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完整大鼠肩袖肌腱-骨附着处及有缺损的附着处的应变分布

Strain Distribution of Intact Rat Rotator Cuff Tendon-to-Bone Attachments and Attachments With Defects.

作者信息

Locke Ryan C, Peloquin John M, Lemmon Elisabeth A, Szostek Adrianna, Elliott Dawn M, Killian Megan L

机构信息

Department of Biomedical Engineering, University of Delaware, 5 Innovation Way, Newark, DE 19716 e-mail: .

Department of Biomedical Engineering, University of Delaware, 161 Colburn Lab 150 Academy Street, Newark, DE 19716 e-mail: .

出版信息

J Biomech Eng. 2017 Nov 1;139(11):1110071-6. doi: 10.1115/1.4038111.

Abstract

This study aimed to experimentally track the tissue-scale strains of the tendon-bone attachment with and without a localized defect. We hypothesized that attachments with a localized defect would develop strain concentrations and would be weaker than intact attachments. Uniaxial tensile tests and digital image correlation were performed on rat infraspinatus tendon-to-bone attachments with defects (defect group) and without defects (intact group). Biomechanical properties were calculated, and tissue-scale strain distributions were quantified for superior and inferior fibrous and calcified regions. At the macroscale, the defect group exhibited reduced stiffness (31.3±3.7 N/mm), reduced ultimate load (24.7±3.8 N), and reduced area under the curve at ultimate stress (3.7±1.5 J/m2) compared to intact attachments (42.4±4.3 N/mm, 39.3±3.7 N, and 5.6±1.4 J/m2, respectively). Transverse strain increased with increasing axial load in the fibrous region of the defect group but did not change for the intact group. Shear strain of the superior fibrous region was significantly higher in the defect group compared to intact group near yield load. This work experimentally identified that attachments may resist failure by distributing strain across the interface and that strain concentrations develop near attachment defects. By establishing the tissue-scale deformation patterns of the attachment, we gained insight into the micromechanical behavior of this interfacial tissue and bolstered our understanding of the deformation mechanisms associated with its ability to resist failure.

摘要

本研究旨在通过实验追踪有局部缺损和无局部缺损的肌腱-骨附着处的组织尺度应变。我们假设,有局部缺损的附着处会出现应变集中,且比完整的附着处更脆弱。对有缺损的大鼠冈下肌腱-骨附着处(缺损组)和无缺损的附着处(完整组)进行了单轴拉伸试验和数字图像相关分析。计算了生物力学性能,并对 superior 和 inferior 纤维及钙化区域的组织尺度应变分布进行了量化。在宏观尺度上,与完整附着处(分别为42.4±4.3 N/mm、39.3±3.7 N和5.6±1.4 J/m²)相比,缺损组的刚度降低(31.3±3.7 N/mm)、极限载荷降低(24.7±3.8 N)以及极限应力下的曲线下面积降低(3.7±1.5 J/m²)。在缺损组的纤维区域,横向应变随轴向载荷增加而增加,而完整组则无变化。在屈服载荷附近,缺损组 superior 纤维区域的剪切应变显著高于完整组。这项工作通过实验确定,附着处可能通过在界面上分布应变来抵抗失效,并且在附着缺损附近会出现应变集中。通过建立附着处的组织尺度变形模式,我们深入了解了这种界面组织的微观力学行为,并加深了对与其抵抗失效能力相关的变形机制的理解。

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