Repair of full-thickness defects in the femoral trochlea of dogs after trochlear arthroplasty.

Abstract

Trochlear arthroplasty was performed on one stifle in each of 18 Greyhounds; their contralateral pelvic limbs and the pelvic limbs of 2 dogs treated with sham surgery were controls. At 2, 4, 8, and 16 weeks, radiography, glycosaminoglycan histochemical analysis, histologic examination, and scanning electron microscopy of the trochlear surface were done. All dogs used the limb and walked without an observable limp within 2 weeks after surgery. Radiography at euthanasia did not reveal degenerative changes. Well-vascularized, highly cellular, loose fibrous connective tissue was reorganized with time into a dense fibrous connective tissue covering the entire wound. Scanning electron microscopy revealed that the replacement tissue surface was rough, torn, and debris-covered. Differential histologic staining established that change to fibrocartilage had begun deep within the replacement tissue. Histochemical analyses corroborated those observations.