同种异体骨髓间充质干细胞(bmscs)和血管内皮生长因子(VEGF)重建前交叉韧带移植骨隧道模型的生物力学研究

brian vicky faridyan
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引用次数: 0

摘要

成功的前交叉韧带(ACL)重建需要肌腱移植物和骨隧道之间良好和快速的融合。肌腱-骨隧道移植物在初始阶段的强度对于促进积极康复和尽早支持快速恢复正常活动非常重要。本研究的目的是通过给药同种异体骨髓间充质干细胞(bmmscs)和血管内皮生长因子(VEGF)在实验动物的前交叉韧带(ACL)重建后股骨肌腱-骨隧道移植模型的极限张力(UTS)。本研究采用验后对照组设计,将24只家兔分为实验组和对照组。在第3周和第6周进行生物力学评价。第3周时,治疗组抗拉强度显著高于对照组(p < 0.05)。自第3周起,静脉给药BM-MSCs和VEGF重建ACL可显著增加移骨隧道的极限拉伸强度。Ferdiansis等使用BM-MSCs和VEGF在关节内进行的研究仅显示从第6周开始移植物骨隧道的极限拉伸强度显著增加。结果表明,隧道内法比体外关节内法更有利于肌腱移植物与骨隧道的结合。关键词:前交叉韧带,同种异体骨髓间充质干细胞,血管内皮生长因子,生物力学研究
本文章由计算机程序翻译,如有差异,请以英文原文为准。
BIOMECHANIC STUDY OF GRAFT BONE TUNNEL MODEL IN ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING INTRATUNNEL ALLOGENIC BONE MARROW MESENCHYMAL STEM CELLS (BM-MSCs) AND VASCULAR ENDOTHELIAL GROWTH FACTOR (VEGF)
Successful anterior cruciate ligament (ACL) reconstruction using tendon graft requires good and rapid integration between the tendon graft and the bone tunnel. The strength of the tendon-bone tunnel graft in the initial phase is very important to facilitate aggressive rehabilitation and as early as possible to support rapid recovery to normal activities. The objective of this study was to determine ultimate tension strength (UTS) on the femoral tendon-bone tunnel graft model after reconstruction of anterior cruciate ligament (ACL) by administering allogenic bone marrow mesenchymal stemcells (BM-MSCs) and vascular endothelial growth factor (VEGF) intratunnel in experimental animals. The design of this research was Post-Test Only Control Group Design using 24 rabbits divided into treatment and control group. Biomechanical evaluation was done at week 3 and 6. Evaluation at week 3 found ultimate tension strength of treatment group significantly higher than control (p <0,05). In the 6th week evaluation, Ultimate tension strength was found that the treatment group significantly higher than the control group (p <0.05). Ultimate tension strength at week 3 did not differ significantly with week 6 (p> 0.05). Intravenous administration of BM-MSCs and VEGF on ACL reconstruction increased ultimate tension strength in graft-bone tunnel significantly since week 3. The study of Ferdiansis et al using BM-MSCs and VEGF intraarticular, only showed a significant increase in ultimate tension strength in graft-bone tunnel since week 6. Comparison of this method indicates acceleration in incorporation of tendon graft with bone tunnel on intratunnel method better thaninvitro intraarticular method.Keywords : Anterior cruciate ligament, allogenic bone marrow mesenchymal stem cells, vascular endothelial growth factor and biomechanic study.
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