Neochondrogenesis in free intra-articular, periosteal, and perichondrial autografts in horses

Periosteal autografts were obtained from the medial aspect of the proximal portion of the tibia, and perichondrial autografts were obtained from the sternum. Using arthroscopic visualization, each autograft was placed as a loose body into 1 tarsocrural joint in 6 young horses (2 to 4 years old). Horses were hand-walked daily, starting the day after surgery, for a total of 6 h/wk for 8 weeks. Eight weeks after autograft implantation, radiographs were taken of each tarsocrural joint and were interpreted with regard to mineralization in the transplanted autografts. Autografts were then surgically removed, and examined macroscopically and microscopically for viability, size, and production of chondroid tissue. All autografts appeared viable and most had evidence of growth. Longest-by-shortest axis value, cross-sectional area, and perimeter were greater in perichondrial autografts than in their periosteal counterparts in 3 horses, but the difference was not significant. Neochondrogenesis was observed in 5 of 6 periosteal grafts and in 1 of 6 perichondrial grafts. Furthermore, the amount of chondroid tissue produced in periosteal autografts was significantly (P less than 0.05) greater than that produced in the 1 perichondrial graft. The chondroid tissue produced by periosteal autografts had morphologic and matrical staining properties similar to those of hyaline cartilage.