Elliott Dawn M, Jones Relief, Setton Lori A, Scully Sean P, Vail T Parker, Guilak Farshid
McKay Orthopaedic Research Laboratory, Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pa, USA.
Knee Surg Sports Traumatol Arthrosc. 2002 Mar;10(2):109-18. doi: 10.1007/s001670100227. Epub 2001 Aug 3.
This study examined the hypothesis that meniscal allograft transplantation serves a "chondroprotective" role and prevents the histological and biomechanical changes of the articular cartilage following meniscectomy. Skeletally mature mongrel dogs underwent total medial meniscectomy and received either a fresh meniscal allograft ( n=10) or no further treatment ( n=10). Semiquantitative histology and biomechanical analysis of the femoral articular cartilage was used to assess cartilage pathology 12 weeks following surgery. Histological analysis showed significant changes in cartilage structure that did not differ between the meniscectomy and allograft transplantation groups. Similarly, the tensile modulus of the surface zone cartilage was significantly lower than that in unoperated controls following either meniscectomy or allograft transplantation. A significant correlation was observed between the biomechanical and histological changes, suggesting that degenerative changes in cartilage structure and mechanical function are interrelated. Our findings do not support the hypothesis that meniscal allograft transplantation provides chondroprotection of the femoral condyle and also suggest that it does not lead to increased degenerative changes.
半月板同种异体移植发挥“软骨保护”作用,并防止半月板切除术后关节软骨的组织学和生物力学变化。骨骼成熟的杂种犬接受内侧半月板全切除,其中10只接受新鲜半月板同种异体移植,另10只不接受进一步治疗。术后12周,采用股骨关节软骨的半定量组织学和生物力学分析来评估软骨病理学情况。组织学分析显示,软骨结构有显著变化,半月板切除组和同种异体移植组之间无差异。同样,半月板切除或同种异体移植后,表层区软骨的拉伸模量显著低于未手术对照组。生物力学变化与组织学变化之间存在显著相关性,表明软骨结构的退行性变化与机械功能相互关联。我们的研究结果不支持半月板同种异体移植对股骨髁起到软骨保护作用这一假设,也表明它不会导致退行性变化增加。