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Artif Organs ; 27(5): 428-31, 2003 May.
Artigo em Inglês | MEDLINE | ID: mdl-12752202

RESUMO

Menisci have an important role in load bearing, shock absorption, knee joint stability, and joint lubrication. Meniscal lesions and meniscectomy are followed by osteoarthritis in a high percentage of patients. At present, there is no ideal prosthesis for meniscal substitution. In this work, a bioreabsorbable polymer scaffold made of poly(L-lactic acid) (PLLA) and poly(p-dioxanone) (PPD) blend was developed to be used as a temporary meniscal prosthesis to stimulate the formation of an in situ meniscal replication while the scaffold is reabsorbed by the organism. Total meniscectomy of medial meniscus and arthrotomy was made in both back knees of 34 adult New Zealand white rabbits by medial parapatellar incision. The scaffolds were sutured in one of the knees, and other was used as a control. A meniscal replica was developed, suggesting that this material has great potential to be used as a meniscal prosthesis, especially because the new meniscus promoted a significant protection of cartilage, and cartilage degeneration in the control condyles was observed.


Assuntos
Implantes Absorvíveis , Cartilagem Articular/fisiologia , Dioxanos/farmacologia , Prótese do Joelho , Meniscos Tibiais/fisiologia , Poloxaleno/análogos & derivados , Poloxaleno/farmacologia , Poliésteres/farmacologia , Animais , Fenômenos Biomecânicos , Cartilagem Articular/cirurgia , Membro Posterior , Meniscos Tibiais/cirurgia , Microscopia Eletrônica de Varredura , Porosidade , Coelhos , Regeneração
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