Epiphyseal replacement was performed via knee transplantation using donor tissue of different developmental times in a murine model. The performance of syngeneic donor tissue in a resection defect in 4-day-old mice of the same inbred strain was assessed over 2 weeks for cell viability, tritiated thymidine incorporation, and ability to attract a host blood supply, and at 2 months, with the existence of a joint and growth. Although there was variability within experimental groups, the syngeneic transplant was able to survive pending vascular invasion from the host. Growth occurred, although it never equaled normal growth. One possible approach to the difficult problem of joint reconstruction in the immature skeleton is to divide the endeavor into two parts: develop models of syngeneic joint transplantation in inbred strains of animals to assess the various problems that would occur were this tissue available and develop models of joint "synthesis" with autogeneic chondrocytes.
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http://dx.doi.org/10.1097/01241398-199509000-00026 | DOI Listing |
Cureus
December 2024
Trauma and Orthopaedics, Northampton General Hospital, Northampton, GBR.
Although mixing and matching components is a common, safe, and well-documented practice in hip revision surgery, our extensive search indicates that it has not been previously reported for shoulder arthroplasty. This case report presents the use of mixed implants in shoulder revision surgery to reduce morbidity and address flaws in the initial implant design. We describe a case of a patient with multiple epiphyseal dysplasia who was treated for osteoarthritis in his left shoulder with an anatomic shoulder replacement in 2014.
View Article and Find Full Text PDFCalcif Tissue Int
January 2025
Department of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Santa Maria Alle Scotte, Siena, Italy.
Bone Joint J
January 2025
Department of Research, Sint Maartenskliniek, Nijmegen, Netherlands.
Aims: Tibial fixation in revision total knee arthroplasty (rTKA) can present surgical challenges. It has been suggested that appropriate fixation in at least two of the three anatomical zones (epiphysis, metaphysis, and diaphysis) is essential for implant survival. However, supporting clinical data are lacking.
View Article and Find Full Text PDFBackground: Mid-term results following surgical hip dislocation (SHD) for healed slipped capital femoral epiphysis (SCFE) and Perthes-related deformities are limited. This study aimed to characterize patient-reported outcome measures [including rates of achieving the minimal clinically important difference (MCID) and patient-acceptable symptomatic state (PASS)], report survivorship free from conversion to arthroplasty, and identify risk factors associated with composite failure.
Methods: Twenty-seven patients (n=13 SCFE, n=14 Perthes) with minimum 2-year follow-up (mean 5.
Cureus
November 2024
Pediatric Orthopaedics, UBMD (University of Buffalo Medical Group) Orthopaedics and Sports Medicine, Buffalo, USA.
Slipped capital femoral epiphysis (SCFE) is a common adolescent hip condition, most often seen during periods of rapid bone growth. Deficiency in thyroid hormone levels can lead to reduced bone turnover and altered epiphyseal plate activity, which may influence the outcome of SCFE pinning and other orthopedic interventions crossing the epiphysis of the femur. Our patient was a 12-year-old female child with a two-month history of atraumatic right hip pain who presented with bilateral slipped capital femoral epiphysis (SCFE) and underwent successful bilateral in situ pinning.
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