Progressão da Osteoartrite experimental em coelhos (Oryctolagus cuniculus)

Abstract

The aim of this study was to evaluate the progression of lesions at different stages of experimental OA by radiography (RX), computed tomography (CT), macroscopic and histopathology, linking these different diagnostic methods, as well as provide information that will help in deciding the best time for the therapeutic approach. Four experimental periods were delineated at 3, 6, 9 and 12 weeks after induction of OA, known as PI, PII, PIII and PIV, respectively, each with six animals. We evaluated the five compartments of the femorotibial joint: medial femoral condyle (MFC), lateral femoral condyle (LFC), medial tibial plateau (MTP), lateral tibial plateau (LTP) and femoral trochlea (FT). Therefore, we established an index by compartment (IC) and by adding such an index was estimated joint femorotibial (IFT). It was observed that the CFM was the compartment with the highest IC also differed significantly (p <0.05) from other compartments. Compartments showed no significant difference (p> 0.05) between the PI and PII, however contrary fact occurred between the PII and PIII (p <0.05), PIII and PIV (p <0.01) and between PI and PIV (p <0.001). Similarly the IFT, showed a significant difference in the animals of PIV compared to PI (p <0.001), PII (p <0.001) and PIII (p <0.01), and there was no statistical difference (p> 0.05) between the PI and PII. In the variation of the average interval between periods, there was a higher value between the PIII PIV and for the other intervals of time periods (PI, PII, and PIII-PII). However, these intervals showed no statistically significant difference (p> 0.05). Through the RX, CT, macroscopic and histopathological findings, we found similar patterns among individuals within the same period demonstrating a gradual progression of the disease. These results show that between 3 and 6 weeks progression of the lesion is slower and probably also can be reversed in comparison to other ranges where proved further progression between 9 and 12 weeks after induction of trauma OA. These results may provide a better therapeutic approach aimed at reversing the lesions in early stages of OA. We conclude that the interconnection of the four diagnostic methods individually classified into scores, which were unified in both indices in the evaluation by the femorotibial joint compartment and may represent a diagnostic condition closer to the true condition of the injury and its progression.