ANTERIOR CRUCIATE LIGAMENT FASCIA LATA ALLOGRAFT RECONSTRUCTION - PROGRESSIVE HISTOLOGIC-CHANGES TOWARD MATURITY

被引:32
作者
HORSTMAN, JK
AHMADUSUKA, F
NORRDIN, RW
机构
[1] Orthopaedic Research Center of the Rockies, Fort Collins, Colorado
来源
ARTHROSCOPY | 1993年 / 9卷 / 05期
关键词
ANTERIOR CRUCIATE LIGAMENT; RECONSTRUCTION; FASCIA LATA; HISTOLOGY;
D O I
10.1016/S0749-8063(05)80397-4
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
Biopsy samples were obtained arthroscopically from 21 patients who had undergone anterior cruciate ligament (ACL) reconstruction using rolled, freeze-dried fascia lata allograft in order to evaluate progressive histologic changes toward maturation. The study period was 3-20 months postoperation. The mean age (+/-SEM) was 31.9 +/- 10.3. Histomorphometry was used for quantitative evaluation. Arthroscopic examination showed fully synovialized allografts in atl patients. Varying degrees of degenerative tissues were observed histologically. There was a significant, direct correlation between the percentage of polarized tissue and the maturity of the biopsy specimen (r = 0.9; p < 0.04). The mean area of polarization in the postrehabilitation period (10-20 months) was significantly higher (p < 0.01) than in the rehabilitation period (3-20 months). Overall, there was a progressive decrease in cellularity and vascularity as the allograft matured. Compared with the biopsy samples of normal ACLs, the allograft was still undergoing maturation 20 months postoperatively.
引用
收藏
页码:509 / 518
页数:10
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