Effects of harvest and selected cartilage repair procedures on the physical and biochemical properties of articular cartilage in the canine knee.
This study utilizes a canine model to quantify changes in articular cartilage 15-18 weeks after a knee joint is subjected to surgical treatment of isolated chondral defects. Clinical and experimental treatment of articular cartilage defects may include implantation of matrix materials or cells, or both. Three cartilage repair methods were evaluated: microfracture, microfracture and implantation of a type-II collagen matrix, and implantation of an autologous chondrocyte-seeded collagen matrix. The properties of articular cartilage in other knee joints subjected to harvest of articular cartilage from the trochlear ridge (to obtain cells for the cell-seeded procedure) were also evaluated. Physical properties (thickness, equilibrium compressive modulus, dynamic compressive stiffness, and streaming potential) and biochemical composition (hydration, glycosaminoglycan content, and DNA content) of the cartilage from sites distant to the surgical treatment were compared with values measured for site-matched controls in untreated knee joints. No significant differences were seen in joints subjected to any of the three cartilage repair procedures. However, a number of changes were induced by the harvest operation. The largest changes (displaying up to 3-fold increases) were seen in dynamic stiffness and streaming potential of patellar groove cartilage from joints subjected to the harvest procedure. Whether the changes reported will lead to osteoarthritic degeneration is unknown, but this study provides evidence that the harvest procedure associated with autologous cell transplantation for treatment of chondral defects may result in changes in the articular cartilage in the joint.
Lee
C R
CR
Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge 02139, USA. psyn@mit.edu
Grodzinsky
A J
AJ
Hsu
H P
HP
Martin
S D
SD
Spector
M
M
D000818:Animals; D021461:Animals, Outbred Strains; D002358:Cartilage, Articular / Q000737:chemistry / Q000503:physiopathology / Q000601:surgery*; D019902:Chondrocytes / Q000637:transplantation; D003094:Collagen; D004247:DNA / Q000032:analysis; D004285:Dogs; D006025:Glycosaminoglycans / Q000032:analysis; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery*; D008866:Microsurgery; D023421:Models, Animal; D019637:Orthopedic Procedures / Q000379:methods*; D010329:Patella / Q000601:surgery; D018583:Pliability; D013314:Stress, Mechanical; D014867:Water / Q000032:analysis; D014945:Wound Healing / Q000502:physiology*
D006025:Glycosaminoglycans; C058506:collagen-glycosaminoglycan copolymer; D014867:Water; D003094:Collagen; D004247:DNA