Correlation of dynamic impact testing, histopathology and visual macroscopic assessment in human osteoarthritic cartilage.
OBJECTIVE
Improved staging of cartilage degeneration is required, particularly during the early stages. We correlated mechanical properties with histological and macroscopic findings.


METHODS
One hundred and twenty cartilage samples were obtained during total knee arthroplasty. Two adjacent plugs were harvested--one for histological classification and one for macroscopic and biomechanical purposes. Dynamic impact testing was performed; normal stress, dissipated energy (∆E), tangent modulus and stiffness were evaluated.


RESULTS
Samples were classified according to six categories of the ICRS histological scale. Mechanical characteristics revealing significant differences between the groups (p < 0.01) were specific damping and related absolute ∆E. A significant correlation was found between the macroscopic score and specific damping, as well as absolute and relative ∆E (p < 0.01). A strong relation was revealed between relative ∆E and cartilage thickness (p < 0.001; R (2) = 0.69).


CONCLUSIONS
Only ∆E correlated with the condition of the cartilage--the value increased with decreasing quality-and is the most suitable characteristic. This change appears substantial in initial stages of cartilage deterioration.
II. Orthopaedic Clinic, University Hospital Motol, Charles University in Prague, V Úvalu 84, 15006, Prague 5, Czech Republic. kos.petr@email.cz
Petr
P
Kos
Ferdinand
F
Varga
Milan
M
Handl
Jakub
J
Kautzner
Václav
V
Chudáček
Milan
M
Držík
Ctibor
C
Povýšil
Tomáš
T
Trč
Evžen
E
Amler
Martin
M
Hanus
D000368:Aged; D000369:Aged, 80 and over; D001696:Biomechanical Phenomena; D002358:Cartilage, Articular / Q000473:pathology*; D019245:Compressive Strength; D004548:Elasticity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D013314:Stress, Mechanical
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