RESUMO
To evaluate the healing potential of the meniscus, we created a longitudinal medial meniscal tear in both knees of 24 adult goats (48 knees). In all goats, the meniscus was repaired in one knee and left unrepaired in the other. The goats were placed into one of three groups based on the location of the tear and the status of the anterior cruciate ligament. At 6 months' followup, an arthrogram was obtained and the menisci were examined. In knees with an intact anterior cruciate ligament, tears in the peripheral 20% to 25% of the meniscus healed in six of seven repaired menisci, but in only one of seven of the unrepaired menisci. Tears in the peripheral 40% to 50% healed in only one of the eight repaired menisci and in none of the unrepaired menisci. When the anterior cruciate ligament was incised, tears in the peripheral 20% to 25% of the meniscus healed in only 1 of 8 repaired menisci and in none of the unrepaired menisci; the rest developed into complex tears. Arthrography was 92% accurate in predicting the status of meniscal repair. This study supports current clinical practices in meniscal repair and emphasizes the importance of tear location and knee stability in successful meniscal repair.
Assuntos
Artroplastia/métodos , Traumatismos do Joelho/cirurgia , Lesões do Menisco Tibial , Cicatrização , Animais , Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior , Artrografia , Fenômenos Biomecânicos , Cicatriz/patologia , Feminino , Cabras , Instabilidade Articular/complicações , Articulação do Joelho/diagnóstico por imagem , Articulação do Joelho/fisiopatologia , Articulação do Joelho/cirurgia , Meniscos Tibiais/irrigação sanguínea , Meniscos Tibiais/diagnóstico por imagem , Meniscos Tibiais/patologia , Meniscos Tibiais/cirurgia , Técnicas de SuturaRESUMO
We report two cases of primary ilio-psoas abscess in neonates diagnosed by CT and sonography. Ilio-psoas abscess is extremely uncommon in this age group.
Assuntos
Abscesso do Psoas/diagnóstico , Infecções Estafilocócicas/diagnóstico , Biópsia por Agulha , Humanos , Ílio , Recém-Nascido , Masculino , Tomografia Computadorizada por Raios XRESUMO
We compared fibrin sealant, polydioxanone (PDS) pins and Kirschner wires in the fixation of osteochondral fractures in rabbit knees. Standardised osteochondral fractures of the right medial femoral condyle were made in 56 adult New Zealand white rabbits. There were equal groups of control knees, and those which had Kirschner-wire, fibrin-sealant or PDS-pin fixation. No external immobilisation was used. One animal from each group was killed at two, three and four weeks. The remaining rabbits were killed at six weeks. A fracture which healed with less than 1 mm of displacement was considered a success. There was successful healing in 29% of the control group, in all of the Kirschner-wire group, in 50% of the fibrin-sealant group, and in 86% of the PDS-pin group. The use of PDS pins appears to be a reliable alternative to the use of metal in the fixation of osteochondral fractures in rabbits.
Assuntos
Pinos Ortopédicos , Fios Ortopédicos , Cartilagem Articular/lesões , Fraturas do Fêmur/cirurgia , Adesivo Tecidual de Fibrina/uso terapêutico , Fixação Interna de Fraturas/métodos , Traumatismos do Joelho/cirurgia , Polidioxanona , Animais , Cartilagem Articular/patologia , Cartilagem Articular/cirurgia , Estudos de Avaliação como Assunto , Feminino , Fraturas do Fêmur/patologia , Fixação Interna de Fraturas/instrumentação , Traumatismos do Joelho/patologia , Masculino , Coelhos , CicatrizaçãoRESUMO
A case of an atlantal anterior arch burst fracture combined with an avulsion fracture of the transverse ligament attachment is presented. Similar cases have dealt with either isolated transverse ligament ruptures and avulsions or with Jefferson fractures associated with transverse ligament ruptures and avulsions. This case probably represents an entity in the spectrum of injury patterns to the atlanto-axial articulation.
