scholarly journals Cartilage Grafting

2019 ◽  
Vol 33 (03) ◽  
pp. 200-203
Author(s):  
Nikhil Agrawal ◽  
Shawn Yari ◽  
Drew Engles ◽  
Edward M. Reece

AbstractArthritis remains a widespread and yet unsolved therapeutic dilemma. Cartilage grafting has proven to be difficult and satisfactory results are often elusive. There are several inherent difficulties. These include both chondrocyte migration and the lack of sufficient uptake of nutrients to allow for graft survival. With autografts, there is also the paucity of symptom-free donor sites. Accordingly, multiple alternative therapies for cartilage regeneration and/or substitution have been developed over time. In this article, the authors shall discuss the options for the treatment of damaged cartilage with a focus on the cartilage grafting techniques.

Author(s):  
E. S. Stolyarevich ◽  
T. R. Zhilinskaya ◽  
L. Yu. Artyukhina ◽  
I. G. Kim ◽  
V. A. Zaydenov ◽  
...  

Aim:to analyze the frequency of different histological diagnoses and it simpact on graft survival in a cohort of patients with renal allograft dysfunction, and to determine pathology features, infl uencing prognosis.Materials and methods.The data obtained from 1470 biopsies, performed by indication at different time after kidney transplantation (48.8 ± 46.1 months) were analyzed retrospectively according to the Banff 2013 classifi cation. Results.The majority of graft dysfunction episodes were attributed to fi ve causes: acute (26,8%) and chronic (12,4%) rejection; chronic nephrotoxicity of СNI (19,3%), interstitial fi brosis/tubular atrophy (15,8%) and recurrent or de novo glomerulonephritis (10,6%). T-cell-mediated acute rejection and functional disorders were the most often cause of dysfunction during the fi rst year after transplantation (40,5% and 21% respectively) but decreased over time. On the other hand, the frequency of chronic rejection, interstitial fi brosis/tubular atrophy with or without СNI nephrotoxicity and recurrent or de novo glomerulonephritis increased from 13%, 26% and 5,5% at the fi rst year to 26,4%, 35,3% and 22,8% respectively at 8 year after transplantation. Chronic rejection represented a major risk for graft loss – 8-year graft survival did not exceed 5%. The prognosis of acute rejection as well asde novoor recurrent glomerular pathologies was more favorable (38% and 42% respectively). In cases of interstitial fi brosis/tubular atrophy with or without СNI nephrotoxicity 8-year graft survival was slightly lower than in the functional disorders (62% and 76%). In acute rejection prognosis for C4d-positive forms was worse compared to C4d-negative, while in chronic rejection there was no difference between C4d-positive and C4d-negative forms. The features of СNI nephrotoxicity did not infl uence the prognosis of non-specifi c interstitial fi brosis and tubular atrophy.Conclusion.Transplant pathology in patients with allograft dysfunction is heterogeneous and changes over time. Acute and chronic rejection; interstitial fi brosis/tubular atrophy with or without СNI nephrotoxicity and recurrent/de novoglomerular pathology are the most often causes of graft dysfunction, but only rejection (mostly chronic) and glomerular pathology are associated with unfavorable prognosis.


2018 ◽  
Vol 102 ◽  
pp. S155-S156
Author(s):  
Jingyan Yang ◽  
Christine L Sardo Molmenti ◽  
Elliot Grodstein ◽  
Horacio Rilo ◽  
Lewis W Teperman ◽  
...  

2014 ◽  
Vol 24 (3) ◽  
pp. 343-349
Author(s):  
Shawna L. Daley ◽  
Jeffrey Adelberg ◽  
Richard L. Hassell

Application of fatty alcohol to rootstocks used for vegetable grafting has been shown to increase the efficiency of producing grafted transplants by controlling cucurbit (Cucurbitaceae) rootstock meristematic regrowth and by allowing the rootstocks to accumulate carbohydrates, especially starch, over time in the hypocotyl and cotyledon. A grafting experiment was conducted to determine the effect of increased carbohydrates on survival of watermelon (Citrullus lanatus) grafts using standard grafting procedures. ‘Carnivor’ interspecific hybrid squash (Cucurbita maxima × C. moschata) and ‘Macis’ bottle gourd (Lagenaria sicereria) rootstocks at 1, 7, 14, and 21 days after fatty alcohol treatment were grafted with ‘Tri-X 313’ seedless watermelon using the one-cotyledon method. Graft survival on ‘Macis’ rootstock was acceptable or significantly increased up to day 14, with a slight decrease at day 21. Graft survival on ‘Carnivor rootstock was also acceptable up to day 21, with a significant increase between days 1 and 7. The second experiment was conducted to determine whether the increased carbohydrates provide sufficient energy to successfully graft without the rootstock cotyledon, a method that has previously shown inconsistent results. Graft survival was improved by 90% using treated ‘Carnivor’ rootstock 7 days after fatty alcohol treatment and ‘Macis’ rootstock 14 days after fatty alcohol treatment. Adoption of the hypocotyl-only graft method in commercial production may increase efficiency by better using greenhouse space and could decrease disease probability by removing the cotyledons before grafting.


2019 ◽  
Author(s):  
Dominic Henn ◽  
Kellen Chen ◽  
Janos A. Barrera ◽  
Jagannath Padmanabhan ◽  
Sun Hyung Kwon ◽  
...  

Grafting of blood vessels and nerves are essential surgical techniques which are used to restore continuity in cases of acute or chronic vascular or nervous damage. Due to superior outcomes autologous grafts are generally preferred over allografts or alloplastic grafts. Bone, cartilage and tendons are physiologically subjected to various degrees of mechanical stress, which has been observed to play a critical role in graft survival and remodeling. Bone grafting is used to replace missing bone or to enhance new bone formation in the treatment of fractures, delayed or non-unions or in reconstructive surgery after trauma or tumor resection. Unlike bone, cartilage and tendons have a low capacity for self-renewal due their avascular nature and low cellularity which presents challenges to graft survival and healing rates. This review contains 2 figures, and 68 references.  Keywords: autograft, allograft, vascular grafting, nerve grafting, bone grafting, cartilage grafting, tendon grafting, tissue engineering, regenerative medicine


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Safa Fattoum ◽  
Mohamed Mongi Bacha ◽  
Tasnim Mosbahhi ◽  
Nesrine Braiek ◽  
Ezzedine Abderrahim ◽  
...  

Abstract Background and Aims Although Acute rejection (AR) is a complication associated with the early period after kidney transplantation (KT), its complications are mostly seen after a long term. The aim of this study was to evaluate graft outcome after AR. Method It was a longitudinal, retrospective, analytical study including kidney transplant patients followed up in our department between 1986 and 2019. Our population was divided in 2 groups: group A (129 KT complicated by at least one episode of AR) and group B (491 KT not complicated by AR). Results AR was responsible of immediate loss of 2 grafts. Chronic graft dyfonction was more frequent in group A (44,1% versus 17,4%, p<0,0001). Creatininemia levels were significantly higher at 3, 6 months, 1 year and 2 years (respectively p =0,0113 ; <0,0001 ; 0,0003 and 0,0172) after KT. The percentage of patients having creatinine levels > 130 µmol/l was higher in group A at 3, 6 months, 1 year, 2 years, 3 years and 5 years (respectively p =0,0186 ; 0,001 ; <0,0001 ; 0,0115 ; 0,0073 and 0,0255). Graft survival was better in group B (p<0,0001). In group A, AR recurrence was responsible of a worser survival (p<0,0001). Over time, graft survival improved in the 2 groups. Complete functional recovery survival was similar to graft with no rejection but with impared graft function. The worst graft survival was noted if the functional recovery was absent. Conclusion Even if graft outcome after AR has improved over time, its deleterious effect is still inevitable. So AR must be prevented in order to enhance graft outcome.


2018 ◽  
Vol 41 ◽  
Author(s):  
David Hirshleifer ◽  
Siew Hong Teoh

AbstractEvolved dispositions influence, but do not determine, how people think about economic problems. The evolutionary cognitive approach offers important insights but underweights the social transmission of ideas as a level of explanation. The need for asocialexplanation for the evolution of economic attitudes is evidenced, for example, by immense variations in folk-economic beliefs over time and across individuals.


1988 ◽  
Vol 19 (3) ◽  
pp. 251-258 ◽  
Author(s):  
Virginia I. Wolfe ◽  
Suzanne D. Blocker ◽  
Norma J. Prater

Articulatory generalization of velar cognates /k/, /g/ in two phonologically disordered children was studied over time as a function of sequential word-morpheme position training. Although patterns of contextual acquisition differed, correct responses to the word-medial, inflected context (e.g., "picking," "hugging") occurred earlier and exceeded those to the word-medial, noninflected context (e.g., "bacon," "wagon"). This finding indicates that the common view of the word-medial position as a unitary concept is an oversimplification. Possible explanations for superior generalization to the word-medial, inflected position are discussed in terms of coarticulation, perceptual salience, and the representational integrity of the word.


2020 ◽  
Vol 29 (1S) ◽  
pp. 412-424
Author(s):  
Elissa L. Conlon ◽  
Emily J. Braun ◽  
Edna M. Babbitt ◽  
Leora R. Cherney

Purpose This study reports on the treatment fidelity procedures implemented during a 5-year randomized controlled trial comparing intensive and distributed comprehensive aphasia therapy. Specifically, the results of 1 treatment, verb network strengthening treatment (VNeST), are examined. Method Eight participants were recruited for each of 7 consecutive cohorts for a total of 56 participants. Participants completed 60 hr of aphasia therapy, including 15 hr of VNeST. Two experienced speech-language pathologists delivered the treatment. To promote treatment fidelity, the study team developed a detailed manual of procedures and fidelity checklists, completed role plays to standardize treatment administration, and video-recorded all treatment sessions for review. To assess protocol adherence during treatment delivery, trained research assistants not involved in the treatment reviewed video recordings of a subset of randomly selected VNeST treatment sessions and completed the fidelity checklists. This process was completed for 32 participants representing 2 early cohorts and 2 later cohorts, which allowed for measurement of protocol adherence over time. Percent accuracy of protocol adherence was calculated across clinicians, cohorts, and study condition (intensive vs. distributed therapy). Results The fidelity procedures were sufficient to promote and verify a high level of adherence to the treatment protocol across clinicians, cohorts, and study condition. Conclusion Treatment fidelity strategies and monitoring are feasible when incorporated into the study design. Treatment fidelity monitoring should be completed at regular intervals during the course of a study to ensure that high levels of protocol adherence are maintained over time and across conditions.


Sign in / Sign up

Export Citation Format

Share Document