» Articles » PMID: 20127960

Immature Animals Have Higher Cellular Density in the Healing Anterior Cruciate Ligament Than Adolescent or Adult Animals

Overview
Journal J Orthop Res
Publisher Wiley
Specialty Orthopedics
Date 2010 Feb 4
PMID 20127960
Citations 33
Authors
Affiliations
Soon will be listed here.
Abstract

There has been recent interest in the biologic stimulation of anterior cruciate ligament (ACL) healing. However, the effect of age on the ability of ligaments to heal has not yet been defined. In this study, we hypothesized that skeletal maturity would significantly affect the cellular and vascular repopulation rate of an ACL wound site. Skeletally Immature (open physes), Adolescent (closing physes), and Adult (closed physes) Yucatan minipigs underwent bilateral ACL transection and suture repair using a collagen-platelet composite. The response to repair was evaluated histologically at 1, 2, and 4 weeks. All three groups of animals had completely populated the ACL wound site with fibroblasts at 1 week. The Immature animals had a higher cellular density in the wound site than the Adult animals at weeks 2 and 4. Cells in the Immature ligament wounds were larger and more ovoid than in the Adult wounds. There were no significant differences in the vascular density in the wound site. Animal age had a significant effect on the density of cells populating the ACL wound site. Whether this observed cellular difference has an effect on the later biomechanical function of the repaired ACL requires further study.

Citing Articles

Anterior cruciate ligament primary repair revision rates are increased in skeletally mature patients under the age of 21 compared to reconstruction, while adults (>21 years) show no significant difference: A systematic review and meta-analysis.

Rilk S, Goodhart G, van der List J, von Rehlingen-Prinz F, Vermeijden H, OBrien R Knee Surg Sports Traumatol Arthrosc. 2024; 33(1):29-58.

PMID: 38967267 PMC: 11716360. DOI: 10.1002/ksa.12239.


Arthroscopic repair of proximal anterior cruciate ligament tears in children and adolescents: A systematic review.

Turati M, Anghilieri F, Gatti S, Courvoisier A, Rigamonti L, Zatti G J Child Orthop. 2024; 18(3):249-257.

PMID: 38831852 PMC: 11144375. DOI: 10.1177/18632521241244626.


Neo-Natal Castration Leads to Subtle Differences in Porcine Anterior Cruciate Ligament Morphology and Function in Adolescence.

Thompson J, Howe D, Griffith E, Fisher M J Biomech Eng. 2023; 146(1).

PMID: 37831117 PMC: 10680984. DOI: 10.1115/1.4063744.


Bridge enhanced ACL repair vs. ACL reconstruction for ACL tears: A systematic review and meta-analysis of comparative studies.

Mansour J, Ghanimeh J, Ghoul A, Estephan M, Khoury A, Daher M SICOT J. 2023; 9:8.

PMID: 37042698 PMC: 10092275. DOI: 10.1051/sicotj/2023007.


Sex-specific biomechanics and morphology of the anterior cruciate ligament during skeletal growth in a porcine model.

Howe D, Cone S, Piedrahita J, Collins B, Fordham L, Griffith E J Orthop Res. 2021; 40(8):1853-1864.

PMID: 34751996 PMC: 9081289. DOI: 10.1002/jor.25207.


References
1.
Hefti F, Kress A, Fasel J, Morscher E . Healing of the transected anterior cruciate ligament in the rabbit. J Bone Joint Surg Am. 1991; 73(3):373-83. View

2.
Petersen L, Brittberg M, Lindahl A . Autologous chondrocyte transplantation of the ankle. Foot Ankle Clin. 2003; 8(2):291-303. DOI: 10.1016/s1083-7515(03)00045-7. View

3.
Murray M, Spindler K, Ballard P, Welch T, Zurakowski D, Nanney L . Enhanced histologic repair in a central wound in the anterior cruciate ligament with a collagen-platelet-rich plasma scaffold. J Orthop Res. 2007; 25(8):1007-17. DOI: 10.1002/jor.20367. View

4.
Feagin Jr J, Curl W . Isolated tear of the anterior cruciate ligament: 5-year follow-up study. Am J Sports Med. 1976; 4(3):95-100. DOI: 10.1177/036354657600400301. View

5.
Crisan M, Yap S, Casteilla L, Chen C, Corselli M, Park T . A perivascular origin for mesenchymal stem cells in multiple human organs. Cell Stem Cell. 2008; 3(3):301-13. DOI: 10.1016/j.stem.2008.07.003. View