Tendon-bone healing after acute anterior cruciate ligament reconstruction with versus without remnant preservation

doi:10.3969/j.issn.2095-4344.2016.51.005

Abstract

Abstract:

BACKGROUND: Reconstruction with remnant preservation can enhance tendon-bone healing. However, the study limits on the histological level, and there is a lack of research based on the modular biological level.
OBJECTIVE: To investigate whether anterior cruciate ligament reconstruction with remnant preservation can enhance tendon-bone healing.
METHODS: Seventy-two New Zealand rabbits were randomly allocated to three groups (n=24 per group), followed by cruciate ligament reconstruction without remnant (group A), with remnant preservation (femoral tensioning and augmented suture) (group B) and with remnant preservation (graft passing remnant anterior cruciate ligament sheath) (group C), respectively.
RESULTS AND CONCLUSION: Hematoxylin-eosin staining showed that the tendon-bone healing in the groups B and C surpassed that in the group A, and group B was better than group C. Real-time PCR revealed that the expression level of osteoprotegrin mRNA and the osteoprotegrin/receptor activator of nuclear factor-κB ligand (RANKL) ratio were greater in the groups B and C than in the group A, and highest in the group C, while the expression levels of RANKL mRNA in the groups B and C were lower than that in the group A. In conclusion, these two kinds of anterior cruciate ligament reconstruction methods with remnant preservation can enhance tendon-bone healing, which have obtained most obvious achievements in the anterior cruciate ligament reconstruction in the graft passing anterior cruciate ligament remnant sheath that may be related to the up-regulation of osteoprotegrin mRNA and down-regulation of RANKL mRNA.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Tendons, Anterior Cruciate Ligament, Tissue Engineering

CLC Number:

R318

Zhang Lei, Yue Na, Zhang Tai-liang, Xie Chong-xin, Bai Jing-ping. Tendon-bone healing after acute anterior cruciate ligament reconstruction with versus without remnant preservation[J]. Chinese Journal of Tissue Engineering Research, 2016, 20(51): 7634-7641.

Figures/Tables 1

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