可降解高纯镁骨钉在体降解分析
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国家自然科学基金项目(11572029)


Analysis on High Purity Magnesium Bone Screws in vivo
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    摘要:

    目的 通过动物实验研究两种高纯镁骨钉的在体降解速率,为高纯镁骨钉的结构设计提供建议。方法 将有、无螺纹的高纯镁骨钉分别植入新西兰大白兔左、右侧股骨髁处。24只实验兔随机分为3组,分别在术后8、12、16周被执行安乐死。通过micro-CT扫描及Skyscan CT-analyser软件分析,比较两种不同形状骨钉的在体降解速率,并分析骨钉降解过程中的应力变化。结果 有螺纹骨钉的初始表面积[(31.70±0.06) mm2]显著大于无螺纹骨钉的初始表面积[(29.56±0.22) mm2]。两种高纯镁骨钉植入8、12、16周后,有螺纹骨钉的降解体积比依次为(26.01±3.44)%、(33.35±5.05)%、(36.84±6.99)%,无螺纹骨钉的降解体积比依次为(22.53±4.78)%、(31.12±6.59)%、(43.22±9.31)%,在相同时间点,两种骨钉的降解体积比之间不存在明显差异。在骨钉植入的16周内,无螺纹骨钉的降解体积与植入时间呈线性关系,有螺纹骨钉的降解体积随植入时间的增加逐渐减小。结论 在低承力环境下,高纯镁骨钉的不同形状设计对其在体降解速率的影响不明显。

    Abstract:

    Objective To compare the in vivo degradation rates of two different kinds of high purity magnesium bone screws by animal experiments, so as to make some suggestions on structural design of high purity magnesium bone screws. Methods High purity magnesium bone screws with threads and without threads were implanted into femoral condyles of New Zealand rabbits separately. Twenty-four rabbits were randomly divided into 3 groups. They were euthanized at 8, 12 and 16 weeks after operation, respectively. The in vivo degradation rates of bone screws with two different shapes were compared through micro-CT scanning and Skyscan CT-analyser software, and the stress changes during the progress of bone screw degradation were analyzed. Results The initial surface area of threaded screws [(31.70±0.06) mm2] was significantly greater than that of the non-threaded ones [(29.56±0.22) mm2]. After 8, 12 and 16 weeks, the volume loss ratios of the threaded screws were (26.01±3.44)%, (33.35±5.05)%, (36.84±6.99)%, respectively, and the volume loss ratios of the non-threaded screws were (22.53±4.78)%, (31.12±6.59)%, (43.22±9.31)%, respectively. At the same time point, there were no significant differences in the volume loss ratio between two kinds of screws. The relationship between the volume reduction and the implantation time was linear for non-threaded screws and gradually decreasing for threaded screws. Conclusions Under the low-bearing condition, different structural design for high purity magnesium screws has no obvious effect on their degradation rate in vivo.

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哈彤,江雄,张阔,高元明,王丽珍,樊瑜波.可降解高纯镁骨钉在体降解分析[J].医用生物力学,2019,34(1):77-82

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  • 收稿日期:2018-02-08
  • 最后修改日期:2018-03-31
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  • 在线发布日期: 2019-03-01
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