21-123

Efectos del legrado y espongialización de la superficie articular de la rótula en el conejo. Estudio experimental

F. GOMAR-SANCHO y E. GASTALDI Cátedra de Traumatología y Cirugía Ortopédica. Facultad de Medicina. Universidad de Valencia. Cátedra de Traumatología y Cirugía Ortopédica. Facultad de Medicina. Universidad de Sevilla.
Recepción:
08/01/2009
Aceptación:
08/01/2009
Publicación:
08/01/2009


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Resumen (ES)

A deep shaving of partial resection of the articular cartilague of the patella was performed in a first series of 14 rabbits following a 12 weeeks rebuilding evolution. A degeneration of the remaining articular cartilague appeared after the seventh week giving way to severe ostheoarthritis of the patella.  In a second series of 18 rabbits a "spongialization" of the articular surface of the patella was performed, an histological study was followed along 36 weeks. The articular surface was invaded by fibrocartilagous tissue from prolification and metaplasia of the subchondral marrow. This new tissue became progressively deteriorated from the fifth week. After nine weeks the degeneration became in severe ostheoarthritis changes.  This changes work leads to discuss the worth-while biological value of the surgical technique of deep-shaving and the spongialization for the surgical treatment of the chondromalacia and ostheoarthrosis of the patella, world-wide used.

Palabras clave (ES):

Rótula
Conejo
Experimental
Condromalacia
Rotuliana
Cartílago
Patela
Superficie
Articular
Espongialización
Legrado
Afeitado

Resumen (EN)

A deep shaving of partial resection of the articular cartilague of the patella was performed in a first series of 14 rabbits following a 12 weeeks rebuilding evolution. A degeneration of the remaining articular cartilague appeared after the seventh week giving way to severe ostheoarthritis of the patella.  In a second series of 18 rabbits a "spongialization" of the articular surface of the patella was performed, an histological study was followed along 36 weeks. The articular surface was invaded by fibrocartilagous tissue from prolification and metaplasia of the subchondral marrow. This new tissue became progressively deteriorated from the fifth week. After nine weeks the degeneration became in severe ostheoarthritis changes.  This changes work leads to discuss the worth-while biological value of the surgical technique of deep-shaving and the spongialization for the surgical treatment of the chondromalacia and ostheoarthrosis of the patella, world-wide used.

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