Enxerto osteocondral alógeno, associado à inoculação de células mononucleares autólogas da medula óssea no reparo do sulco troclear de coelhos

Abstract

Twenty four rabbits were separate in control group (GC) and treated with stem cell group (GCT). Under general anesthesia a Rosenthal 16G needle was inserted into umeral tubercle to collect 2,0mL of bone-marrow. It was proceeded the isolation, the counting and the viability of the mesenchymal autologous cells. A lateral parapatelar incision was made over the left knee in skin and articular capsule. The patella was medially dislocated and a segment about 0,4cm x 1,0cm was removed in the throclear groove. In GC and GCT that local was filled by alogenic osteochondral graft conserved in glycerin. In GCT it was inject 2 x 106 mononuclear stem cells. On 45 and 90 days of postoperative, in 75% of GC animals the articular capsule presented thick and in 41,66% adhered to adjacent tissues. The graft was osteointegrated in 33,33% and 58,33% with bone alterations. In GCT the graft adhered into the receptor bed, in 91,66% degeneration process was not observed, and in 58,33% it was noted endochondral ossification of the subchondral bone with bone consolidation. Alogenic osteochondral grafts conserved in 98% glycerin in rabbits throclear groove repair, associated with intra-articular injection of autologous mononuclear cells, stimulate fibrocartilage and hyaline cartilage formation with integration of the graft into the receptor bed.