연골막하 연골 결손부에 삽입한 제 1형 아교질 지지체의 연골 재생 효과

Chondrogenic Effect of Transplanted Type I Collagen Scaffold within Subperichondrial Cartilage Defect

  • 이혁구 (계명대학교 의과대학 성형외과학교실) ;
  • 손대구 (계명대학교 의과대학 성형외과학교실) ;
  • 한기환 (계명대학교 의과대학 성형외과학교실) ;
  • 김준형 (계명대학교 의과대학 성형외과학교실) ;
  • 이소영 (계명대학교 의과대학 재활의학교실)
  • Lee, Hyuk Gu (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Son, Dae Gu (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Han, Ki Hwan (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Kim, Jun Hyung (Department of Plastic and Reconstructive Surgery, Keimyung University School of Medicine) ;
  • Lee, So Young (Department of Rehabilitation Medicine, Keimyung University School of Medicine)
  • 투고 : 2005.02.01
  • 발행 : 2005.07.10

초록

The purpose of this research is to find out the degree of cartilage regeneration by inserting the atelo-collagen scaffold obtained from dermis of a calf on cartilage defect site. Dissection underneath the perichondrium by the periosteal elevator on both side of ears of six New Zealand white rabbits were made to expose the cartilage, leaving pairs of circular holes 3, 6, 9 mm width with punches. One hole was left for a control, and on the other hole atelo-collagen scaffold of the same size was transplanted. In postoperative 1, 2, 4 weeks, the tissues were dyed. The length of long axis of neocartilage was measured through an optical microscope with a 0.1 mm graduation at original magnification, ${\times}40$. In the first and second week, both group showed no sign of cartilage regeneration. In the fourth week, regeneration on marginal portions was observed on all groups and the average values of length of long axis of neocartilage according to defect size were as follows: In the cases with 3mm defect, it was $0.85{\pm}0.30mm$ in the control group, and $1.85{\pm}0.38mm$ in the graft group; in the cases with 6 mm defect, $1.33{\pm}0.58mm$ in the control group, and $2.25{\pm}0.46mm$ in the graft group; and in the cases with 9 mm defect, $2.33{\pm}0.77mm$ in the control group, and $4.47{\pm}1.39mm$ in the graft group. This means that the collagen scaffold has an influence on the regeneration of neocartilage. But the relative ratio of the length of neocartilage to cartilage defect size was not significant in the statistics.

키워드

참고문헌

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