Changes in the Microstructural and Mechanical Properties in the Medial Condyle of Human Distal Femur in Advanced Osteoarthritis
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study is to analyze and compare the micro-structural and mechanical properties of subchondral trabecular bone of non-osteoarthritic and osteoarthritic distal femur using micro-images based on finite element analysis. Materials and Methods: Twenty distal femurs were harvested from 10 cadavers. The subchondral trabeculae were obtained from the middle of the articular surface of the medial femoral condyle of distal femurs. A total of 20 specimens were scanned using the micro-CT system. Micro-CT images were converted to micro-finite element model using the mesh technique, and micro-finite element analysis was then performed for assessment of the mechanical properties. Results: According to the results, trabecular bone of osteoarthritic distal femur showed a decrease in trabecular thickness, bone volume fraction, structure model index, and yield stress and an increase in trabecular separation and structure model index. Conclusions: Results of bone morphometry index and strength showed greater deterioration of microstructure and decreased mechanical strength in subchondral trabeculae of the osteoarthritic group.
Abstract
Objectives: The purpose of this study is to analyze and compare the micro-structural and mechanical properties of subchondral trabecular bone of non-osteoarthritic and osteoarthritic distal femur using micro-images based on finite element analysis. Materials and Methods: Twenty distal femurs were harvested from 10 cadavers. The subchondral trabeculae were obtained from the middle of the articular surface of the medial femoral condyle of distal femurs. A total of 20 specimens were scanned using the micro-CT system. Micro-CT images were converted to micro-finite element model using the mesh technique, and micro-finite element analysis was then performed for assessment of the mechanical properties. Results: According to the results, trabecular bone of osteoarthritic distal femur showed a decrease in trabecular thickness, bone volume fraction, structure model index, and yield stress and an increase in trabecular separation and structure model index. Conclusions: Results of bone morphometry index and strength showed greater deterioration of microstructure and decreased mechanical strength in subchondral trabeculae of the osteoarthritic group.
참고문헌 (18)
- Hildebrand T, "Quantification of bone microarchitecture with the structure model index", Comput Methods Biomech Biomed Engin, 1, pp.15~23 (1997)
- Ding M, "Changes in the three dimensional microstructure of human tibialcancellous bone in early osteoarthritis", J Bone Joint Surg, 85-B, pp.906~912 (2003)
- Boyd SK, "Early morphometric and anisotropic change in periarticularcancellous bone in a model of experimental knee osteoarthritis quantified using microcomputed tomography", Clin Biomech, 15, pp.624~631 (2000)
- Ding M, "Quantification of age-related changes in the structure model type and trabecular thickness of human tibia cancellous bone", Bone, 26, pp.291~295 (2000)
- Brown SJ, "Regional differences in mechanical and material properties of femoral head cancellous bone in health and osteoarthritis", Calcif Tissue Int, 71, pp.227~234 (2002)
- Parfitt AM, "Relationships between surface, volume, and thickness of iliac trabecular bone in aging and in osteoporosis: implications for the microanatomic and cellular mechanisms of bone loss", J Clin Invest, 72, pp.1396~1409 (1983)
- Ding M, "Matual associations among microstructural, physical and mechanical properties in cancellous bone", Bone Joint Surg Br, 84, pp.900~907 (2002)
- Feldkamp LA, "The direct examination of threedimensional bone architecture in vitro by computed tomography", J Bone Minner Res, 4, pp.3~11 (1989)
- Parfitt M, "Bone Standardization of Histomorphometry: Nomenclature, Symbols, and Uints", J BoneMin Res, 2, pp.595~608 (1987)
- Chevalier F, "CT image analysis of the vertebral trabecular network in vivo", Calcif Tissue Int, 51, pp.8~10 (1992)
- Dempster DW, "Relationships between bone structure in the iliac crest and bone structure and strength in the lumbar spine", OsteoporosInt, 3, pp.90~96 (1993)
- Burr DB, "The involvement of subchondral mineralized tissues in osteoarthrosis: quantitative microscopic evidence", Microsc Res Tech, 37, pp.343~357 (1997)
- Matsui H, "Cartilage and subchondral bone interaction in osteoarthrosis of human knee joint: a histological and histomorphometric study", Microsc Res Tech, 37, pp.333~342 (1997)
- Kabel J, "The role of an effective isotropic tissue modulus in the elastic properties of cancellous bone", J Biomech, 32, pp.673~680 (1999)
- Neogi T., "Clinical significance of bone changes in osteoarthritis", Ther Adv Musculoskelet Dis, 4, pp.259~267 (2012)
- Grynpas MD, "Subchondral bone in osteoarthritis", Calcif Tissue Int, 49, pp.20~26 (1991)
- Kamibayashi L, "Changes in mean trabecular orientation in the medial condyle of the proximal tibia in osteoarthritis", Calcif Tissue Int, 57, pp.69~ (1995)
- Fazzalari NL, "Assessment of cancellous bone quality in severe osteoarthrosis: bone mineral density, mechanics, and microdamage", Bone, 22, pp.381~388 (1998)
