Knee joints of mature rabbits were exposed to room air for periods of
time ranging from thirty minutes to one hour in an attempt to mimic the
human situation in the operating room. The animals were killed after the
joint had been closed and activity in a cage had been allowed for
twenty-four hours. When the animal was killed, cartilage was removed and
was incubated with radioactive proline for four hours before light
microscopy autoradiographs were made. Other samples were prepared for study
by electron microscopy. The results in the animals that were killed
immediately after the cartilage was exposed to room air and in those that
were killed twenty-four hours after closure of the joint were identical.
Both the ultrastructural and the autoradiographic findings indicated that
the entire thickness of the articular cartilage was necrotic after sixty
minutes of drying. Forty-five minutes of drying produced complete necrosis
of the cartilage in half of the animals. In the other half, some cells
survived, although many areas of the cartilage had complete necrosis, top
to bottom. Thirty minutes of drying produced patchy necrosis that extended
only to the middle zone of the cartilage. In joints that were exposed to
room air for one hour, necrosis of the chondrocytes was completely
prevented by irrigating the joint every five minutes with Ringer lactate
solution.