。胫骨骨折组小鼠和股骨骨折组小鼠的软骨骨痂面积百分比分别在术后第7天和第10天到达峰值。术后胫骨骨折组小鼠活动能力的恢复快于股骨骨折组小鼠。结论 小鼠开放性胫骨骨干横形骨折髓内针固定模型是较为理想的小鼠骨折模型。

Objective To study the key points and operative characteristics of establishment of the bone fracture models in mice and to analyze and compare the fracture healing characteristics of two chosen fracture models in mice in different time points post-operatively,in order to definite the advantageous fracture model in mice.Methods An open transverse tibial fracture with intramedullary needle fixation model and a closed transverse femoral fracture with intramedullary needle fixation model were selected,which were both established in C57BL/6 wild-type mice.The characteristics of bone fracture healing of these mice were serially analyzed and compared by X-ray,micro-CT and histomorphometry.The observations of mobility were also included.Time points were set by day 4,7,10,14,21,28 and 35 post-operatively.Results The one batch successful rate of model establishment was 94.2% on tibiae;no other fracture and displacement of fixation needle were observed.The one batch successful rate of model establishment was 80.0% on femurs;comminuted fractures or fractures outside the operation region were observed in 17.9% of mice and 14.3% of the fixation needles were found displaced proximally.Callus mineralized volume fraction and connectivity density of calluses on tibiae were significantly higher in comparison to calluses on femurs by day 10,14,21 and 28 postoperatively (P<0.05).A larger cartilage area was observed by day 7 and a larger bone area was observed by 10,14,21 and 28 postoperatively in calluses on tibiae when compared to calluses on femurs (P<0.05).The cartilaginous callus fraction reached peak level in tibial tissues by day 7 and in femoral tissues by day 10 postoperatively.The recover period from fracture in terms of mobility was shorter in mice operated by tibial fracture.Conclusions Comparing the two animal fracture models,the open transverse tibial fracture with intramedullary needle fixation model is better for the studies of bone fracture healing.

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