Document Detail


Role of simple cold storage in preventing epiphyseal growth plate impairment after replantation surgery in immature rats.
MedLine Citation:
PMID:  16254816     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to investigate the effect of ischemia time on longitudinal bone growth after replantation, and to evaluate the usefulness of simple cold storage of an amputated limb in preventing epiphyseal growth-plate impairment. A hind-limb replantation model was produced with 5-week-old rats after various ischemia times. With more than 6 hr of warm ischemia, growth disturbance was observed, and extensive necrosis was histologically apparent in the central region of the growth plate of the proximal tibia, even at 1 week postoperatively. Destruction of the growth plate was complete at 4 weeks after surgery. By simple cold storage of the amputated limb, growth disturbance was not observed, even following ischemia for 9 hr, and no abnormal findings were observed histologically. Segmental necrosis and destruction of the growth plate observed histologically suggested the possibility of indirect impairment of the epipyseal chondrocytes due to disturbance of the epiphyseal arterial system, attributable to ischemia. The study confirmed experimentally that cold storage of the amputated part may prevent longitudinal bone-growth disturbance after extension of ischemia time.
Authors:
Toru Sunagawa; Osamu Ishida; Yoshikazu Ikuta; Yuji Yasunaga; Mitsuo Ochi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  21     ISSN:  0743-684X     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-28     Completed Date:  2006-01-03     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  483-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Japan.
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MeSH Terms
Descriptor/Qualifier:
Amputation, Traumatic / physiopathology,  surgery
Animals
Bone Development / physiology*
Growth Plate / blood supply*,  pathology,  physiopathology
Hindlimb / blood supply,  injuries*
Hypothermia, Induced / methods*
Ischemia / pathology,  prevention & control,  therapy*
Models, Animal
Organ Preservation / methods
Rats
Rats, Wistar
Replantation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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