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Experimental Arthroplasty of the Canine Hip EXTRACELLULAR MATRIX COMPOSITION IN CUP ARTHROPLASTY
WAYNE H. AKESON; CHUJI MIYASHITA; THOMAS K. F. TAYLOR; DUANE LaVIOLETTE; DAVID AMIEL
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From the Department of Orthopedics, University of Washington School of Medicine, Seattle
1969 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1969; 51:149-164 
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Abstract

1. The results of several types of arthroplasty utilizing a Vitallium cup in the canine hip are described.

2. A cup inserted between the denuded femoral head and the acetabulum did not result in a uniform fibrocartilaginous surface. There was loss of granulations at the superior weight-bearing portion of the head in all instances.

3. Metaplasia of surviving granulations into fibrocartilage was not uniform.

4. A specially designed cup which maintained a space free of pressure under the superior portion of the head was used in several animals. In these hips, granulations flourished as well in the superior portion of the head as in other locations.

5. The curve of concentration of collagen of the arthroplasty tissue as a function of time postoperatively is described. It is very similar to the curves seen in a previous series of non-interpositional arthroplasties. The collagen concentration resembled that of normal cartilage at three months postoperatively.

6. Total hexosamine concentration in arthroplasty tissue as a function of time is described. Considerable variation was seen from group to group in this parameter, presumably because of the inconsistency of the degree of metaplasia.

7. Acid mucopolysaccharide components of the arthroplasty surface were found to consist of chondroitin-4 and 6-sulphate and keratosulphate and were indistinguishable qualitatively from chondroitin-4 and 6-sulphate and keratosulphate from normal articular cartilage of the dog hip.

8. The concentration of acid mucopolysaccharides one year after surgery was less than half that found in normal articular cartilage.

9. Several factors may influence the survival of granulation tissue and the degree of metaplasia. Some of these factors may be mechanical, such as pressure, motion, and surface contour.

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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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