Hildebrand Kevin A, Holmberg Michael, Shrive Nigel
Department of Surgery, University of Calgary, 3330 Hospital Dr NW, Calgary, AB, Canada T2N 4N1.
J Biomech Eng. 2003 Dec;125(6):887-92. doi: 10.1115/1.1634285.
A new device and method to measure rabbit knee joint angles are described. The method was used to measure rabbit knee joint angles in normal specimens and in knee joints with obvious contractures. The custom-designed and manufactured gripping device has two clamps. The femoral clamp sits on a pinion gear that is driven by a rack attached to a materials testing system. A 100 N load cell in series with the rack gives force feedback. The tibial clamp is attached to a rotatory potentiometer. The system allows the knee joint multiple degrees-of-freedom (DOF). There are two independent DOF (compression-distraction and internal-external rotation) and two coupled motions (medial-lateral translation coupled with varus-valgus rotation; anterior-posterior translation coupled with flexion-extension rotation). Knee joint extension-flexion motion is measured, which is a combination of the materials testing system displacement (converted to degrees of motion) and the potentiometer values (calibrated to degrees). Internal frictional forces were determined to be at maximum 2% of measured loading. Two separate experiments were performed to evaluate rabbit knees. First, normal right and left pairs of knees from four New Zealand White (NZW) rabbits were subjected to cyclic loading. An extension torque of 0.2 Nm was applied to each knee. The average change in knee joint extension from the first to the fifth cycle was 1.9 deg +/- 1.5 deg (mean +/- sd) with a total of 49 tests of these eight knees. The maximum extension of the four left knees (tested 23 times) was 14.6 deg +/- 7.1 deg, and of the four right knees (tested 26 times) was 12.0 deg +/- 10.9 deg. There was no significant difference in the maximum extension between normal left and right knees. In the second experiment, nine skeletally mature NZW rabbits had stable fractures of the femoral condyles of the right knee that were immobilized for five, six or 10 weeks. The left knee served as an unoperated control. Loss of knee joint extension (flexion contracture) was demonstrated for the experimental knees using the new methodology where the maximum extension was 35 deg +/- 9 deg, compared to the unoperated knee maximum extension of 11 deg +/- 7 deg, 10 or 12 weeks after the immobilization was discontinued. The custom gripping device coupled to a materials testing machine will serve as a measurement test for future studies characterizing a rabbit knee model of post-traumatic joint contractures.
本文描述了一种用于测量兔膝关节角度的新装置和方法。该方法用于测量正常标本以及存在明显挛缩的膝关节的角度。定制设计和制造的夹持装置有两个夹具。股骨夹具位于一个小齿轮上,该小齿轮由连接到材料测试系统的齿条驱动。与齿条串联的一个100 N的测力传感器提供力反馈。胫骨夹具连接到一个旋转电位器。该系统允许膝关节有多个自由度(DOF)。有两个独立的自由度(压缩-拉伸和内-外旋转)以及两个耦合运动(内侧-外侧平移与内翻-外翻旋转耦合;前后平移与屈伸旋转耦合)。测量膝关节的屈伸运动,它是材料测试系统位移(转换为运动度数)和电位器值(校准为度数)的组合。确定内部摩擦力最大为测量负荷的2%。进行了两项单独的实验来评估兔膝关节。首先,对来自四只新西兰白兔(NZW)的正常左右膝关节对施加循环负荷。对每个膝关节施加0.2 Nm的伸展扭矩。从第一个循环到第五个循环,膝关节伸展的平均变化为1.9度±1.5度(平均值±标准差),这八个膝关节总共进行了49次测试。四个左膝关节(测试23次)的最大伸展为14.6度±7.1度,四个右膝关节(测试26次)的最大伸展为12.0度±10.9度。正常左、右膝关节之间的最大伸展没有显著差异。在第二项实验中,九只骨骼成熟的NZW兔右膝股骨髁发生稳定骨折,固定5、6或10周。左膝作为未手术对照。使用新方法对实验膝关节进行检测,结果显示存在膝关节伸展丧失(屈曲挛缩),在停止固定10或12周后,实验膝关节的最大伸展为35度±9度,而未手术膝关节的最大伸展为11度±7度。与材料测试机相连的定制夹持装置将作为未来研究创伤后关节挛缩兔膝关节模型的测量测试工具。