RESUMEN
INTRODUCTION: For successful anterior cruciate ligament (ACL) reconstruction, revascularisation and histological maturation are necessary, as their failure can cause graft rupture. PURPOSE: The purpose of this study was to describe differences in the histological maturation of early failed plasty (less than 12 months after surgery) and late failed plasty (more than 12 months after surgery) in patients with re-rupture after ACL reconstruction with hamstring tendons. MATERIAL AND METHODS: A descriptive observational study was conducted on a consecutive series of 20 patients whose ACL reconstruction had failed. Graft biopsy samples were obtained during the revision surgery from the proximal, medial, and distal graft remnants. The samples were evaluated by light microscopy, and the vascularity and maturation of the samples were established by histological scoring. RESULTS: The most common aetiology of reconstruction failure (86.6%) was a specific event with non-contact mechanism. The patients with re-rupture of their ACL plasty less than 12 months after surgery had substance vessels that were less deep. The distal segment of the graft in those patients showed a delay in histological maturation with fewer collagen fibres. CONCLUSION: In patients whose ACL grafts failed less than 12 months after surgery, a lower distribution of blood vessels and collagen fibres was found that were less ordered in the distal graft. These results indicate a delay in maturation, which leads to a higher risk of graft failure.
Asunto(s)
Lesiones del Ligamento Cruzado Anterior/cirugía , Reconstrucción del Ligamento Cruzado Anterior , Complicaciones Posoperatorias/etiología , Traumatismos de los Tendones/etiología , Tendones/irrigación sanguínea , Tendones/trasplante , Adulto , Reconstrucción del Ligamento Cruzado Anterior/métodos , Femenino , Humanos , Masculino , Complicaciones Posoperatorias/patología , Estudios Prospectivos , Método Simple Ciego , Traumatismos de los Tendones/patología , Tendones/patología , Insuficiencia del TratamientoRESUMEN
O flúor é comprovadamente um agente terapêutico contra a cárie dentária, porém, quando consumido de maneira inadequada pode causar reações indesejáveis, tanto crônicas como agudas. A proteômica é uma ferramenta que permite analisar o perfil proteico completo dos sistemas biológicos, permitindo um melhor entendimento da fisiologia normal do organismo, bem como dos mecanismos de doenças, descoberta de biomarcadores para detecção precoce de doenças, identificação de novas terapias e descobertas de fármacos. Assim, o presente estudo teve como trabalho realizar um estudo proteômico diferencial em amostras de tecido renal de ratos submetidos à intoxicação aguda por fluoreto. Para isso, 27 animais, receberam desde o desmame água deionizada e ração AIN-93 por 50 dias. Ao completarem 75 dias de vida, e, após jejum por 12 horas, os animais receberam via gástrica as seguintes doses agudas de F: 0 (controle), 50 e 100 mgF/Kg peso corporal. Após 2 horas foram, os animais foram anestesiados e tiveram o sangue e os rins coletados. Inicialmente foi realizada a dosagem de flúor no plasma e tecidos renais, após difusão facilitada por hexamethyldisiloxano. Em um segundo momento, as proteínas do tecido renal foram extraídas e submetidas à eletroforese bidimensional. Os géis obtidos foram analisados através do software ImageMaster 2D-platinum v. 7.0. Os spots que se apresentaram diferencialmente expressos foram submetidos à identificação por espectrometria de massas. As proteínas identificadas foram classificadas em 5 categorias funcionais. A categoria metabolismo e energia reuniu a maior parte das proteínas (40%), seguida pelas categorias de transporte e processos celulares com 20% e 13% respectivamente. Na categoria estrutura e organização estrutural, que reúne proteínas com funções relacionadas ao citoesqueleto e membrana celular, foram identificadas 17% das proteínas. Por fim, os 10% restantes das proteínas...
Fluoride has been widely used in dentistry as a caries prophylactic agent. However, if consumed in high concentrations, it can cause side effects as dental fluorosis, skeletal fluorosis and, in extreme situations, death. The recent development of proteomic techniques has allowed the analysis of the entire protein profile of biological systems, contributing to the understanding of the normal physiology of the organism, as well as the mechanisms of diseases and the investigation of biomarkers for their early detection, identification of new therapies and drugs. This study used proteomic techniques to analyze the differential protein expression in kidney of rats submitted to acute fluoride treatments. Three groups of five 75-day-old Wistar rats received, by gastric gavage, the following single doses of fluoride: 0 (control), 50 and 100 mgF/Kg body weight. After the treatments, the animals were killed and the left kidney and plasma were collected for fluoride analysis. For proteomic analysis, the right kidney was collected. Fluoride in plasma and renal tissues was analyzed with the electrode, after hexamethyldisiloxanefacilitated diffusion. Proteins from kidney were profiled by two-dimensional gel electrophoresis. Gels from control and treated groups were digitalized using the ImageScanner III and analyzed with ImageMaster 2D Platinum version 7.0 for statistical differences (ANOVA, p <0.05). The proteins identified were classified into five functional categories. The category of metabolism and energy had the majority of the proteins (40%), followed by the categories of /"transport/" and cell processes, with 20% and 13% of the proteins, respectively. In the category /"structure and cell organization, which brings together proteins with functions related to the cytoskeleton and plasma membrane were identified 17% of the protein. Finally, 10% of the proteins belonged to the category /"information...