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Knee Surgery, Sports Traumatology, Arthroscopy

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01-01-2014 | Knee

Meniscectomy leads to early changes in the mineralization distribution of subchondral bone plate

Authors: Hermann Anetzberger, Alexandra Mayer, Christian Glaser, Stephan Lorenz, Christof Birkenmaier, Magdalena Müller-Gerbl

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 1/2014

Abstract

Purpose

It is generally recognized that the subchondral bone plate (SBP) is involved in development of osteoarthritis (OA). However, the pathophysiological significance is not yet clear. The goal of this study is to investigate the extent of the changes that occur in SBP of the tibial plateau in the early stages of experimental OA.

Methods

Forty-three female rabbits were assigned to 5 experimental (n = 8 each group) and one sham group (n = 3). OA was induced by medial meniscectomy in the right knee, the left knee served as control. 2, 4, 8, 12, and 24 weeks after meniscectomy, cartilage damage was evaluated, and bone mineral density (BMD) and mineralization distribution of the SBP was measured by computed tomography osteoabsorptiometry (CT-OAM).

Results

Cartilage damage started 2 weeks after meniscectomy with surface roughening. Cartilage defects increased over time. 24 weeks postoperatively, subchondral bone was exposed. As early as 2 weeks after meniscectomy, BMD in the medial tibial plateau decreased significantly. BMD increased again and reached the values of the non-operated knee 12 weeks postoperatively. In addition, already 4 weeks after meniscectomy a significant shift of the densitiy maximum on the medial tibial plateau, which is normally centrally located toward the margin was observed.

Conclusions

In conclusion, the results of this study contribute to the concept of early involvement of the SBP in the development of OA. The hypothesis that changes in the SBP occur simultaneously to cartilage damage was confirmed.

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Title: Meniscectomy leads to early changes in the mineralization distribution of subchondral bone plate
Authors: Hermann Anetzberger
Alexandra Mayer
Christian Glaser
Stephan Lorenz
Christof Birkenmaier
Magdalena Müller-Gerbl
Publication date: 01-01-2014
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 1/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2297-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Meniscectomy leads to early changes in the mineralization distribution of subchondral bone plate

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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