Biomechanical Properties of Repair Cartilage Tissue Are Superior following Microdrilling Compared to Microfracturing in Critical Size Cartilage Defects

Florian Pohlig, Michael Wittek, Anne von Thaden, Ulrich Lenze, Claudio Glowalla, Philipp Minzlaff, Rainer Burgkart, Peter Michael Prodinger

Publikation: Beitrag in FachzeitschriftArtikelBegutachtung

3 Zitate (Scopus)

Abstract

Background/Aim: Common surgical treatment options for large focal chondral defects (FCDs) in the knee include microfracturing (MFX) and microdrilling (DRL). Despite numerous studies addressing MFX and DRL of FDCs, no in vivo study has focused on biomechanical analysis of repair cartilage tissue in critical size FCDs with different amounts of holes and penetration depths. Materials and methods: Two round FCDs (d=6 mm) were created on the medial femoral condyle in 33 adult merino sheep. All 66 defects were randomly assigned to 1 control or 4 different study groups: 1) MFX1, 3 holes, 2 mm depth; 2) MFX2, 3 holes, 4 mm depth; 3) DRL1, 3 holes, 4 mm depth; and 4) DRL2, 6 holes, 4 mm depth. Animals were followed up for 1 year. Following euthanasia, quantitative optical analysis of defect filling was performed. Biomechanical properties were analysed with microindentation and calculation of the elastic modulus. Results: Quantitative assessment of defect filling showed significantly better results in all treatment groups compared to untreated FCDs in the control group (p<0.001), with the best results for DRL2 (84.2% filling). The elastic modulus of repair cartilage tissue in the DRL1 and DRL2 groups was comparable to the adjacent native hyaline cartilage, while significantly inferior results were identified in both MFX groups (MFX1: p=0.002; MFX2: p<0.001). Conclusion: More defect filling and better biomechanical properties of the repair cartilage tissue were identified for DRL compared to MFX, with the best results for 6 holes and 4 mm of penetration depth. These findings are in contrast to the current clinical practice with MFX as the gold standard and suggest a clinical return to DRL.

OriginalspracheEnglisch
Seiten (von - bis)565-573
Seitenumfang9
FachzeitschriftIn Vivo
Jahrgang37
Ausgabenummer2
DOIs
PublikationsstatusVeröffentlicht - März 2023
Extern publiziertJa

Fingerprint

Untersuchen Sie die Forschungsthemen von „Biomechanical Properties of Repair Cartilage Tissue Are Superior following Microdrilling Compared to Microfracturing in Critical Size Cartilage Defects“. Zusammen bilden sie einen einzigartigen Fingerprint.

Dieses zitieren