The presence of proprioceptive mechanoreceptors in the remnants of the ruptured ACL as a possible source of re-innervation of the ACL autograft

被引:190
作者
Georgoulis, AD [1 ]
Pappa, L
Moebius, U
Malamou-Mitsi, V
Pappa, S
Papageorgiou, CO
Agnantis, NJ
Soucacos, PN
机构
[1] Univ Ioannina, Sch Med, Dept Orthopaed Surg, GR-45110 Ioannina, Greece
[2] Univ Ioannina, Sch Med, Dept Pathol, GR-45110 Ioannina, Greece
关键词
anterior cruciate ligament injury; anterior cruciate ligament remnants mechanoreceptors; proprioception of the knee joint;
D O I
10.1007/s001670100240
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This study investigated the presence of neural mechanoreceptors in the remnants of the ruptured ACL as a possible source of reinnervation of the ACL autologous graft. The remainder of the torn ACL was selected for further histological investigation from 17 patients during ACL reconstruction 3 months to 3.5 years after injury. Perioperatively two types of ACL remnant were identified. Fifteen patients had portions of ACL adapted at the PCL. In all of these patients we found mechanoreceptors (I and II). In five patients we found mushroomlike remnants which included either none or small numbers of mechanoreceptors. Free neural ends were found in both patient groups. There was a significant difference between the groups in regard to the mean number of mechanoreceptors I and II per slice. In conclusion, in patients with an ACL remnant adapted to the PCL, mechanoreceptors exist even 3 years after injury. If we accept that restoration of proprioception is the result of reinnervation of the ACL, leaving the ACL remnants as a source, if this is surgically possible without risk of Cyclop's lesion, may be of potential benefit to the patient.
引用
收藏
页码:364 / 368
页数:5
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