Autogenous replacement of the meniscus cartilage: Analysis of results and mechanisms of failure

作者: Kevin R. Stone , William G. Rodkey , Lu Ann McKinney , J.Richard Steadman

DOI: 10.1016/0749-8063(95)90189-2

关键词:

摘要: Autogenous replantation of meniscal cartilage (resection 80% the meniscus followed by immediate replantation) was performed in 14 dogs as a control arm replacement study. The purpose to assess ability excised tissue heal intact rim and function cartilage. This procedure is an idealized model allografting that fresh, autogenous, perfectly sized. If this did not succeed, it seemed likely authors would have diminished chances for success. Evaluation these replant failures led us speculate causes mechanisms might include slow or incomplete revascularization, inadequate mechanical fixation stabilization, and, perhaps, some type rejection phenomenon examined confirmed present We believe will be particularly deleterious allografted cartilages recommend further extensive evaluation allografts before wide clinical use.

参考文章(16)
Van C. Mow, Steven P. Arnoczky, Douglas W. Jackson, Knee Meniscus: Basic and Clinical Foundations ,(1992)
John C. Garrett, Robert N. Stevensen, Meniscal transplantation in the human knee: A preliminary report Arthroscopy: The Journal of Arthroscopic & Related Surgery. ,vol. 7, pp. 57- 62 ,(1991) , 10.1016/0749-8063(91)90079-D
Richard J. Webber, Aubrey J. Hough, Cell culture of rabbit meniscal fibrochondrocytes II. Sulfated proteoglycan synthesis Biochimie. ,vol. 70, pp. 193- 204 ,(1988) , 10.1016/0300-9084(88)90061-2
K.A. Milachowski, K. Weismeier, C.J. Wirth, Homologous meniscus transplantation. Experimental and clinical results. International Orthopaedics. ,vol. 13, pp. 1- 11 ,(1989) , 10.1007/BF00266715
KEVIN R. STONE, WILLIAM G. RODKEY, RICHARD J. WEBBER, LUANN MCKINNEY, J. RICHARD STEADMAN, Future directions. Collagen-based prostheses for meniscal regeneration. Clinical Orthopaedics and Related Research. ,vol. 252, pp. 129- 135 ,(1990) , 10.1097/00003086-199003000-00018
Richard J. Webber, Mary G. Harris, Aubrey J. Hough, Cell culture of rabbit meniscal fibrochondrocytes: proliferative and synthetic response to growth factors and ascorbate. Journal of Orthopaedic Research. ,vol. 3, pp. 36- 42 ,(1985) , 10.1002/JOR.1100030104
GREGORY C. R. KEENE, ROGER S. PATERSON, DARYL C. TEAGUE, Advances in arthroscopic surgery. Clinical Orthopaedics and Related Research. pp. 64- 70 ,(1987) , 10.1097/00003086-198711000-00009
Richard J. Webber, J. Lyndal York, John L. Vanderschilden, Aubrey J. Hough, An organ culture model for assaying wound repair of the fibrocartilaginous knee joint meniscus American Journal of Sports Medicine. ,vol. 17, pp. 393- 400 ,(1989) , 10.1177/036354658901700314
Kevin R. Stone, William G. Rodkey, Richard Webber, LuAn McKinney, J. Richard Steadman, Meniscal regeneration with copolymeric collagen scaffolds: In vitro and in vivo studies evaluated clinically, histologically, and biochemically American Journal of Sports Medicine. ,vol. 20, pp. 104- 111 ,(1992) , 10.1177/036354659202000202