V.Sh. VAGAPOVA, D.Yu. RYBALKO, A.A. GUMEROV, R.S. MINIGAZIMOV, O.Kh. BORZILOVA, V.R. IMANOVA

Bashkir State Medical University, Ufa

 Contact details:

Vagapova V.Sh. – D.Sc. (medicine), Professor, Head of the Department of Human Anatomy

Address: 3 Lenin St., Ufa, Russian Federation, 450008, tel. +7 (8347) 272-58-81, e-mail: bgmuvvs@mail.ru

To experimentally confirm the possibility to prevent adhesions in the joint cavity after capsulectomy with alloplasty of the capsular by visceral pleura.

Material and methods. The study material was 54 mongrel dogs of both sexes. In 36 animals, the capsule defect, formed after capsulectomy was replaced for allogeneic visceral pleura preserved in alcohol. 18 animals, subjected to capsulectomy through the lateral parapatellar incision, made up the control group.

Results. The experiments with partial excision of the articular capsule of the knee joint in dogs made it possible to establish compensatory capabilities of synovial membrane microvasculature under conditions of its area decrease and to follow up the course of formation of new microcirculation pathways in regenerating synovial membrane.

Conclusion. Experimental alloplasty of the defect of articular capsule stored in 70° alcohol using visceral pleura showed the possibility to prevent intra-articular adhesions after capsulectomy and restore the synovial membrane, morphological signs of which indicate its functional adequacy to ensure trans-synovial metabolism.

Key words: knee joint, synovial membrane, capsulectomy, synovectomy, microvasculature, alloplasty, visceral pleura.

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