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犬膝关节内侧半月板部分及全切除的退行性影响。

The degenerative effects of partial and total resection of the medial meniscus in dogs' knees.

作者信息

Cox J S, Nye C E, Schaefer W W, Woodstein I J

出版信息

Clin Orthop Relat Res. 1975(109):178-83. doi: 10.1097/00003086-197506000-00026.

Abstract

An experimental effort to determine the degenerative effects in the articular cartilage of the knee joint caused by meniscectomy was performed by doing partial and total meniscectomies on the medial compartment of dogs' knees. Gross and microscopic pathological changes in teh articular cartilage were studied by sacrificing the dogs at intervals of three to ten months. Results indicated that meniscectomy is not a benign procedure, and the removal of a meniscus in itself can lead to degenerative changes in the knee joint. Partial meniscectomy leads to less severe degenerative changes with the degree of change directly related to the amount of meniscus removed. In total meniscectomies when meniscus regeneration occurred, the cartilage surfaces where the meniscus had regenerated were protected. The degree of degenerative change was directly related to the amount of fibrocartilage that remained absent. Therefore, the knee menisci function to protect the articular cartilages from degenerative damages, but the exact mechanism of this is unknown.

摘要

通过对犬膝关节内侧间室进行部分和全半月板切除术,开展了一项实验性研究,以确定半月板切除术对膝关节软骨造成的退行性影响。每隔三到十个月处死实验犬,研究关节软骨的大体和微观病理变化。结果表明,半月板切除术并非无害手术,半月板的切除本身会导致膝关节发生退行性改变。部分半月板切除术导致的退行性改变较轻,改变程度与切除的半月板量直接相关。在全半月板切除术中,当半月板发生再生时,半月板再生部位的软骨表面得到了保护。退行性改变的程度与缺失的纤维软骨量直接相关。因此,膝关节半月板起到保护关节软骨免受退行性损伤的作用,但其确切机制尚不清楚。

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