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在压缩载荷下使用 MRI 对全层和临界尺寸关节软骨缺损周围应变的功能评估。

Functional assessment of strains around a full-thickness and critical sized articular cartilage defect under compressive loading using MRI.

机构信息

Department of Movement Sciences, KU Leuven, Leuven, Belgium.

Department of Imaging and Pathology, KU Leuven, Leuven, Belgium.

出版信息

Osteoarthritis Cartilage. 2018 Dec;26(12):1710-1721. doi: 10.1016/j.joca.2018.08.013. Epub 2018 Sep 5.

Abstract

OBJECTIVE

The objective of this study was to evaluate the effect of full-thickness chondral defects on intratissue deformation patterns and matrix constituents in an experimental model mimicking in vivo cartilage-on-cartilage contact conditions.

DESIGN

Pairs of bovine osteochondral explants, in a unique cartilage-on-cartilage model system, were compressed uniaxially by 350 N during 2 s loading and 1.4 s unloading cycles (≈1700 repetitions). Tissue deformations under quasi-steady state load deformation response were measured with displacement encoded imaging with stimulated echoes (DENSE) in a 9.4 T magnetic resonance imaging (MRI) scanner. Pre- and post-loading, T, T and T relaxation time maps were measured. We analyzed differences in strain patterns and relaxation times between intact cartilage (n = 8) and cartilage in which a full-thickness and critical sized defect was created (n = 8).

RESULTS

Under compressive loading, strain magnitudes were elevated at the defect rim, with elevated tensile and compressive principal strains (Δϵ = 4.2%, P = 0.02; Δϵ = -4.3%, P = 0.02) and maximum shear strain at the defect rim (Δγ = 4.4%, P = 0.007). The opposing cartilage showed minimal increase in strain patterns at contact with the defect rim but decreased strains opposing the defect. After defect creation, T, T and T relaxation times were elevated at the defect rim only. Following loading, the overall relaxations times of the defect tissue and especially at the rim, increased compared to intact cartilage.

CONCLUSIONS

This study demonstrates that the local biomechanical changes occurring after defect creation may induce tissue damage by increasing shear strains and depletion of cartilage constituents at the defect rim under compressive loading.

摘要

目的

本研究旨在评估全层软骨缺损对模仿体内软骨-软骨接触条件的实验模型中组织内变形模式和基质成分的影响。

设计

在独特的软骨-软骨模型系统中,将牛骨软骨样本对进行单轴压缩,在 2 秒加载和 1.4 秒卸载循环(≈1700 次重复)期间施加 350 N 的力。在 9.4 T 磁共振成像(MRI)扫描仪中,使用受激回波位移编码成像(DENSE)测量准稳态载荷变形响应下的组织变形。在加载前后测量 T 、 T 和 T 弛豫时间图。我们分析了完整软骨(n=8)和创建全层和临界尺寸缺陷的软骨(n=8)之间的应变模式和弛豫时间的差异。

结果

在压缩载荷下,缺陷边缘处的应变幅度升高,拉伸和压缩主应变升高(Δϵ=4.2%,P=0.02;Δϵ=-4.3%,P=0.02),并且在缺陷边缘处的最大剪切应变升高(Δγ=4.4%,P=0.007)。对侧软骨在与缺陷边缘接触时应变模式增加最小,但对抗缺陷的应变减小。在创建缺陷后,仅在缺陷边缘处 T 、 T 和 T 弛豫时间升高。加载后,与完整软骨相比,缺陷组织的整体弛豫时间,尤其是在边缘处,增加。

结论

本研究表明,缺陷创建后发生的局部生物力学变化可能通过在压缩载荷下增加剪切应变和耗竭缺陷边缘处的软骨成分来诱导组织损伤。

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