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前交叉韧带横断后,犬关节软骨的力学性能发生显著改变。

Mechanical properties of canine articular cartilage are significantly altered following transection of the anterior cruciate ligament.

作者信息

Setton L A, Mow V C, Müller F J, Pita J C, Howell D S

机构信息

Department of Mechanical Engineering, Columbia University, New York, New York.

出版信息

J Orthop Res. 1994 Jul;12(4):451-63. doi: 10.1002/jor.1100120402.

Abstract

The compressive, tensile, and swelling properties of articular cartilage were studied at two time periods following transection of the anterior cruciate ligament in the knee of greyhound dogs. An experimental protocol was designed to quantify the essential equilibrium and biphasic material properties of cartilage in tension, compression, and shear, as well as the parameters of isometric swelling behavior. All properties were measured at several sites to elicit differences between sites of frequent and less frequent contact. Hydration was determined at each site and was compared with the material properties of cartilage from corresponding sites. There were extensive changes in all compressive, tensile, and swelling properties of cartilage after transection of the anterior cruciate ligament. Twelve weeks after surgery, the intrinsic moduli were reduced significantly in compression (approximately 24% of control values), tension (approximately 64%), and shear (approximately 24%), and the hydraulic permeability was elevated significantly (approximately 48%). Significant increases in hydration (approximately 9%) also were observed, as well as a strong correlation of hydration with hydraulic permeability. The pattern of these changes was not found to differ with site in the joint, but significant differences were observed in the magnitude of change for cartilage from the femoral groove and the femoral condyle. The pattern and extent of changes in the material properties following transection of the anterior cruciate ligament indicate that altered loading of the joint severely compromises the overall mechanical behavior of articular cartilage. The observed loss of matrix stiffness in compression, tension, and shear is associated with increases in the deformation of the solid matrix, a diminished ability to resist swelling, and the increase in hydration observed in this study. The increased swelling and elevated water content were related directly to the increase in hydraulic permeability; this suggests an associated loss of fluid pressurization as the load support mechanism in the degenerated cartilage. Without a successful mechanism for repair, damage to the solid matrix may progress and lead to further degenerative changes in the biochemistry, morphology, and mechanical behavior of articular cartilage.

摘要

在灵缇犬膝关节前交叉韧带横断后的两个时间段,研究了关节软骨的压缩、拉伸和肿胀特性。设计了一个实验方案来量化软骨在拉伸、压缩和剪切时的基本平衡和双相材料特性,以及等容肿胀行为的参数。在几个部位测量了所有特性,以找出频繁接触部位和较少接触部位之间的差异。测定了每个部位的水合作用,并与相应部位软骨的材料特性进行了比较。前交叉韧带横断后,软骨的所有压缩、拉伸和肿胀特性都发生了广泛变化。术后12周,压缩时的固有模量显著降低(约为对照值的24%),拉伸时(约64%)和剪切时(约24%)也显著降低,而水力渗透率显著升高(约48%)。还观察到水合作用显著增加(约9%),以及水合作用与水力渗透率之间的强相关性。未发现这些变化模式在关节内的不同部位有所不同,但在股骨沟和股骨髁软骨的变化幅度上观察到了显著差异。前交叉韧带横断后材料特性变化的模式和程度表明,关节负荷的改变严重损害了关节软骨的整体力学行为。本研究中观察到的压缩、拉伸和剪切时基质刚度的丧失与固体基质变形的增加、抵抗肿胀能力的减弱以及水合作用的增加有关。肿胀增加和含水量升高与水力渗透率的增加直接相关;这表明在退变软骨中作为负荷支撑机制的流体加压作用丧失。如果没有成功的修复机制,固体基质的损伤可能会进展,并导致关节软骨在生物化学、形态学和力学行为上进一步发生退变变化。

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