BACKGROUND:Micro-fracture surgery method is simple, easy to operate, which is an effective way to treat articular cartilage defects, but there are stil some problems such as regenerated fibrocartilage and regenerated cartilage degradation. Scholars have focused on the use of various methods to improve the micro-fracture effect on repairing cartilage defects.
OBJECTIVE:To explore the effects of micro-fracture enhanced by autologous bone marrow mesenchymal stem cells extracellular matrix (aBMSC-dECM) scaffold for treating cartilage defects in minipig models.
METHODS:Bone marrow was extracted from the minipigs and bone marrow mesenchymal stem cells were obtained. aBMSC-dECM membranes were col ected. Cross-linking and freeze-drying technology were used to make the three-dimensional porous aBMSC-dECM scaffold. Ful thickness cartilage defects, 2 mm in depth and 6 mm in diameter, were created on the femoral condyles and trochlea grooves of the two knees of the minipigs. The right knees were treated with micro-fracture as control and the left were treated with micro-fracture enhanced by aBMSC-dECM scaffold. Six months later, histological examination and Wakitani score were used to evaluate the cartilage regeneration, and glycosaminoglycans and DNA contents in the regenerative tissue were determined.
RESULTS AND CONCLUSION:After 6 months, the tissue treated by micro-fracture enhanced by aBMSC-dECM scaffold got better surface and integrated with the surrounding cartilage. Safranin O and fast green staining and Masson staining showed that the regenerated cartilage of the left knee, with abundant matrix and dense bone trabeculae, was better than that of the right. Wakitani score of the left knee was higher than that of the right. Glycosaminoglycans content of the left knee was much more than that of the right, while the DNA content was lower in the left knee than the right knee. Better results were observed in the left knee undergoing micro-fracture enhanced by aBMSC-dECM scaffold, and improvements in the femoral condyles and trochlea grooves showed no differences.

Objective To investigate variant types and the image features of MRA of intracranial branch of vertebral artery so that to improve the ability in understanding and diagnosing pons and medulla oblongata diseases.Methods Twenty one cases with the intracranial branch of anomaly vertebral artery were comfirmed by MRA.The anomaly types and MRA features,as well as the clincal symptoms were retrospeetively analyzed.Results MRA features of the intracranial branch of vertebral artery in one sides were as follows:Hypoplasia(n=7),Obliteration of some paragraphes(n=2),Sclerosis or increased tortuous and dilatation(n=9);brain stem compressed by the sclerotic vessel (n=3),angioma(n=3).All paticnts had dysfunction of cranionerves of brain stem in different degree and form.Conclusion MRA was a ideal and no tranmatic method to show the anomaly of the intracranial branch of vertebral artery