title: [Tissue reaction after injection of polyvinylpyrrolidone (PVP) preparation into knee joint. Experiment].
abstract: Internally netted miscogelatinated preparation on the basis of polyvinylpyrrolidone PVP desioned for viscosuplementation of joint fluid was worked out. Netted structure of microgel grains presents larger resistance to the degrading action of free radicals than analogical linear polymer chains. Application of zoogeous preparations of hyaluronic acid results in short-term effects of their usage in evoking reaction foreign protein. Replenishment of joint fluid with preparation with higher biostability from biocompatible synthetic polymer-polyvinylpyrrolidone could improve the function of synovial through restoration of its proper viscosity and protection of the joint for a longer period of time. The aim of the experiment was determination of bioresistance and reaction of microgel PVP on the tissues of synovial joint. The tests were carried out on 10 white New Zealand rabbits after injection PVP into the knee joint for 3, 7, 14 and 30 days and submitted to macroscopic and histological evaluation. The results of tests were compared with the data obtained after injection of normal saline. Macroscopically, there were no changes in the limits of articular capsule and cartilage; there was only slight and enlargement of synovial membrane in the first 7 days after PVP injection. In histological tests it was observed that reaction in the knee joint after PVP injection was characterised it single inflammatory chains without essential participation of neutrophils observed only in synovial membrane and limited to places were tested preparation was seen. Microgel PVP was present in diverticula of synovial membrane to 30th day after injection.
authors.affiliation: Zakład Chirurgii Eksperymentalnej i Badania Biomateriałów Akademii Medycznej we Wrocławiu. implant@cheksp.am.wroc.pl
authors.forename: Stanisław
authors.initials: S
authors.lastname: Pielka
authors.forename: Bogusława
authors.initials: B
authors.lastname: Zywicka
authors.forename: Janusz
authors.initials: J
authors.lastname: Rosiak
authors.forename: Artur
authors.initials: A
authors.lastname: Henke
authors.forename: Piotr
authors.initials: P
authors.lastname: Ulański
authors.forename: Danuta
authors.initials: D
authors.lastname: Paluch
authors.forename: Maria
authors.initials: M
authors.lastname: Szymonowicz
authors.forename: Leszek
authors.initials: L
authors.lastname: Solski
authors.forename: Jolanta
authors.initials: J
authors.lastname: Staniszewska-Kuś
mesh_terms: D000818:Animals; D001672:Biocompatible Materials; D005549:Foreign-Body Reaction / Q000473:pathology; D006801:Humans; D007270:Injections, Intra-Articular; D007719:Knee Joint / Q000187:drug effects* / Q000503:physiopathology*; D011205:Povidone / Q000009:adverse effects*; D011817:Rabbits; D013582:Synovial Fluid / Q000187:drug effects; D013583:Synovial Membrane / Q000187:drug effects; D013997:Time Factors
chemical_list: D001672:Biocompatible Materials; D011205:Povidone