Травматология и ортопедия России. 2011; : 61-66
ВЛИЯНИЕ ХОЛОДНО-ПЛАЗМЕННОЙ АБЛАЦИИ НА ХРЯЩ КОЛЕННОГО СУСТАВА ЧЕЛОВЕКА И ЭКСПЕРИМЕНТАЛЬНОГО ЖИВОТНОГО
https://doi.org/10.21823/2311-2905-2011-0-1-61-66Аннотация
За последнее десятилетие в артроскопии коленного сустава всё шире стали использоваться физические методы воздействия на внутрисуставные структуры при помощи холодно-плазменных аблаторов. Данная статья посвящена изучению воздействия холодно-плазменной аблации на суставной хрящ человека in vitro и собак in vivo. Выполнялись гистоморфологические исследования суставного хряща человека сразу после воздействия ХПА. У животных производилось морфологическое и МРТ-исследование коленных суставов через три месяца после воздействия. Показано, что холодноплазменная аблация способна вызывать одномоментное изменение плотности коллагена в суставном хряще человека in vitro, а также гибель клеток суставного хряща у животных in vivo через 3 месяца после воздействия. При этом глубина некроза после воздействия ХПА у экспериментального животного значительно превышает пределы субхондральной кости.
Список литературы
1. Allen, R.T. Meniscal debridement with an arthroscopic radiofrequency wand versus an arthroscopic shaver: comparative effects on menisci and arthicular cartilage / R.T. Allen [et al.] // Arthroscopy. – 2006. – Vol. 22, N 3. – P. 385–393.
2. Bonutti, P.M. Osteonecrosis of the knee after laser or radiofrequency-assisted arthroscopy / P.M. Bonutti [et al.] // J. Bone Joint Surg. – 2006. – Vol. 88-A. – P. 69–75.
3. Caffey, S. Effects of radiofrequency energy on human articular cartilage: an analysis of 5 systems / S. Caffey [et al.] // Am. J. Sports Med. – 2005. – Vol. 33. – P. 1035–1039.
4. Cook, J.L. Assessment of cellular, biochemical and histological effects of bipolar radiofrequency treatment of canine articular cartilage / J.L. Cook [et al.] // Am. J. Vet. Res. – 2004. – Vol. 65. – P. 604–609.
5. Green, L.M. In vitro effects of 3 common arthroscopic instruments on articular cartilage / L.M. Green [et al.] // Arthroscopy. – 2006. – Vol. 22, N 3. – P. 300–307.
6. Kaab, M.J. Monopolar radiofrequency treatment of partial-thickness cartilage defects in the sheep knee joint leads to extended cartilage injury / M.J. Kaab [et al.] // Am. J. Sports Med. – 2005. – Vol. 33, N 10. – P. 1472–1478.
7. Lu, Y. Thermal chondroplasty with radiofrequency energy. An in vitro comparison of bipolar and monopolar radiofrequency devices / Y. Lu [et al.] // Am. J. Sports Med. – 2001. – Vol. 29. – P.42–49.
8. Lu, Y. Thermal chondroplasty with bipolar and monopolar radiofrequency energy: effect of treatment time on chondrocite death and surface contouring / Y. Lu [et al.] // Arthroscopy. – 2002. – Vol. 18, N 7. – P. 779–788.
9. Perry, J.J. Anterior and posterior cruciate ligament rupture after thermal treatment / J.J. Perry, L.D. Higgins // Arthroscopy. – 2000. – Vol.16. – P.732–736.
10. Polousky, J.D. Electrosurgical methods for arthroscopic meniscectomy: a review of literature / J.D. Polousky, T.P. Hedman, C.T. Vagness // Arthroscopy. – 2000. – Vol. 16. – P. 813–821.
11. Sherk H.H. Electromag netic surgical devices in orthopedics / H.H. Sherk [et al.] // J. Bone Joint Surg. – 2002. – Vol. 84-A. – P.675–681.
12. Yasura, K. Mechanical and biochemical effect of monopolar radiofrequency energy on human articular cartilage: an in vitro study / K. Yasura [et al.] // Am. J. Sports Med. – 2006. – Vol. 34, N 8. – P. 1322–1327.
Traumatology and Orthopedics of Russia. 2011; : 61-66
THE INFLUENCE OF COLD PLASMA ABLATION ON HUMAN AND ANIMAL KNEE JOINT CARTILAGE
https://doi.org/10.21823/2311-2905-2011-0-1-61-66Abstract
Cold plasma ablation is widely used in knee arthroscopy during past decade. We studied its influence on knee joint cartilage in a human in vitro and in dogs in vivo. Histomorphological study was performed in a human cartilage right after the exposition of CPA. In animals MRI and morphological study were performed after three months of exposition of CPA. It was shown that CPA was able to cause immediate changes of collagen in the human cartilage in vitro and also death of chondrocytes in animal in vivo after three months. The depth of necrosis of the cartilage in animal was significantly deeper the subhondral bone.
References
1. Allen, R.T. Meniscal debridement with an arthroscopic radiofrequency wand versus an arthroscopic shaver: comparative effects on menisci and arthicular cartilage / R.T. Allen [et al.] // Arthroscopy. – 2006. – Vol. 22, N 3. – P. 385–393.
2. Bonutti, P.M. Osteonecrosis of the knee after laser or radiofrequency-assisted arthroscopy / P.M. Bonutti [et al.] // J. Bone Joint Surg. – 2006. – Vol. 88-A. – P. 69–75.
3. Caffey, S. Effects of radiofrequency energy on human articular cartilage: an analysis of 5 systems / S. Caffey [et al.] // Am. J. Sports Med. – 2005. – Vol. 33. – P. 1035–1039.
4. Cook, J.L. Assessment of cellular, biochemical and histological effects of bipolar radiofrequency treatment of canine articular cartilage / J.L. Cook [et al.] // Am. J. Vet. Res. – 2004. – Vol. 65. – P. 604–609.
5. Green, L.M. In vitro effects of 3 common arthroscopic instruments on articular cartilage / L.M. Green [et al.] // Arthroscopy. – 2006. – Vol. 22, N 3. – P. 300–307.
6. Kaab, M.J. Monopolar radiofrequency treatment of partial-thickness cartilage defects in the sheep knee joint leads to extended cartilage injury / M.J. Kaab [et al.] // Am. J. Sports Med. – 2005. – Vol. 33, N 10. – P. 1472–1478.
7. Lu, Y. Thermal chondroplasty with radiofrequency energy. An in vitro comparison of bipolar and monopolar radiofrequency devices / Y. Lu [et al.] // Am. J. Sports Med. – 2001. – Vol. 29. – P.42–49.
8. Lu, Y. Thermal chondroplasty with bipolar and monopolar radiofrequency energy: effect of treatment time on chondrocite death and surface contouring / Y. Lu [et al.] // Arthroscopy. – 2002. – Vol. 18, N 7. – P. 779–788.
9. Perry, J.J. Anterior and posterior cruciate ligament rupture after thermal treatment / J.J. Perry, L.D. Higgins // Arthroscopy. – 2000. – Vol.16. – P.732–736.
10. Polousky, J.D. Electrosurgical methods for arthroscopic meniscectomy: a review of literature / J.D. Polousky, T.P. Hedman, C.T. Vagness // Arthroscopy. – 2000. – Vol. 16. – P. 813–821.
11. Sherk H.H. Electromag netic surgical devices in orthopedics / H.H. Sherk [et al.] // J. Bone Joint Surg. – 2002. – Vol. 84-A. – P.675–681.
12. Yasura, K. Mechanical and biochemical effect of monopolar radiofrequency energy on human articular cartilage: an in vitro study / K. Yasura [et al.] // Am. J. Sports Med. – 2006. – Vol. 34, N 8. – P. 1322–1327.
