Efficacy of common surgical compounds in preventing articular chondrocyte death from desiccation

Verfasser / Beitragende:
[A. Von Keudell, H. Syed, J. Canseco, A. Gomoll]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1346-1350
Format:
Artikel (online)
ID: 605459827
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024 7 0 |a 10.1007/s00167-013-2631-8  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2631-8 
245 0 0 |a Efficacy of common surgical compounds in preventing articular chondrocyte death from desiccation  |h [Elektronische Daten]  |c [A. Von Keudell, H. Syed, J. Canseco, A. Gomoll] 
520 3 |a Purpose: Purpose of this study was to identify potential substances that prevent desiccation of chondrocytes. Methods: Macroscopically normal bovine cartilage explants (n=80) were exposed to room air, or covered with surgical lubricant, Lactated ringer (LR) or Seprafilm (Genzyme Biosurgery, Cambridge, MA) for 0, 30, 60 or 120min. The viability of superficial chondrocytes was measured after 48h of incubation in tissue culture media at 37°C by Live/Dead staining. Chondrotoxicity was measured as the extent of cell death below the articular surface. Statistical analysis was performed with a two-way analysis of variance on the data set and a subsequent Tukey's post hoc test. Results: Chondrocyte death correlated positively with the length of exposure, regardless of the treatment (p<0.0001). The extent of superficial chondrocyte death was minimally lower in the LR (89.1±2.6%, 80.8±1.2%) and surgical lube (84.3±1.8%, 75.9±2.7%) groups than the control (82±5.7%, 65.6±13.3%) and Seprafilm group (77.6±3.9%, 63.3±6.9%) (p<0.001) at the first two time points, with no significant difference between the latter groups. After 60 and 120min, surgical lube resulted in less chondrocyte death than all other groups (70.4±6.8% and 60.9±5.9%, all p<0.0001). Conclusion: The data suggest that depending on the expected length of exposure of the articular cartilage surface, different compounds appear to be protective. For exposures exceeding 60min, surgical lubricant demonstrated the highest protective potential. Results from this study indicate that protecting exposed articular surfaces with surgical lubricant for orthopaedic procedures lasting more than 1h lead to decreased chondrocyte death and suggest improved cartilage functional outcomes postoperatively. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Chondrotoxicity  |2 nationallicence 
690 7 |a Desiccation  |2 nationallicence 
690 7 |a Surgical compounds  |2 nationallicence 
690 7 |a Arthrotomies  |2 nationallicence 
690 7 |a Cartilage  |2 nationallicence 
700 1 |a Von Keudell  |D A.  |u Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
700 1 |a Syed  |D H.  |u Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
700 1 |a Canseco  |D J.  |u Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
700 1 |a Gomoll  |D A.  |u Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1346-1350  |x 0942-2056  |q 23:5<1346  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-013-2631-8  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-013-2631-8  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Von Keudell  |D A.  |u Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Syed  |D H.  |u Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Canseco  |D J.  |u Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gomoll  |D A.  |u Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1346-1350  |x 0942-2056  |q 23:5<1346  |1 2015  |2 23  |o 167