Arthroscopic Subchondral Bone Plate Microfracture Technique Augments Healing of Large Chondral Defects in the Radial Carpal Bone and Medial Femoral Condyle of Horses

OBJECTIVE: To evaluate the effect of arthroscopic subchondral bone microfracture on healing of large chondral defects in horses. STUDY DESIGN: Short- (4 months) and long-term (12 months) in vivo experimental chondral defect model. ANIMALS: 10 horses, aged 2 to 5 years. METHODS: Each horse had a 1 cm2 full-thickness chondral defect created in both radial carpal bones and both medial femoral condyles. One carpus and one femoral condyle of each horse had the subchondral bone plate under the defect perforated using an orthopedic awl. All horses were exercised, five horses were evaluated after 4 months and five horses after 12 months. Gross, histologic, and histomorphometric examination of defect sites and repair tissues was performed, as was collagen typing of the repair tissue. RESULTS: On gross observation a greater volume of repair tissue filled treated defects (74%) compared with control defects (45%). Histomorphometry confirmed more repair tissue filling treated defects, but no difference in the relative amounts of different tissue types was observed. There was an increased percentage of type II collagen in treated defects compared with control defects and evidence of earlier bone remodeling as documented by changes in porosity. CONCLUSIONS: In full-thickness chondral defects in exercised horses, treatment with subchondral bone microfracture increased the tissue volume in the defects and the percentage of type II collagen in the tissue filling the defects when compared to nontreated defects. CLINICAL RELEVANCE: No negative effects of the microfracture technique were observed and some of the beneficial effects are the basis for recommending its use in patients cases with exposed subchondral bone.     

镉对骨质代谢影响的研究

镉在动物体内逐渐蓄积,会导致骨代谢失衡,从而引起软骨症、骨质疏松和骨折等骨代谢类疾病。骨代谢是骨重建与骨吸收两个过程之间的动态平衡过程,是维持骨骼发育的一个重要代谢过程。破骨细胞、成骨细胞和骨细胞在其中扮演者重要角色,本文详细阐述了镉经其对骨质代谢的影响。     

A Lateral Approach to the Repair of Propagating Fractures of the Medial Condyle of the Third Metacarpal and Metatarsal Bone in 18 Racehorses

Objectives— To report the technique, observations on fracture configurations and results of treatment by fixation lag screw following the fracture plane determined by an approach to the third metacarpal/metatarsal bone (MC3/MT3) that begins laterally over the metacarpo(metatarso)phalangeal joint and extends dorsally over the diaphysis of the bone.
Study Design— Case series.
Animals— Thoroughbred horses (n=18) with propagating fractures of the medial condyle of MC3/MT3.
Methods— Retrospective analysis of case records of horses with fractures of the medial condyle of MC3/MT3 that propagated sagittaly or in a spiral configuration into the diaphysis, repaired surgically under general anesthesia by screw fixation in lag fashion through a lateral approach with periosteal reflection.
Results— Fractures were readily identified at surgery, enabling screw fixation in lag fashion following the fracture plane. Fracture configurations varied and could be classified as sagittal and spiral fractures with fractures within each group generally following a similar course. All horses recovered relatively uneventfully from general anesthesia and surgery, and all fractures healed well. Thirteen horses returned to training; 5 subsequently raced.
Conclusions— Repair of propagating sagittal and spiral fractures of the medial condyle of MC3/MT3 with diaphyseal involvement, through a lateral approach with periosteal reflection permits stable fixation with minimal complications. In this series there were no catastrophic failures.
Clinical relevance— Fractures of the medial condyle of MC3/MT3 that propagate either sagittaly or in a spiral configuration into the diaphysis can be successfully repaired with screw fixation in lag fashion using a lateral approach with periosteal reflection.     

Incomplete Ossification of the Humeral Condyle in Spaniels

An evaluation of 157 dogs with humeral fractures was performed. Cocker spaniels were more likely to have humeral condylar fractures (HCFs) than other breeds ( P < .0001). Male cocker spaniels were at increased risk ( P < .001). Cocker spaniels had more bilateral HCFs than other breeds of dogs ( P < .001). Eighteen dogs (17 purebred spaniels and 1 crossbred spaniel) with HCFs of unknown cause or occurring with normal activity were further studied, using radiography of their humeral condyle bilaterally (n = 18), computed tomography (n = 3), biopsy (n = 2), bone scintigraphy (n = 2), and genetic evaluation (n = 8). Fourteen of these 18 dogs had a nonfractured contralateral condyle. Twelve (86%) of the 14 nonfractured humeral condyles had a radiolucent line within the center of the condyle, 13 (93%) had radiographic signs of degenerative joint disease and an abnormal medial coronoid process, and six (43%) had periosteal proliferation involving the lateral epicondyle. Examination of biopsy samples from the fracture sites of two cocker spaniels showed fibrous tissue present at the fracture surfaces. The results of this study suggest an association between incomplete ossification of the humeral condyle in cocker spaniels and Brittany spaniels and a high prevalence of HCFs. Eight affected cocker spaniels with available pedigree information were found to be genetically related, suggesting that incomplete ossification of the humeral condyle may be a genetic disease with a recessive mode of inheritance.     

Treatment of Bilateral Medial Femoral Condyle Articular Cartilage Fissures in a Horse Using Bone Marrow-Derived Multipotent Mesenchymal Stromal Cells

The objective of this study was to describe the use, and outcome, of multipotent mesenchymal stromal cells (MSCs) in the treatment of equine articular cartilage defects of the medial femoral condyle. A 4-year-old Thoroughbred gelding (n = 1) with bilateral stifle athroscopy was found to have bilateral articular cartilage fissure defects of the medial femoral condyles with concurrent cranial cruciate ligament injury. Bone marrow derived MSCs were isolated, expanded, and suspended in a partially autologous fibrin glue. The initial cell/fibrin glue mixture was delivered arthroscopically into the articular cartilage defects 90 days after the initial arthroscopic examination. Follow-up treatments included two additional injections of MSCs suspended in lactated Ringers solution, 5 and 13 months after the initial examination, directly into the joint. Post-treatment outcome was assessed by arthroscopic examination and by comparison of preinjury and post-treatment performance records. Arthroscopic evaluation 4 months after the initial MSC treatment revealed marked smoothing, reduction in the depth of cartilage defects and observation of moderate improvement in the cranial cruciate ligament. Approximately 15 months after the initial MSC treatment the horse returned to racing. Analysis of race records demonstrated that the post-treatment (including all three MSC treatments) average race earnings (earnings per start) were comparable with those predating the initial injury. The favorable clinical response in the face of an unknown, but likely, guarded prognosis suggest that MSC therapy is not deleterious and may augment healing of articular cartilage fissures of the medial femoral condyle. MSCs represent a viable and promising alternative therapy in the treatment of articular cartilage injuries in performance horses.     

肠道菌群对骨代谢影响的研究进展

肠道菌群是一个由微生物组成的复杂生态系统,能够将进入肠道的营养物质转化为机体正常生长发育所需的物质。肠道菌群对于动物机体保持正常的物质消化、营养吸收、能量转化和代谢功能具有关键作用。近年来,肠道菌群对动物机体骨骼发育的影响及作用机制受到了广泛关注。从肠道菌群在动物机体营养物质吸收、免疫、内分泌功能中的作用以及肠道菌群代谢产物的作用等方面综述肠道菌群对骨代谢的影响和机制,以期为丰富动物骨骼疾病的预防和治疗方法提供参考。     

The Effects of Screw Removal on Bone Strain in an Idealized Plated Bone Model

An idealized plated bone model was used to test the hypothesis that selected screw removal could alter the bone strain field and be a viable treatment for stress protection osteoporosis. Eighteen bone screw modifications were evaluated for their effects on bone strain. The three variables studied were number, position, and length of screws. Removal of two or four bone screws from an eight hole plate significantly increased the strain per load on the bone model over the values with eight screws in the plate (p less than 0.05). The four screw configurations increased bone strain more than the six screw configurations. It also was shown that the position of screws in the plate could significantly alter the bone strain per load results. Removal of six bone screws from an eight hole plate also increased the bone strain per load, but to excess in some tests. In those configurations, the results were not statistically different from the unplated configuration. Replacement of the full length screws with eight half length screws that engaged only the near cortex significantly reduced bone strain per load as compared with eight bicortical bone screws.     

铅对骨代谢生化指标影响的研究进展

铅是一种重金属污染物,对人和动物健康损害极大。众多研究发现铅毒性作用的重要靶器官是骨骼,即铅进入机体后会蓄积在骨骼内,极易导致骨质疏松症。在临床上,铅对骨骼的危害主要通过一些骨代谢生化指标进行评估,如PINP、OPG、β-CTX、CT等。近年来多项研究发现骨代谢生化指标可以反映骨代谢状态以及骨转换率,这对于骨质疏松症的鉴别诊断具有重要意义。综述了铅对骨代谢生化指标影响的研究进展,以期为探究铅对骨代谢影响的分子机制提供参考。     

骨疏康对蛋鸡骨代谢的影响

为研究中药骨疏康对蛋鸡骨代谢的影响，选择90只58周龄的蛋鸡，随机分为3组。对照组饲喂基础日粮，骨疏康组在基础日粮中添加1％的骨疏康，依普拉芬组在基础日粮中添加25mg／kg的依普拉芬。试验为期90d。结果显示，与对照组比较，骨疏康组和依普拉芬组血清Ca、P、AKP、TRACP、BGP水平显著降低，肱骨、胫骨、股骨的骨指数、骨放射密度、皮质骨厚度、皮质骨面积、皮质骨面积比例以及血清中IGF-1水平显著升高，而骨疏康组与依普拉芬组之间无显著差异，表明骨疏康能显著抑制产蛋后期蛋鸡的骨吸收，促进骨形成，改善骨代谢。     

Bisphosphonate related osteonecrosis of the jaws: a review

Bisphosphonate use has increased in veterinary medicine over the last decade. During this time, bisphosphonate related osteonecrosis of the jaws (BRONJ) in human patients has been identified. Only recently was a dog model for BRONJ developed for human oral surgery and medicine. Veterinary patients treated with bisphosphonates may be at an increased risk for BRONJ There has been little, to no, investigation of potential long term side-effects of bisphosphonate use in veterinary patients; potential sequelae are unknown. The history of bisphosphonates, their use, and BRONJ in veterinary patients are discussed.     

影响牛黄形成的环境因素的探讨

许多环境因素都会影响牛黄的形成。牛经常采食含胆碱类成分高的牧草,会使牛黄的形成量降低;在干旱地区,牛的饮水受到限制,牛黄产量较高;水中含钠多时,牛黄产量少;红壤地区牛黄多,沙壤地区较少;应激反应可以促进牛黄的形成。     

不同脱钙液对大鼠骨髓切片染色的影响

[目的]探讨不同脱钙液对Wistar大鼠胸骨骨髓切片染色效果的影响。[方法]取正常Wistar大鼠胸骨,采用10%中性福尔马林溶液充分固定,经流水冲洗后,分别浸入甲酸氯化铝脱钙液(A组)、5%甲酸脱钙液(B组)、5%硝酸脱钙液(C组)中进行充分脱钙后,再经流水冲洗,制作石蜡切片,HE染色,显微镜观察并评价其效果。[结果]①制片时间:5%甲酸组>甲酸氯化铝脱钙液>5%硝酸组;②HE染色效果:甲酸氯化铝脱钙液与5%甲酸组无显著差异,优于5%硝酸组。[结论]采用甲酸氯化铝脱钙液方法制作的大鼠胸骨骨髓切片,骨髓组织结构完整,细胞形态清晰,耗时较短,能够满足组织学评价的要求。     

肌肉生长抑制素对动物肌肉、脂肪和骨骼的影响

肌肉生长抑制素是转化生长因子 β超家族成员之一,具有众多的生理功能。近来的研究表明,肌肉生长抑制素除对肌肉生长有负调控作用外,还对脂肪的沉积和骨骼的生长发育具有调节作用,甚至还能影响肌腱和韧带的强硬度。本文主要从肌肉生长抑制素的结构、基因表达及其对动物肌肉、脂肪和骨骼的作用等方面进行综述。     

钙磷代谢对动物骨骼健康影响的研究进展

骨骼构成机体结构的基本框架,骨形成和骨吸收的动态平衡关系到骨骼健康。钙和磷是动物体骨骼生长发育过程中重要的矿物质元素,机体对其吸收与调控直接影响骨代谢过程。血钙和血磷水平的变化,改变了机体相关调节激素的分泌,而这些激素可影响骨骼发育,因此,钙、磷代谢与骨骼健康紧密相关。综合国内外钙、磷代谢和骨代谢等方面的研究,从钙、磷的吸收和代谢,含量和比例以及钙磷代谢相关调节激素对骨骼发育的调控机制等方面进行综述,旨在为后续动物钙、磷代谢和骨骼之间调控的研究提供参考。