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聚左旋乳酸微型接骨板在家犬体内降解时的超微结构改变

刘海鹏1,张 舵1,荣 莉1,邵 英1,兰珊珊1,刘 杨1,景遐斌2   

  1. 1.吉林大学第一医院整形外科,吉林 长春 130021 ;2.中国科学院长春应用化学研究所高分子实验室,吉林 长春 130022
  • 收稿日期:2007-06-19 修回日期:1900-01-01 出版日期:2008-05-28 发布日期:2008-05-28
  • 通讯作者: 张 舵

Changes of ultrastructures of poly-L-lactic acid miniplate during degradation in vitro

LIU Hai-peng1,ZHANG Duo1, RONG Li1, SHAO Ying

  1. 1.Department of Plastic Surgery,First Hospital,Jilin University,Changchun 130021,China;2.Laboratory of Polymers,Changchun Institute of Applied Chemistry,Chinese Academy of Sciences,Changchun 130022,China
  • Received:2007-06-19 Revised:1900-01-01 Online:2008-05-28 Published:2008-05-28
  • Contact: ZHANG Duo

摘要: 目的:观察聚左旋乳酸(PLLA)微型接骨板固定家犬下颌骨骨折时的降解特性。方法:采用人工方法在家犬下颌骨建立骨折模型(n=12),用国产PLLA骨折内固定系统固定下颌骨骨折,通过大体、扫描电子显微镜分别观察术后1、3、6及12个月时,植入PLLA接骨板下颌骨骨折犬(n=3)体内可吸收PLLA微型接骨板的超微结构改变。结果:植入前扫描电镜观察见PLLA表面光滑,未见任何裂纹及孔洞;植入后1个月时,PLLA接骨板大体观察未见明显变化,质硬,弹性良好,半透明。扫描电镜观察见表面开始变得粗糙;植入后3个月时,大体观察见接骨板表面粗糙、质稍硬,不易折断,近白垩色,不透明。扫描电镜观察可见散在的比较表浅的小裂纹和凹槽;植入后6个月时,大体观察见接骨板表面已经变成白垩色,质硬,不透明,易折断,其上有裂纹。扫描电镜下可见表面裂纹加深,并出现深在的裂隙;植入后12个月时,大体观察见接骨板变成类似乳酪样的灰白物质,细腻、质软。扫描电镜观察见接骨板表面已经完全断裂成多个碎片,截面呈蜂窝状均匀分布的微孔结构。结论:PLLA微型接骨板的降解最早始于材料与组织液浸泡的表面和浅层,术后6个月表面的裂隙逐渐深入内部;术后12个月时,降解材料已经从内部完全崩解。其力学强度的下降是一个渐进的过程,并与骨折愈合过程基本相匹配,PLLA微型接骨板更有利于避免应力遮挡效应,加速骨折的愈合。

关键词: 可降解接骨板, 超微结构

Abstract: Abstract:Objective To study the characters of degradation of poly-L-lactic acid (PLLA) internal fracture-fixing system.Methods The mandible fracture of dogs was fixed with PLLA internal fracture-fixing system.In 1,3,6,12 months after operation , the materials were taken out from dogs, and the changes of ultrastructures of miniplates were observed using the scanning electron microscope after macroscopic observation.Results Under macroscopic observation,the miniplate was elastic,hard and semitransparent,there was no obvious changes on the surface one month later.The surface of PLLA miniplate became rough, soft,cretaceous, opaque and hard to break three months later.But the miniplate became even softer,still opaque and easy to break with some gabs on the surface six months later.The miniplate became into something like cheese,softer and exquisite twelve months later.Observed by scanning electron microscope, the surface of the miniplate was smooth,there was no fissuaring and hole on it before implantation.One month later,the surface became rough.Three months later there were many gabs on it.Six months later,the gabs entered deeply into the materials.Twelve months later the miniplate had degradated and broken completely.And much of micropore could be seen on the cross-section of miniplate.Conclusion PLLA miniplate degrads on the surface at the beginning and then at 6 months after the operation,the material begins to degrade deeply.The decrease of the mechanic strength speed of degradation is moderate,it matches with the speed of fracture healing.It will help to avoid stress shielding and accelerate the speed of fracture healing.

Key words: biodegradable miniplate, ultrastructure

中图分类号: 

  • R318.17