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A comparison of joint stability between anterior cruciate intact and deficient knees: a new canine model of anterior cruciate ligament disruption

机译:比较完整的前交叉韧带和膝关节缺损的关节稳定性:前交叉韧带断裂的新犬模型

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摘要

Transection of the canine anterior cruciate ligament (ACL) is a well-established osteoarthritis (OA) model. This study evaluated a new method of canine ACL disruption as well as canine knee joint laxity and joint capsule (JC) contribution to joint stability at two time points (16 and 26 weeks) after ACL disruption ( n = 5/time interval). Ten crossbreed hounds were evaluated with force plate gait analysis and radiographs at intervals up to 34 weeks after monopolar radiofrequency energy (MRFE) treatment of one randomly selected ACL. Each contralateral ACL was sham treated. The MRFE treated ACLs ruptured approximately eight weeks (mean 52.5 days, SEM ±1.0, range 48–56 days) after treatment. Gait analysis and radiographic changes were consistent with established canine ACL transection models of OA. Anterior-posterior (AP) translation and medial-lateral (ML) rotation were measured in each knee at 30°, 60°, and 90° of flexion with and then without JC with loads of 40 N in AP translation and 4 N m in ML rotation. A statistically significant interaction in AP translation included JC by cruciate (P = 0.02), and there was a trend for a cruciate by time (P =0.07) interaction. Significant interactions in ML rotational testing included the presence of joint capsule ( P =0.0001) and angle by cruciate ( P = 0.0012). This study describes a model in which canine ACLs predictably rupture approximately eight weeks after arthroscopic surgery and details the contribution of JC to canine knee stability in both ACL intact and deficient knees. The model presented here avoids the introduction of potential surgical variables at the time of ACL rupture and may contribute to studies of OA pathogenesis and inhibition. This model may also be useful for insight into the pathologic changes that occur in the knee as the ACL undergoes degeneration prior to rupture.
机译:犬前交叉韧带(ACL)的横断是公认的骨关节炎(OA)模型。这项研究评估了犬ACL破坏的一种新方法,以及犬ACL破坏后两个时间点(16周和26周)(n = 5 /时间间隔)对犬膝关节松弛和关节囊(JC)对关节稳定性的影响。在单极射频能量(MRFE)处理了一个随机选择的ACL之后的长达34周的时间间隔内,用力板步态分析和X射线照片评估了十只杂交猎犬。每个对侧ACL均接受假手术治疗。 MRFE治疗的ACL在治疗后大约八周(平均52.5天,SEM±1.0,范围48-56天)破裂。步态分析和影像学改变与OA建立的犬ACL横切模型一致。在每个膝关节屈曲30°,60°和90°的情况下,分别在JC和不使用JC的情况下,分别在AP的平移载荷为40 N而在JC的情况下,测量膝关节的前后位移(内侧)(ML)旋转ML旋转。在AP翻译中,具有统计学意义的交互作用包括按十字键排列的JC(P = 0.02),并且有按时间交叉排列的趋势(P = 0.07)。 ML旋转测试中的重要相互作用包括关节囊的存在(P = 0.00011)和十字交叉角(P = 0.0012)。这项研究描述了一种模型,其中关节镜手术后约八周犬ACL可预测地破裂,并详细说明了JC对完整和ACL膝关节中犬膝稳定性的影响。这里介绍的模型避免了在ACL破裂时引入潜在的手术变量,并且可能有助于研究OA的发病机理和抑制作用。该模型对于了解ACL在破裂前发生变性时在膝盖中发生的病理变化也可能有用。

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