Biomechanics of cartilage articulation: effects of lubrication and degeneration on shear deformation

BL Wong, WC Bae, J Chun, KR Gratz… - … : Official Journal of …, 2008 - Wiley Online Library
BL Wong, WC Bae, J Chun, KR Gratz, M Lotz, RL Sah
Arthritis & Rheumatism: Official Journal of the American College …, 2008Wiley Online Library
Objective To characterize cartilage shear strain during articulation, and the effects of
lubrication and degeneration. Methods Human osteochondral cores from lateral femoral
condyles, characterized as normal or mildly degenerated based on surface structure, were
selected. Under video microscopy, pairs of osteochondral blocks from each core were
apposed, compressed 15%, and subjected to relative lateral motion with synovial fluid (SF)
or phosphate buffered saline (PBS) as lubricant. When cartilage surfaces began to slide …
Objective
To characterize cartilage shear strain during articulation, and the effects of lubrication and degeneration.
Methods
Human osteochondral cores from lateral femoral condyles, characterized as normal or mildly degenerated based on surface structure, were selected. Under video microscopy, pairs of osteochondral blocks from each core were apposed, compressed 15%, and subjected to relative lateral motion with synovial fluid (SF) or phosphate buffered saline (PBS) as lubricant. When cartilage surfaces began to slide steadily, shear strain (Exz) and modulus (G) overall in the full tissue thickness and also as a function of depth from the surface were determined.
Results
In normal tissue with SF as lubricant, Exz was highest (0.056) near the articular surface and diminished monotonically with depth, with an overall average Exz of 0.028. In degenerated cartilage with SF as lubricant, Exz near the surface (0.28) was 5‐fold that of normal cartilage and localized there, with an overall Exz of 0.041. With PBS as lubricant, Exz values near the articular surface were ∼50% higher than those observed with SF, and overall Exz was 0.045 and 0.062 in normal and degenerated tissue, respectively. Near the articular surface, G was lower with degeneration (0.06 MPa, versus 0.18 MPa in normal cartilage). In both normal and degenerated cartilage, G increased with tissue depth to 3–4 MPa, with an overall G of 0.26–0.32 MPa.
Conclusion
During articulation, peak cartilage shear is highest near the articular surface and decreases markedly with depth. With degeneration and diminished lubrication, the markedly increased cartilage shear near the articular surface may contribute to progressive cartilage deterioration and osteoarthritis.
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