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Травматология и ортопедия России. 2010; : 30-36

ГИСТОМОРФОЛОГИЧЕСКИЕ ИЗМЕНЕНИЯ В ПОВРЕЖДЁННЫХ МЕНИСКАХ У ДЕТЕЙ

Богатов В. Б., Белоногов В. Н., Матвеева О. В.

https://doi.org/10.21823/2311-2905-2010-0-4-30-36

Аннотация

Целью данной работы было изучение гистоморфологических изменений в повреждённых менисках коленного сустава у детей. Проводилось гистологическое исследование повреждённых фрагментов менисков, полученных во время артроскопии. Давность травмы варьировала от нескольких дней до трех лет. Было показано, что оторванный фрагмент мениска у детей сохраняет жизнеспособность в коленном суставе до 3 месяцев со дня травмы. В повреждённом фрагменте мениска происходит активная миграция клеточных элементов, васкуляризация мениска занимает около половины его толщины от паракапсулярной зоны.
Список литературы

1. Andriacchi Т. Ligament injury and repair/Т. Andriacchi, P. Sabiston, K. DeHaven//Injury and repair of the musculoskeletal soft tissues. -Chicago, 111.: American Academy of Orthopedic Surgeons, 1988. -P. 103-128.

2. Barret G.R. Clinical results of meniscus repair in patients 40 years and older/G.R. Barret [et al.]//Arthroscopy. -1998. -Vol.14. -P. 824-829.

3. Bohnsack M. Clinical results of arthroscopic meniscal repair using bridgeable screws/M. Bohnsack [et al.]//Knee Surg. Sports Traumatol. Arthrosc. -2003. -Vol.11. -P. 379-383.

4. Eggli S. Long-term results of arthroscopic meniscal repair: an analysis of isolated tears/S. Eggli [et al.]//Am. J. Sports Med. -1995. -Vol. 23. -P. 715-720.

5. Frank C. Natural history of healing in the repaired medial collateral ligament C. Frank, N. Schachar, D. Dittrich //J. Orthop. Res. - 1983. - Vol.1. - P.179-188.

6. Frosch K.H. Repair of meniscal tears with absorbable Clerafix screw: results after 1-3 years/K.H. Frosch [et al.]//Arch Orthop. Trauma Surg. -2005. -Vol. 125. -P. 585-591.

7. Henning C.E. Arthroscopic meniscal repair using an exogenous fibrin clot/C.E. Henning [et al.]//Clin. Orthop. -1990. -N252. -P. 64-72.

8. Larsen L.B. Should insertion of intramedulary nails for tibial fractures be with or without reaming?/L.B. Larsen [et al.]//J. Orthop. Trauma. -2004. -Vol.18. -P. 144-149.

9. Mesiha M. Pathologic characteristics of the torn human meniscus/M. Mesiha [et al.]//Am. J. Sports Med. -2007. -Vol. 35. -P. 103-112.

10. Nishida M. et al. Histological and biochemical changes of experimental meniscus tear in the dog knee/M. Nishida [et al.]//J. Orthop. Sci. -2005. -Vol.10. -P. 406-413.

11. Rodeo S.A. Meniscal allografts: where do we stand?/S.A. Rodeo//Am. J. Sports Med. -2001. -Vol. 29. -P. 246-261

12. Roeddecker K. Meniscal healing: a biomechanical study/K. Roeddecker, U. Muennich, M. Nagelschmidt//J. Surg. Res. -1994. -Vol. 56. -P. 20-27.

13. Shirakura K. Free synovium promotes meniscal healing: synovium, muscle and synthetic mesh compared in dogs/K. Shirakura [et al.]//Acta Orthop. Scand. -1997. -Vol.68. -P. 51-54.

14. Uchio Y. Results of rasping of meniscal tears with and without anterior cruciate ligament injury as evaluated by second-look arthroscopy/Y. Uchio [et al.]//Arthroscopy. -2003. -Vol. 19. -P.463-469.

15. Van Trommel M.F. Different regional healing rates with the outside-in technigue for meniscal repair/M.F. van Trommel [et al.]//Am. J. Sports Med. -1998. -Vol. 26. -P. 446-452.

Traumatology and Orthopedics of Russia. 2010; : 30-36

HYSTOMORPHOLOGIC CHANGES IN INJURED MENISCI IN CHILDREN

Bogatov V. B., Belonogov V. N., Matveeva O. V.

https://doi.org/10.21823/2311-2905-2010-0-4-30-36

Abstract

The purpose of the work was studying histological changes in the injured menisci in children. The histological evaluation of injured menisci received during arthroscopy was performed. The prescription of injury varied from several days till 3 years. It was shown that injured fragment of the meniscus is viable up to 3 months since trauma. It was also obvious that active migration of the meniscus cells occur in the injured fragment and microvessels are seen in 50% of the meniscus tissues.
References

1. Andriacchi T. Ligament injury and repair/T. Andriacchi, P. Sabiston, K. DeHaven//Injury and repair of the musculoskeletal soft tissues. -Chicago, 111.: American Academy of Orthopedic Surgeons, 1988. -P. 103-128.

2. Barret G.R. Clinical results of meniscus repair in patients 40 years and older/G.R. Barret [et al.]//Arthroscopy. -1998. -Vol.14. -P. 824-829.

3. Bohnsack M. Clinical results of arthroscopic meniscal repair using bridgeable screws/M. Bohnsack [et al.]//Knee Surg. Sports Traumatol. Arthrosc. -2003. -Vol.11. -P. 379-383.

4. Eggli S. Long-term results of arthroscopic meniscal repair: an analysis of isolated tears/S. Eggli [et al.]//Am. J. Sports Med. -1995. -Vol. 23. -P. 715-720.

5. Frank C. Natural history of healing in the repaired medial collateral ligament C. Frank, N. Schachar, D. Dittrich //J. Orthop. Res. - 1983. - Vol.1. - P.179-188.

6. Frosch K.H. Repair of meniscal tears with absorbable Clerafix screw: results after 1-3 years/K.H. Frosch [et al.]//Arch Orthop. Trauma Surg. -2005. -Vol. 125. -P. 585-591.

7. Henning C.E. Arthroscopic meniscal repair using an exogenous fibrin clot/C.E. Henning [et al.]//Clin. Orthop. -1990. -N252. -P. 64-72.

8. Larsen L.B. Should insertion of intramedulary nails for tibial fractures be with or without reaming?/L.B. Larsen [et al.]//J. Orthop. Trauma. -2004. -Vol.18. -P. 144-149.

9. Mesiha M. Pathologic characteristics of the torn human meniscus/M. Mesiha [et al.]//Am. J. Sports Med. -2007. -Vol. 35. -P. 103-112.

10. Nishida M. et al. Histological and biochemical changes of experimental meniscus tear in the dog knee/M. Nishida [et al.]//J. Orthop. Sci. -2005. -Vol.10. -P. 406-413.

11. Rodeo S.A. Meniscal allografts: where do we stand?/S.A. Rodeo//Am. J. Sports Med. -2001. -Vol. 29. -P. 246-261

12. Roeddecker K. Meniscal healing: a biomechanical study/K. Roeddecker, U. Muennich, M. Nagelschmidt//J. Surg. Res. -1994. -Vol. 56. -P. 20-27.

13. Shirakura K. Free synovium promotes meniscal healing: synovium, muscle and synthetic mesh compared in dogs/K. Shirakura [et al.]//Acta Orthop. Scand. -1997. -Vol.68. -P. 51-54.

14. Uchio Y. Results of rasping of meniscal tears with and without anterior cruciate ligament injury as evaluated by second-look arthroscopy/Y. Uchio [et al.]//Arthroscopy. -2003. -Vol. 19. -P.463-469.

15. Van Trommel M.F. Different regional healing rates with the outside-in technigue for meniscal repair/M.F. van Trommel [et al.]//Am. J. Sports Med. -1998. -Vol. 26. -P. 446-452.