Background: Evidence suggests that single-bundle anterior cruciate ligament (ACL) reconstruction does not reliably prevent the development of knee osteoarthritis (OA).Purpose: This study was conducted to determine the overall prevalence of and risk factors for the development of radiographic knee OA after single-bundle ACL reconstruction.Study Design: Case control study; Level of evidence, 3.Methods: There were 249 individuals who had undergone primary single-bundle ACL reconstruction included in this retrospective cohort study. Follow-up radiographs were scored by a single orthopaedic surgery sports medicine fellow using the Kellgren-Lawrence (KL) scale to determine the degree of OA in the medial, lateral, and patellofemoral compartments. Radiographic OA of the involved knee was considered to be present if, compared with the noninvolved knee, there was at least a 2-grade difference in the KL score in at least 1 compartment or a 1-grade difference in at least 2 compartments. Predictors of OA that were exp...

http://journals.sagepub.com/doi/pdf/10.1177/0363546511424720

Predictors of Radiographic Knee Osteoarthritis After Anterior Cruciate Ligament Reconstruction

Purpose To determine the clinical healing rate of repairs of meniscus tears that extend into the central one-third region and the factors that affect the outcome. Methods A systematic search of PubMed was conducted to determine the outcome of meniscus repairs in the red-white (R/W) zone. Inclusion criteria were as follows: English language, clinical trials published from 1996 to 2013, R/W tears analyzed separately from tears in other zones, arthroscopic suture-based repairs, and all evidence levels. Results Of 344 articles identified, 23 met the inclusion criteria. There were 1,232 patients who had 1,326 meniscus repairs, of which 767 were in the R/W zone. Concurrent anterior cruciate ligament reconstruction was performed in 955 patients (78%). The mean age was 25 years, and the mean follow-up was 4 years. Evaluation criteria included clinical examination in 22 studies, follow-up arthroscopy in 15, magnetic resonance imaging in 6, weight-bearing radiographs in 3, and the International Knee Documentation Committee subjective score in 1. Overall, 637 (83%) of the repairs were considered clinically healed because no additional surgery was required and no obvious clinical meniscus symptoms were detected. This included 382 of 470 inside-out suture repairs (81%) and 255 of 297 all-inside suture repairs (86%). Twenty-two factors were assessed in 13 studies to determine their influence on the outcome, with varying results. Authors generally found that patient age, chronicity of injury, involved tibiofemoral compartment, gender, and concurrent anterior cruciate ligament reconstruction did not adversely affect the results. Insufficient data existed to assess the healing rates according to the type of meniscus tear except for single longitudinal tears. Complications were reported in 3% of the patients in this review. Long-term assessment of a chondroprotective effect of the repairs was conducted in only 2 studies. Conclusions An acceptable midterm clinical healing rate was found for R/W meniscus repairs, supporting this procedure when appropriately indicated. Long-term studies assessing the chondroprotective effect in the involved tibiofemoral compartment using magnetic resonance imaging and radiographs are needed. Level of Evidence Level IV, systematic review of Level I-IV studies.

Clinical healing rates of meniscus repairs of tears in the central-third (red-white) zone.

https://sensorprod.com/news/white-papers/2009-02_imf/wp_imf-2009-02.pdf

Influence of the meniscus on friction and degradation of cartilage in the natural knee joint.

Biotribology: Recent progresses and future perspectives

The objective of this study was to determine the viscoelastic properties of human meniscal tissue during stress-relaxation under confined compression conditions. Lateral and medial longitudinal meniscus plugs of 25 donor knees (ntotal=150) were exposed to stress-relaxation tests under confined compression conditions at three compression levels (e=0.1; 0.15; 0.2). Mathematical modelling using an exponential 1D-diffusion equation was used to predict the viscoelastic properties. Subsequently, finite element (FE) models were created using identical geometry, properties and test conditions as used for the in-vitro tests. Two constitutively different underlying mathematical formulations were applied to the FE models to reveal possible differences in their predictions for the relaxation response. While the first FE model mimicked the analytical model (FE1), the second FE model used a different biphasic, non-linear approach (FE2). Regression analyses showed promising coefficients of determination (R(2)>0.73) between the experimental data and the predictions obtained from the diffusion equation and the two FE models. Mean aggregate modulus, predicted with the diffusion equation (HA=64.0 kPa) was lower than those obtained with the two FE analyses (HA,FE1=91.9 kPa; HA,FE2=81.5 kPa). Mean hydraulic permeability (kFE2=1.5×10(-15)m(4)/Ns) of the second FE2 approach was statistically lower (p<0.01) than the other permeability values (k=3.9×10(-15)m(4)/Ns; kFE1=3.4×10(-15)m(4)/Ns). These differences are mainly due to the different underlying mathematical models used. However, when compared with corresponding literature, the results of the present study indicated good agreement. The results of the present study contribute to a better understanding of the complex nature of meniscal tissue and might also have an impact on the design of future meniscal substitutes.

Stress-relaxation response of human menisci under confined compression conditions.

Tribological testing of articular cartilage of the medial compartment of the knee using a friction simulator

An investigation of the effect of conformity of knee hemiarthroplasty designs on contact stress, friction and degeneration of articular cartilage: a tribological study.

Clinical reports of surgical intervention options, such as spacers or hemi-arthroplasties, particularly for treatment of young arthritic patients, have been poor [[1][1]]. Knowledge of the tribology of the cartilage-prosthesis interaction of these devices would potentially provide an insight to the reasons for the premature failure of these devices and the development of more appropriate intervention treatment solutions for arthritic patients. Frictional studies of articular cartilage have been reported, using simple pin-on-plate geometric configurations [[2][2]], which do not accurately represent the geometric and stress conditions in the natural joint. A more representative model, based on the medial compartment of the knee joint has been developed in the Part 1 of this study [[3][3]] for the pre-clinical tribological testing the natural joint and their related arthroplasty devices. Bearing geometry is an important consideration in limiting wear, as shown in congruous meniscal knee replacement, which exhibited lower wear rates than incongruous designs [[4][4],[5][5]]. The aim of this study was to use a unicompartmental hemi-arthroplasty model to examine the effect of tibial conformity and stress on the friction and wear of articular cartilage.

Experiments were conducted in an anatomic pendulum friction simulator (SimSol, UK) using the medial femoral condyle of a bovine knee joint articulating against two conforming stainless steel (316L) tibial plates (R=50mm and 100mm). A simplified physiologic knee loading profile was applied represent both low loading and much higher physiological loading conditions, with peak load between 259N – 1.5kN). Tests were conducted in 25% bovine serum and run for 3600 and 300 cycles under the low and high loading conditions respectively. The motion was cycled at 1Hz with amplitude between −10°–13.1°. Cartilage wear was assessed qualitatively from surface roughness measurements using a surface profile using a surface profilometer (Taylor Hobson, UK). The friction and wear of cartilage articulating against the conforming tibial plates were compared to a positive control flat tibial plate model [[3][3]]. The conforming plate models were found to produce significantly lower cartilage friction and surface damage (μ=0.022–0.035, Ra=0.136–0.145μm) than the flat plate model (μ=0.078, Ra=2.70μm). No damage on the cartilage surface was observed under low loads, however, under higher, more physiological loading cartilage friction increased (μ=0.08) in the conforming plate model, with a significant surface damage. An anatomic unicompartmental knee joint model has been developed to successfully examine the effect of counterface conformity on cartilage friction and wear for pre-clinical testing of a hemi-arthroplasty device. Counterface conformity was shown to significantly reduce cartilage friction and wear. This was attributed to the increased surface area and reduced stresses experienced in comparison to an incongruent bearing articulation.

 [1]: #ref-1
 [2]: #ref-2
 [3]: #ref-3
 [4]: #ref-4
 [5]: #ref-5

Friction and wear testing of articular cartilage in the medial compartment of the knee using an anatomic simulator: part 2-the effect of tibial plate conformity

Hemiarthroplasty is an attractive alternative to total joint replacement for the young active patient, when only one side of the synovial joint is damaged. In the development of a hemiarthr...

Polyurethane as a potential knee hemiarthroplasty biomaterial: An in-vitro simulation of its tribological performance

Handle everyday research tasks with reliable, citation-backed results

Your personal Research Agent to handle research tasks with citation-backed results

Popular Tasks used by Researchers

How can I help with your research?

Meet SciSpace

Get more enhanced response by uploading the PDFs you want me to reference.

No relevant PDFs in your library

SciSpace is the AI research assistant for academics. Run systematic literature reviews on 280M+ papers, and write papers with cited sources. Trusted by 1M+ students, PhDs & researchers.

SciSpace | AI for Research

Analyze PDFs

Code & Manuscripts

Funding & Grants

Literature & Patents

Medical & Clinical Data

Systematic Review

Visualize & Present

Web & Data

Build a Google Scholar-like website for your research.

Build a website

Create charts and images for your research

Create a Chart

Write a paper for submission to a journal

Draft a manuscript

Patent Search

Design eye-catching scientific posters in minutes.

Scientific Poster Generation

Systematic Literature Review

One task is running at the moment. Your messages will be shown right after.

Drag and drop or click here to browse

Loved by <highlight>1 million+</highlight> researchers

Extract a list of specific topics and their sources from unstructured text

Topics

Compare and analyze relevant papers that matches with your search

Papers

Get insights from PDFs and bookmarked papers from your library

My library

Recent searches

Try searching for:

Catch AI-generated content in scholarly and non-scholarly content

{ai} Detector

Ai Writer

Get PDF Summaries, highlighted text explanations 

Chat with PDF

Effortlessly create in-text citations and bibliographies in APA and 2,500 other formats

Citation generator

Get explanations, summaries, and answers on academic papers

Ease up your research workflow with {scispace}'s cohort of exciting AI tools

Elevate your academic writing skills and convey your ideas the way you want

Paraphraser

Explore our range of reading and writing tools

Your file is being prepared and should be ready in a few minutes. If it's a large file, it might take a bit longer. You can close this window, and we'll email you the file when it's done.

You have reached a maximum limit of <strong>{limit}</strong> columns in the table. Remove at least <strong>1</strong> column to add or create another one.

L. McCann

Author Tools

Chat about Author