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Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_3 | Pages 44 - 44
1 Apr 2018
Warnecke D Balko J Schild NB Wang P Bieger R Ignatius A Mizaikoff B Reichel H Dürselen L
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Introduction

With processing age, meniscus degeneration occurs which is often associated with osteoarthritis. Existing data about the influence of degeneration on the biomechanical properties of the meniscus are still contradictory, or completely unknown regarding the hydraulic permeability. Thus, the aim of this study was to characterise the biomechanical properties and structural composition of the meniscal tissue depending on its degree of degeneration.

Methods

Menisci of 24 TKR-patients (≈67.1 yrs.) were harvested and the degeneration of each region (pars anterior PA, pars intermedia PI, pars posterior PP) classified according to Pauli et al. For biomechanical characterisation, confined compression tests (20% strain; velocity: 3%h0/min, relaxation time: 1h) to determine equilibrium modulus (HA) and hydraulic permeability (k) and tensile tests (velocity: 5%l0/min) to determine the tensile modulus were performed. Therefore, cylindrical (Ø= 4.6mm, initial height h0≈ 2.3mm) and dumbbell-shaped (3.5mm × 1.4mm × 3.5mm) samples were punched out of each region and flattened to achieve parallel surfaces. Additionally, collagen and proteoglycan (PG) content were analysed by calculating the area-under-curve of their specific wavelength ranges (1293–1356cm−1 and 980–1120cm−1, respectively) using infrared (IR) spectroscopy. To identify differences regarding the meniscus regions or its degeneration, a statistically mixed model was used.