https://onlinelibrary.wiley.com/doi/pdf/10.1002/jor.22683

Changes of density distribution of the subchondral bone plate after supramalleolar osteotomy for valgus ankle osteoarthritis

Objective To evaluate long-term loading patterns using subchondral bone density (SBD) distribution of the tibial plateau after tibial plateau leveling osteotomy (TPLO) and tibial tuberosity advancement (TTA). Study design Cross-sectional study. Animals Adult (> 2 years), medium to large breed dogs (>20 kg) that had been treated with TPLO or TTA at least 1 year prior to the study were recruited. A normal cohort of similar age and weight dogs with normal physical and orthopedic examinations served as control. Methods Dogs were sedated for computed tomography (CT) of the stifle, and DICOM (digital imaging and communications in medicine) files were processed for CT osteoabsorptiometry (CTOAM). Tibial plateaus were sampled at 6 zones, and CTOAM was used to determine regional and maximal areas of SBD as a marker of joint loading. Results Data were collected on 48 stifles in 31 dogs (15 TPLO, 11 TTA, 22 control). Lower Hounsfield unit (HU) values were measured in the caudal and mid-region of the lateral tibial plateau after TPLO and compared to normal. HU values did not differ between joints treated with TTA and those in the control group. Conclusion TPLO may alter stifle load distribution relative to the normal control group. There were no differences between TTA and the control group. Clinical significance/impact Despite ongoing osteoarthritis (OA) in dogs after surgical intervention for cranial cruciate disease, changes in tibial SBD are minor and may not correlate with clinical function.

Long‐term effects of tibial plateau leveling osteotomy and tibial tuberosity advancement on tibial plateau subchondral bone density in dogs

I. Alwayn, Halifax D.K. Bartsch, Marburg C. Bassi, Verona W.O. Bechstein, Frankfurt am Main J.A. Bradley, Cambridge M. Cikirikcioglu, Geneva P.-A. Clavien, Zurich C. Eipel, Rostock R.W.F. de Bruin, Rotterdam H. Friess, Munich S. Fichtner-Feigl, Regensburg G. Galata, London D.J. Gouma, Amsterdam J.K. Habermann, Lübeck M. Heberer, Basel W.R. Jarnagin, New York, NY J.C. Kalff , Bonn M.W. Laschke, Homburg/Saar H.-A. Lehr, Lausanne C.M. Malata, Cambridge T. Minor, Bonn M. Morino, Torino J. Pirenne, Leuven R. Schramm, Munich L. Steinstraesser, Bochum T.M. van Gulik, Amsterdam M.A. Venermo, Helsinki D.C. Winter, Dublin Y. Yamamoto, Akita Clinical and Experimental Surgery

Contents Vol. 48, 2012

It is generally recognized that the subchondral bone plate (SBP) is involved in development of osteoarthritis (OA). However, the pathophysiological significance is not yet clear. The goal of this study is to investigate the extent of the changes that occur in SBP of the tibial plateau in the early stages of experimental OA. Forty-three female rabbits were assigned to 5 experimental (n = 8 each group) and one sham group (n = 3). OA was induced by medial meniscectomy in the right knee, the left knee served as control. 2, 4, 8, 12, and 24 weeks after meniscectomy, cartilage damage was evaluated, and bone mineral density (BMD) and mineralization distribution of the SBP was measured by computed tomography osteoabsorptiometry (CT-OAM). Cartilage damage started 2 weeks after meniscectomy with surface roughening. Cartilage defects increased over time. 24 weeks postoperatively, subchondral bone was exposed. As early as 2 weeks after meniscectomy, BMD in the medial tibial plateau decreased significantly. BMD increased again and reached the values of the non-operated knee 12 weeks postoperatively. In addition, already 4 weeks after meniscectomy a significant shift of the densitiy maximum on the medial tibial plateau, which is normally centrally located toward the margin was observed. In conclusion, the results of this study contribute to the concept of early involvement of the SBP in the development of OA. The hypothesis that changes in the SBP occur simultaneously to cartilage damage was confirmed.

Meniscectomy leads to early changes in the mineralization distribution of subchondral bone plate

Rabbits are among the most frequently used animals in osteoarthritis research. It is meanwhile accepted that the subchondral bone plate (SBP) plays a key role in the development of osteoarthritis. The most suitable technique for analyzing subchondral bone mineralization is computed tomography osteoabsorptiometry (CT-OAM). Because CT-OAM has not yet been applied to smaller animals, the purpose of this study is to test the reliability of CT-OAM in the rabbit knee. Another important task in animal experiments is the intra- and interindividual difference of the measurement parameters. Our hypothesis is that there is no difference regarding both the position of the density maxima and the bone mineral density (BMD) of the SBP comparing right and left tibial plateaus of rabbits. For evaluating the reliability, a rabbit knee was examined by computed tomography 6 times at weekly intervals. The subchondral mineralization distribution was measured by means of CT-OAM. Positions of the density maxima and BMD of the SBP were determined in a standardized procedure. Furthermore, both parameters were evaluated in 6 female White New Zealand rabbits. Positions of density maxima and BMD in the SBP in left tibial plateaus were compared with right tibial plateaus. The relative coefficient of variation as a parameter for reproducibility was 1.6% for determining the position of the density maxima and 1.2% for measuring the BMD. The positions of density maxima and relative BMD between right and left tibial plateaus varied only about 2% intraindividually, whereas interindividual variance was about 10%. In conclusion, determination of the position of density maxima as well as BMD of the SBP by means of CT-OAM is reliable and reproducible in the rabbit knee. We recommend using the contralateral limb as control, because intraindividual accordance of the mineralization patterns and of the BMD of the SBP was higher than interindividual accordance.

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Computed Tomography Osteoabsorptiometry Is Reliable for the Determination of the Subchondral Bone Mineralization Distribution in the Rabbit Knee

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Computed Tomography Osteoabsorptiometry Is Reliable for the Determination of the Subchondral Bone Mineralization Distribution in the Rabbit Knee

Contents Vol. 48, 2012