Reina Nicolas, Trousdale William H, Salib Christopher G, Evertz Loribeth Q, Berglund Lawrence J, van Wijnen Andre J, Hewett Timothy E, Berry Charlotte E, Berry Daniel J, Morrey Mark E, Sanchez-Sotelo Joaquin, Abdel Matthew P
Department of Orthopedic Surgery, Mayo Clinic, 200 First Street SW, Rochester, Minnesota, 55905.
Department of Physiology and Biomechanical Engineering, Mayo Clinic, Rochester, Minnesota, 55905.
J Orthop Res. 2018 Feb 23. doi: 10.1002/jor.23884.
The current method of measuring arthrofibrosis in live rabbits is critically limited. Specifically, this method involves radioactive fluoroscopy, error-prone goniometric measurements, and static joint angle outcomes that fail to approximate the compliance of tissues surrounding the joint. This study aims to validate a novel method of capturing the compliance of contracted tissues surrounding the joint without the use of fluoroscopy or animal sacrifice. Surgically induced contractures of one-hundred and eight rabbits were measured using the current standard of contracture measurement (a pulley system) as well as a newly designed dynamic load cell (DLC) device. The DLC device was highly reliable when compared to the pulley system (r = 0.907, p < 0.001). Finally, the DLC device produced joint stiffness hysteresis curves capable of approximating the compliance of stiff joint tissues, ultimately calculating a mean joint stiffness of 1.57 ± 1.31 N · m · rad (range, 0.33-6.37 N · m · rad ). In conclusion, the DLC device represents a valid method for measuring joint contractures. Further, the DLC device notably improves current techniques by introducing the capacity to approximate the compliance of contracted tissues in living rabbits. © 2018 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res.
目前在活体兔中测量关节纤维化的方法存在严重局限性。具体而言,该方法涉及放射性荧光透视、易出错的角度测量以及静态关节角度结果,这些都无法近似关节周围组织的顺应性。本研究旨在验证一种无需使用荧光透视或牺牲动物即可获取关节周围挛缩组织顺应性的新方法。使用当前的挛缩测量标准(滑轮系统)以及新设计的动态称重传感器(DLC)设备对108只兔手术诱导的挛缩进行测量。与滑轮系统相比,DLC设备具有高度可靠性(r = 0.907,p < 0.001)。最后,DLC设备生成了能够近似僵硬关节组织顺应性的关节刚度滞后曲线,最终计算出平均关节刚度为1.57±1.31 N·m·rad(范围为0.33 - 6.37 N·m·rad)。总之,DLC设备是一种测量关节挛缩的有效方法。此外,DLC设备通过引入近似活体兔挛缩组织顺应性的能力,显著改进了当前技术。© 2018年骨科研究协会。由威利期刊公司出版。《矫形外科学研究》