Influence of partial meniscectomy on attachment forces, superficial strain and contact mechanics in porcine knee joints

Verfasser / Beitragende:
[Maren Freutel, Andreas Seitz, Anita Ignatius, Lutz Dürselen]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/1(2015-01-01), 74-82
Format:
Artikel (online)
ID: 605455929
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024 7 0 |a 10.1007/s00167-014-2951-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2951-3 
245 0 0 |a Influence of partial meniscectomy on attachment forces, superficial strain and contact mechanics in porcine knee joints  |h [Elektronische Daten]  |c [Maren Freutel, Andreas Seitz, Anita Ignatius, Lutz Dürselen] 
520 3 |a Purpose: Numerous studies investigated the reasons for premature osteoarthritis due to partial meniscectomy (PM). However, the influence of meniscectomy on attachment forces and superficial strain of the tibial meniscus is unclear. It is hypothesised that these parameters depend on the degree of PM. Methods: Six porcine medial menisci were placed in a custom made apparatus, and each meniscal attachment was connected to a force sensor. After printing markers onto the tibial meniscal surfaces, the menisci were positioned on a glass plate enabling optical superficial strain measurement. Additionally, contact area and pressure were investigated. Each meniscus was axially loaded up to 650N using its respective femoral condyle. Testing was conducted intact and after 50 and 75% PM of the posterior horn and extending 75% PM to the anterior horn. Results: With increasing meniscectomy, the attachment forces decreased anteriorly by up to 17% (n.s.) and posteriorly by up to 55% (p=0.003). The circumferential strain in the peripheral meniscal zones was not affected by the meniscectomy, while in some meniscal zones the radial strain changed from compression to tension. Contact area decreased by up to 23% (p=0.01), resulting in an increase in 40% (p=0.02) for the maximum contact pressure. Conclusion: Partial meniscectomy significantly alters the loading situation of the meniscus and its attachments. Specifically, the attachment forces decreased with increasing amount of meniscal tissue loss, which reflects the impaired ability of the meniscus to transform axial joint load into meniscal hoop stress. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Meniscus  |2 nationallicence 
690 7 |a Attachment forces  |2 nationallicence 
690 7 |a Superficial strain  |2 nationallicence 
690 7 |a Contact mechanics  |2 nationallicence 
690 7 |a Meniscectomy  |2 nationallicence 
700 1 |a Freutel  |D Maren  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstr. 14, 89081, Ulm, Germany  |4 aut 
700 1 |a Seitz  |D Andreas  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstr. 14, 89081, Ulm, Germany  |4 aut 
700 1 |a Ignatius  |D Anita  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstr. 14, 89081, Ulm, Germany  |4 aut 
700 1 |a Dürselen  |D Lutz  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstr. 14, 89081, Ulm, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 74-82  |x 0942-2056  |q 23:1<74  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2951-3  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2951-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Freutel  |D Maren  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstr. 14, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Seitz  |D Andreas  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstr. 14, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ignatius  |D Anita  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstr. 14, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dürselen  |D Lutz  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstr. 14, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/1(2015-01-01), 74-82  |x 0942-2056  |q 23:1<74  |1 2015  |2 23  |o 167