Abstract
To evaluate meniscal transplantation using as fixation method a synthetic glue derived from cyanoacrylate acid. Twenty rabbits were used, of which 10 for autologous transplantation and 10 for homologous transplantation. For the autologous transplantation the meniscus was removed, and then transplanted in the same animal, using the synthetic glue. For the homologous transplantation, the study was divided into two stages: 1--Removal of the meniscus which was maintained at a temperature of 73 C. 2--Use of cyanoacrylate acid-derived surgical adhesive for meniscal retransplantation in a different rabbit 30 days after the transplant. Due to complications, euthanasia had to be anticipated to the 15th day in the homologous group and to the 18th day in the autologous group. Macroscopically, knees submitted to transplantation presented whitish secretions from the surgical incision up to deep planes. Necrosis was observed in both groups. Statistical analysis has shown that mild (p=0.043) and moderate (p=0.001) complications emerged in a significantly earlier way in the homologous group, where euthanasia was also performed earlier (p=0.005). Synthetic surgical adhesives derived from cyanoacrylate acid promoted cortical to medullary bone necrosis bone in both groups.
Highlights
The meniscus plays several roles contributing to knee function
The study was divided into two stages: 1- Removal of the meniscus which was maintained at a temperature of 73oC. 2- Use of cyanoacrylate acid-derived surgical adhesive for meniscal retransplantation in a different rabbit 30 days after the transplant
After removing the white and gelatinous secretion and prolonging incision dehiscence we could see the necrosis of transplanted meniscus and the erosion of the tibial plateau (Figure 4)
Summary
The meniscus plays several roles contributing to knee function. Many clinical studies have documented the detrimental effects of loss of meniscus function. With or without meniscectomy, modifies forces crossing the knee, exacerbating articular cartilage degeneration and developing early osteoarthritis[1,2,3,4,5,6,7]. Meniscal transplantation has been recommended for selected meniscus-deficient patients in an effort to forestall progressive joint degeneration[8,9]. Results of meniscal transplantation indicate predictable improvements in pain, swelling and knee function. Some long-term studies of meniscal transplantation have proven that cartilage protection is possible. Meniscal transplantation emerges as a useful option for selected patients with stable knee
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