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ABSORPTION OF TRYPAN BLUE FROM THE HUMAN KNEE JOINT
R. L. DE C. H. SAUNDERS; E. GORDON YOUNG
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Departments of Anatomy and Biochemistry, Dalhousie University, Halifax
1947 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1947; 29:301-304 
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Abstract

Trypan blue in saline solution was injected into a living normal knee joint, one hour before amputation. During this time 99 per cent. was absorbed, and microscopic examination showed that the dye had stained only lightly the synovial and subsynovial tissues. In general, the synovial cells were devoid of dye granules, but these were visible in the macrophages, the fibroblasts, and the monocytes.

The same amount of trypan blue was injected into the ankle joint after amputation. After five hours, 88 per cent. had been absorbed ; but much of this remained fixed in the synovial membrane, and both cells and matrix showed intense staining to a depth of 2 millimeters.

It is concluded that trypan blue is absorbed rapidly from the normal living knee joint, mainly by diffusion into the blood and, to a much less degree, by way of the lymph and by phagocytosis. Circulation to the joint is shown to be an important factor.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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