Dm. Elliott et al., Tensile properties of articular cartilage are altered by meniscectomy in acanine model of osteoarthritis, J ORTHOP R, 17(4), 1999, pp. 503-508
Loss of or damage to the meniscus alters the pattern of loading in the knee
joint and frequently leads to cartilage degeneration and osteoarthritis. T
he mechanical properties of articular cartilage have been shown to reflect
the extent of cartilage degeneration in human osteoarthritis and in experim
ental models of joint disease, but there is little experimental data docume
nting changes in cartilage mechanics following meniscectomy. We hypothesize
d that the tensile properties of the surface zone of articular cartilage ar
e altered following total medial meniscectomy. Twelve mongrel dogs underwen
t complete resection of the medial meniscus in the right knee, and the femo
ral cartilage was studied 12 weeks after the operation. We performed uniaxi
al, tensile stress-relaxation tests to determine the equilibrium tensile mo
dulus of surface-zone cartilage. Water and glycosaminoglycan content were a
lso measured at site-matched locations. The tensile moduli of the cartilage
decreased significantly following meniscectomy. The linear region modulus
decreased by 40%,from 25.5 +/- 7.7 to 15.3 +/- 7.2 MPa. There was a weak (r
= -0.45), but significant, correlation between the linear region modulus a
nd the gross morphological grade for cartilage damage. Water and glycosamin
oglycan content did not change following meniscectomy. Composition was not
correlated with mechanical properties or morphological grade, suggesting th
at cartilage structure may play a more important role than composition in d
etermining the mechanical properties. The observed decrease in cartilage ma
terial properties provides a quantitative measure of the loss of cartilage
function following meniscectomy and reflects a pattern of change that is co
nsistent with damage to the collagen-proteoglycan solid network.