Dysbaric osteonecrosis in divers and caisson workers. An animal model
C E Lehner1, W M Adams, R R Dubielzig
1Department of Preventive Medicine, Medical School, University of Wisconsin, Madison 53706, USA.
Clinical Orthopaedics and Related Research
|December 31, 1997
Summary
Researchers successfully induced dysbaric osteonecrosis in sheep using repeated compressed air exposures. This study provides a new animal model for investigating bone necrosis and its treatment.
Area of Science:
- Bone pathology
- Hyperbaric medicine
- Animal models
Background:
- Dysbaric osteonecrosis is a serious condition affecting bone health.
- Understanding its pathogenesis is crucial for prevention and treatment.
Purpose of the Study:
- To establish a reliable animal model for dysbaric osteonecrosis.
- To investigate the pathological changes associated with this condition.
Main Methods:
- Adult sheep were exposed to compressed air (2.6-2.9 ATA) for 12-13 periods of 24 hours over 2 months.
- Radiographic and histological analyses were performed to assess bone and marrow changes.
Main Results:
- All exposed sheep developed decompression sickness and extensive bone/marrow necrosis.
- Radiographs showed characteristic dysbaric osteonecrosis lesions.
- Histological examination revealed neovascularization, new bone formation, and juxtaarticular osteonecrosis.
Conclusions:
- Repeated hyperbaric exposures successfully induced dysbaric osteonecrosis in sheep.
- The model demonstrates bone compartment syndrome due to N2 bubble formation.
- This animal model is suitable for further research into dysbaric osteonecrosis.


