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关节软骨表面损伤:关于破裂率及与组织健康和水合作用相关的形态学研究

Articular cartilage surface failure: an investigation of the rupture rate and morphology in relation to tissue health and hydration.

作者信息

Fick James M, Espino Daniel M

机构信息

Department of Chemical and Materials Engineering, University of Auckland, New Zealand.

出版信息

Proc Inst Mech Eng H. 2012 May;226(5):389-96. doi: 10.1177/0954411912439824.

Abstract

This study investigates the rupture rate and morphology of articular cartilage by altering the bathing environments of healthy and degenerate bovine cartilage. Soaking tissues in either distilled water or 1.5 M NaCI saline was performed in order to render the tissues into a swollen or dehydrated state, respectively. Creep compression was applied using an 8 mm flat-ended polished indenter that contained a central pore of 450 microm in diameter, providing a consistent region for rupture to occur across all 105 tested specimens. Rupture rates were determined by varying the nominal compressive stress and the loading time. Similar rupture rates were observed with the swollen healthy and degenerate specimens, loaded with either 6 or 7MPa of nominal compressive stress over 11 and 13 min. The observed rupture rates for the dehydrated specimens loaded with 7 MPa over 60 and 90s were 20% versus 40% and 20% versus 60% for healthy and degenerate tissues, respectively. At 8 MPa of nominal compressive stress over 60 and 90s the observed rupture rates were 20% versus 60% and 40% versus 80% for healthy and degenerate tissues, respectively; with all dehydrated degenerate tissues exhibiting a greater tendency to rupture (Barnard's exact test, p < 0.05). Rupture morphologies were only different in the swollen degenerate tissues (p < 0.05). The mechanisms by which dehydration and swelling induce initial surface rupture of mildly degenerate articular cartilage differ. Dehydration increases the likelihood that the surface will rupture, however, swelling alters the observed rupture morphology.

摘要

本研究通过改变健康和退变牛软骨的浸泡环境,来研究关节软骨的破裂率和形态。将组织分别浸泡在蒸馏水中或1.5M氯化钠盐水中,以使组织分别处于肿胀或脱水状态。使用一个8毫米平头抛光压头进行蠕变压缩,该压头包含一个直径为450微米的中心孔,为所有105个测试样本提供了一个一致的破裂发生区域。通过改变名义压缩应力和加载时间来确定破裂率。在肿胀的健康和退变样本中观察到相似的破裂率,在11分钟和13分钟内分别施加6或7MPa的名义压缩应力。在60秒和90秒内加载7MPa的脱水样本的观察破裂率,健康组织和退变组织分别为20%对40%和20%对60%。在60秒和90秒内名义压缩应力为8MPa时,健康组织和退变组织的观察破裂率分别为20%对60%和40%对80%;所有脱水退变组织都表现出更大的破裂倾向(巴纳德精确检验,p<0.05)。破裂形态仅在肿胀的退变组织中有差异(p<0.05)。脱水和肿胀诱导轻度退变关节软骨初始表面破裂的机制不同。脱水增加了表面破裂的可能性,然而,肿胀改变了观察到的破裂形态。

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