Histological comparison of fate of ligamentous insertion after reconstruction of anterior cruciate l

来源 :中华创伤杂志英文版 | 被引量 : 0次 | 上传用户:richard_kai
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: To analyze the histological results and the biological remodeling of ligamentous insertion after the reconstruction of anterior cruciate ligament ( ACL ) with autograft or allograft tendon.Methods: Extensor digitorum tendon was harvested from hind limb as graft material and transplanted to reconstruct the resected ACL in 12 mongrel dogs. Each free tendon end was secured by holding sutures and then the sutures were tied to the post screw at the femoral and tibial bony tunnel outlet after transplantation respectively.Autograft was randomly performed on one side of knee while allograft on the other side of knee. After transplantation, the histological analysis was undertaken at the 6th, 12th weeks and the 6th month using hematoxylineosin (HE) stain under light microscope.Results: The insertion structure of normal ACL typically consisted of four layers, I. E., dense connective tissue, fibrocartilage, mineralized fibrocartilage and bone.There was a distinct regular tidemark line between fibrocartilage and mineralized fibrocartilage. At the 6th week postoperatively, loose connective tissue presented in the interspace between graft and bony tunnel wall in both autograft and allograft groups. At the 12th week postoperatively, the collagenous fibers between autograft and tunnel wall became well organized and the four layers of insertion with discontinuous tidemark line were demonstrated indistinctly in autograft group but not in allograft group. At the 6th month postoperatively, both of a clear and continuous tidemark line and distinct four layers could be seen in autograft group. In allograft group, only a waved discontinuous tidemark line was shown and either the anatomic morphology or the maturity of insertion was inferior to that of autograft group.Conclusions: At the 6th month postoperatively,although the ligament-cartilage insertion is primarily formed after ACL reconstruction with autograft or allograft tendon, the histological morphology and the maturation of insertion of autograft tendon are better than those of allograft group, which suggests that postoperative rehabilitation should be paid more attention and could be safer if little delayed during ACL reconstruction with allograft tendon.
其他文献
近年来,随着糖尿病知识的普及,胰岛素新剂型的出现和血糖检测技术的不断发展与改进,糖尿病患者的胰岛素使用变得更加有效和安全,许多患者在家中进行胰岛素注射.因此,对使用胰
哈密球团厂通过对进厂铁精矿实施分类堆放、分别切取;对膨润土优选后进行采购,增设钠化改性流程;同时采取精确配料,加强标准化操作等一系列措施,使膨润土单耗从2008年的28.86
期刊
期刊
@@
针对大口径宽波段激光发射通道密封防护较难的问题,提出了正压净化通风密封方法。该方法利用送入内通道的干燥洁净的净化气流,排出原有空气并充满内通道,基于正压原理阻挡外
面向远距离目标微多普勒效应的探测,建立了本振光功率变化对激光平衡外差探测回波信噪比影响的数学模型,并进行了仿真分析。通过搭建的1 550 nm激光平衡外差探测实验平台测试
期刊
目的探讨膀胱功能训练护理对脊髓损伤患者膀胱功能康复疗效。方法按入院顺序将68例脊髓损伤患者平分为对照组与治疗组,对照组单用常规训练护理方法进行膀胱功能重建,治疗组在