McClure Musculoskeletal Research Center, Department of Orthopaedics and Rehabilitation, College of Medicine, University of Vermont, Burlington, Vermont, USA.
J Orthop Res. 2012 Sep;30(9):1413-22. doi: 10.1002/jor.22087. Epub 2012 Feb 17.
We investigated the relationship between the magnitude and duration of chronic compressive load alteration and the development and progression of degenerative changes in the rabbit tibiofemoral joint. Varus loading devices were attached to the hind limb of mature NZW rabbits. Altered compressive loads of 0%, 50%, and 80% body weight (BW) were applied to the tibiofemoral joint for 12 h per day for 12 and 24 weeks (n = 4 animals/group). Compartment-specific assessment of the tibial plateau included histological assessments (articular cartilage, calcified cartilage, and subchondral bone thicknesses, degeneration score, and articular cartilage cellularity) and biomechanical measures (aggregate modulus, permeability, Poisson's ratio). Analyses of variance techniques were used to examine the relationship between each outcome measure with load magnitude and duration as independent variables in the model. Degenerative changes developed in the medial compartment with increased magnitude of compressive loading and included fibrillation, increased degeneration score, and reduced cellularity of the articular cartilage. Increased calcified cartilage thickness was observed in both the medial and lateral compartments following exposure to altered loading of 80% BW for 24 weeks. This work demonstrates that in vivo chronic compressive load alteration to the tibiofemoral joint can initiate progressive macroscopic and histological-based degenerative changes analogous to the early changes occurring in OA.
我们研究了慢性压迫性负荷改变的幅度和持续时间与兔胫股关节退行性变化的发展和进展之间的关系。在成熟的 NZW 兔的后肢上安装了内翻加载装置。每天施加 12 小时,施加 0%、50%和 80%体重(BW)的改变压缩负荷,持续 12 周和 24 周(每组 n = 4 只动物)。胫骨平台的特定部位评估包括组织学评估(关节软骨、钙化软骨和软骨下骨厚度、退变评分和关节软骨细胞密度)和生物力学测量(总模量、渗透率、泊松比)。方差分析技术用于检查每个结果测量与负荷幅度和持续时间作为模型中独立变量之间的关系。随着压缩负荷幅度的增加,内侧间室发生退行性变化,包括纤维化、退变评分增加和关节软骨细胞密度降低。在 24 周内暴露于 80%BW 的改变负荷后,观察到内侧和外侧间室的钙化软骨厚度增加。这项工作表明,对胫股关节的体内慢性压迫性负荷改变可以引发类似于 OA 早期发生的进行性宏观和组织学退行性变化。