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The relationship between bone resorbing factors and loosening after hip prosthetic replacement.

Research Project

Project/Area Number 05671233
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Orthopaedic surgery
Research InstitutionShowa University

Principal Investigator

KUROKI Yoshikatsu  Showa University, Medicine, Professor, 医学部, 教授 (00053794)

Co-Investigator(Kenkyū-buntansha) HAYASHI Junji  Showa University, School of Medicine, assistant, 医学部, 助手 (70255834)
IMAZATO Yukihiko  Showa University, School of Medicine, assistant, 医学部, 助手 (00221094)
平川 誠  昭和大学, 医学部, 助手 (00192295)
Project Period (FY) 1993 – 1995
Project Status Completed (Fiscal Year 1995)
Budget Amount *help
¥2,300,000 (Direct Cost: ¥2,300,000)
Fiscal Year 1995: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1994: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1993: ¥500,000 (Direct Cost: ¥500,000)
KeywordsAseptic loosening / Radiolucent area / Osteolysis / Bone resorption / Macrophage / Revision / Loosening / 骨吸収因子 / 骨透亮像 / revision / loosening / HDP摩耗粉 / セメントデブリス
Research Abstract

The progressive enlargement of the radiolucent area has often been observed around the implant, leading to loosening of the prosthesis. The purpose of this study is to elucidate the mechanism of rediolucent area formation. The radiolucent areas could be classified into the linear type and the erosive type, and these two groups were compared as to the histological and biochemical results. The interface membranes were obtained from patients at the time of surgery for revision of either cemented THA or cementless bipolar endprosthetic replacement.
The bone resorption around the implant after hip prosthetic replacement occurs in two different pathways. The first pathway may be cnhanccd bone resorption by chemical mediators and enzyme derived from foreigne body granulomas. The second possible pathway would be the bone necrosis by mechanical stresses due to biomechanically unstable implant.
Histologically, the interfaces of the osteolysis type contained more debris, macrophages, and giant cell … More s than the linear type. Some macrophages, giant cells and synovial like cells were positively stained with anti-interleukin-6 antibody and TRAP.The levels of IL-6 and IL-8 in the homogenates from osteolysis type were significantly higher than those from the lincar type. The interface membrancs were dissociated by collagenase, and cultured on dentine slices from 2 hours to 1 week in order to study whether the macrophages and giant cells can resorb bone by themselves. Most of coltured cells were stained with NSE of a marker of macrophage, and weren't stained with TRAP at 2 hours. TRAP positive mononucleated and polynucleated giant cells were increased at 1 week, but both of resorption pit and F-actin ring formation weren't observed.
According to these findings, macrophages in osteolysis produce IL-6 which activated osteoclast in host bone, and IL-8 which might relate to the formation of foreign body granuloma in addition to the phagocyte of debris. Although some macrophages are stained with TRAP, it might be difficult for macrophages to differentiate to the osteoclast like cells which were capable of bone resorption. Less

Report

(4 results)
  • 1995 Annual Research Report   Final Research Report Summary
  • 1994 Annual Research Report
  • 1993 Annual Research Report
  • Research Products

    (28 results)

All Other

All Publications (28 results)

  • [Publications] 黒木 良克: "人工股関節置換術後に生じる骨透亮像の検索" 日本整形外科学会雑誌. 69. 927-937 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 平川 誠: "人工股関節置換術後に生じるlooseningの発生機序について" Connective Tissue. 26. 109 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 今里 有紀彦: "人工股関節置換術後の周囲組織における 骨吸収能に関する検討" 人工関節研究会誌. 25. 109 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 今里 有紀彦: "セメント使用型人工股関節置換術後に生じるlooseningの発生機序に関する研究-X線所見と生化学的ならびに免疫組織化学的所見と対比して-" 人工関節研究会誌. 24. 78 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 林 淳慈: "セメントレス人工骨頭置換術後に生じるlooseningの発生機序に関する研究-X線所見と生化学的ならびに免疫組織化学的所見と対比して-" 人工関節研究会誌. 24. 78-79 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 黒木 良克: "人工股関節術後の弛みの原因と再置換術について" リウマチ. 33. 341-351 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Kuroki, Y., et al.: "Mechanism of the radiolucence around the implant after hip prosthetic replacement." J.Jpn.Orthop.Assoc.69. 927-937 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Hirakawa, M., et al.: "Mechanism of bone resorption in loose hip prosthesis." Connective Tissue. 26. 319-325 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Imazato, Y., et al.: "Bone resorption in the interface membranes with loosening after hip arthroplasty." Jpn.Research Assoc.for Replacement Arthroplasty. 25. 109 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Imazato, Y., et al.: "Mechanism of bone resorption in loosening after cemented THA." Jpn.Research Assoc.for Replacement Arthroplasty. 24. 78 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Hayashi, J., et al.: "Mechanism of bone resorption in loosening after cementless bipolar endprosthetic replacement." Jpn.Research Assoc.for Replacement Arthroplasty. 24. 78 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] Kuroki, Y.: "Causes of loosening after total hip replacement and revision surgery." Jpn.J.Rheumatol.33. 341-351 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] 黒木 良克: "人工股関節置換術後に生じる骨透亮像の検索" 日本整形外科学会雑誌. 69. 927-937 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 平川 誠: "人工股関節置換術後に生じるlooseningの発生機序について" Connective Tissue. 26. 319-325 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 今里 有紀彦: "人工股関節置換術後の周囲組織における骨吸収能に関する検討" 人工関節研究会誌. 25. 109 (1995)

    • Related Report
      1995 Annual Research Report
  • [Publications] 黒木 良克: "人工股関節術後の弛みの原因と再置換術について" リウマチ. 33. 341-351 (1993)

    • Related Report
      1995 Annual Research Report
  • [Publications] 今里 有紀彦: "セメント使用型人工股関節置換術後に生じるlooseningの発生機序に関する研究-X線所見と生化学的ならびに免疫組織化学的所見を対比して-" 人工関節研究会誌. 24. 78 (1994)

    • Related Report
      1995 Annual Research Report
  • [Publications] 林 淳慈: "セメントレス人工骨頭置換術後に生じるlooseningの発生機序に関する研究-X線所見と生化学的ならびに免疫組織化学的所見を対比して-" 人工関節研究会誌. 24. 78-79 (1994)

    • Related Report
      1995 Annual Research Report
  • [Publications] 平川誠: "人工股関節置換術後に生じるlooseningの発生機序について" CONNECTIVE TISSUE. 26(in press). (1995)

    • Related Report
      1994 Annual Research Report
  • [Publications] 今里有紀彦: "人工股関節置換術後の周囲組織における骨吸収能に関する検討" 人工関節研究会誌. 25(in press). (1995)

    • Related Report
      1994 Annual Research Report
  • [Publications] 黒木良克: "人工股関節術後の弛みの原因と再置換術について" リウマチ. 33. 341-351 (1993)

    • Related Report
      1994 Annual Research Report
  • [Publications] 今里有紀彦: "セメント使用型人工股関節置換術後に生じるlooseningの発生機序に関する研究-X線所見と生化学的ならびに免疫組織化学的所見を対比して-" 人工関節研究会誌. 24. 78 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 林淳慈: "セメントレス人工骨頭置換術後に生じるlooseningの発生機序に関する研究-X線所見と生化学的ならびに免疫組織化学的所見を対比して-" 人工関節研究会誌. 24. 78-79 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 黒木,良克: "人工股関節術後の弛みの原因と再置換術について" リウマチ. 33. 341-351 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] 今里,有紀彦: "セメント使用型人工股関節置換術後に生じるlooseningの発生機序に関する研究" 人工関節研究会誌. 24. in press (1994)

    • Related Report
      1993 Annual Research Report
  • [Publications] 林,淳慈: "セメントレス人工骨頭置換術後に生じるlooseningの発生機序に関する研究" 人工関節研究会誌. 24. in press (1994)

    • Related Report
      1993 Annual Research Report
  • [Publications] 今里,有紀彦: "Looseningをきたした人工股関節周囲組織におけるcollagenase活性、prostaglandin E_2の定量" 人工関節研究会誌. 23. 73-74 (1993)

    • Related Report
      1993 Annual Research Report
  • [Publications] 林,淳慈: "Looseningをきたした人工股関節置換術例の血中および摘出組織におけるIL-1beta,IL-6,IL-8の検討" 人工関節研究会誌. 23. 75 (1993)

    • Related Report
      1993 Annual Research Report

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Published: 1993-04-01   Modified: 2016-04-21  

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