Linked Life Data

8964042

Source:http://linkedlifedata.com/resource/pubmed/id/8964042

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1996-12-24
pubmed:abstractText
Lesions of the anterior cruciate ligament are extremely common and frequently demand surgical treatment in order to avoid disabling sequels. The use of a central one-third of the patellar tendon as an autograft for surgical reconstruction of a damaged cruciate ligament is common. Although several investigations in human and animal models have demonstrated long-term graft viability, there have been cases of loosening and rupture of the graft. In these occasions, a new substitute for the torn structure must be found. Owing to its inherent accessibility, the patellar tendon has been elected one of the choices of donor tissue. In order to evaluate the characteristics of the remaining scar, we performed a histochemical and ultrastructural study using biopsy material obtained from the central one-third of the donor tendon of 8 patients. This material was analyzed by comparing the ultrastructural picture with the results obtained using the specific method for collagen-containing fibers (Picrosirius-polarization) by light microscopy; four normal patellar tendons were used as controls. Despite the resemblance with the normal tissue, our results show that the healed tissue does not restore the tendon ad integrum, neither at the light microscopic nor at the electron microscopic levels. Structural differences can be responsible for biomechanical alterations. Impaired biomechanical properties can, at least partly, explain some of the clinical complications observed in patients submitted to this surgical technique. However, without performing biomechanical studies in this kind of tendons, we are neither allowed to encourage nor to reject the use of scars as donor tissue for a second surgery.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1122-9497
pubmed:author
pubmed:issnType
Print
pubmed:volume
28
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
175-86
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1996
pubmed:articleTitle
Histochemical and ultrastructural study of the extracellular matrix fibers in patellar tendon donor site scars and normal controls.
pubmed:affiliation
Department of Pathology, University of São Paulo School of Medicine, Brazil.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't