Histological and structural study of the adhesive tissue in knee fibroarthrosis: A clinical-pathological correlation

被引:28
作者
Mariani, PP [1 ]
Santori, N [1 ]
Rovere, P [1 ]
DellaRocca, C [1 ]
Adriani, E [1 ]
机构
[1] UNIV ROMA LA SAPIENZA,DEPT EXPT MED & PATHOL,SECT PATHOL ANAT,I-00185 ROME,ITALY
来源
ARTHROSCOPY | 1997年 / 13卷 / 03期
关键词
knee; fibroarthrosis; arthroscopy;
D O I
10.1016/S0749-8063(97)90027-X
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
In fibroarthrosis of the knee, it is still unknown if joint range of motion is affected by anatomopathological differences in adhesive tissue, such as tissue maturity, location, and quantity. A retrospective study of 78 patients who underwent arthoscopic arthrolysis was performed to determine a correlation between location of adhesions and preoperative range of motion (ROM). In another 17 patients, a histological and structural evaluation of adhesive tissue was performed. Based on vascularization, number and shape of cells, and collagen fiber orientation, the adhesive tissue was classified into three groups: low, medium, and high maturity. Preoperative joint ROM and the time of onset of joint stiffness was correlated with the degree of adhesion tissue maturity. A strong and statistically significant correlation between the location of adhesions and joint restriction was found. However, histological and structural evaluation showed no correlation between the degree of tissue maturity, the time of onset of joint stiffness, and the amount of joint ROM.
引用
收藏
页码:313 / 318
页数:6
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