Cr. Lee et al., Effects of harvest and selected cartilage repair procedures on the physical and biochemical properties of articular cartilage in the canine knee, J ORTHOP R, 18(5), 2000, pp. 790-799
This study utilizes a canine model to quantify changes in articular cartila
ge 15-18 weeks after a knee joint is subjected to surgical treatment of iso
lated chondral defects. Clinical and experimental treatment of articular ca
rtilage defects may include implantation of matrix materials or cells, or b
oth. Three cartilage repair methods were evaluated: microfracture, microfra
cture and implantation of a type-II collagen matrix, and implantation of an
autologous chondrocyte-seeded collagen matrix. The properties of articular
cartilage in other knee joints subjected to harvest of articular cartilage
from the trochlear ridge (to obtain cells for the cell-seeded procedure) w
ere also evaluated. Physical properties (thickness, equilibrium compressive
modulus, dynamic compressive stiffness, and streaming potential) and bioch
emical composition (hydration, glycosaminoglycan content, and DNA content)
of the cartilage from sites distant to the surgical treatment were compared
with values measured for site-matched controls in untreated knee joints. N
o significant differences were seen in joints subjected to any of the three
cartilage repair procedures. However, a number of changes were induced by
the harvest operation. The largest changes (displaying up to 3-fold increas
es) were seen in dynamic stiffness and streaming potential of patellar groo
ve cartilage from joints subjected to the harvest procedure. Whether the ch
anges reported will lead to osteoarthritic degeneration is unknown, but thi
s study provides evidence that the harvest procedure associated with autolo
gous cell transplantation for treatment of chondral defects may result in c
hanges in the articular cartilage in the joint.