Skip to main content
Top
Published in: Journal of Orthopaedic Surgery and Research 1/2020

Open Access 01-12-2020 | Research article

The underlying mechanism of partial anterior cruciate ligament injuries to the meniscus degeneration of knee joint in rabbit models

Authors: Dalin Wang, Zhe Wang, Mingcheng Li, Songbao Xu

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2020

Login to get access

Abstract

Background

The diagnosis, treatment, and efficacy evaluation of anterior cruciate ligament (ACL) partial rupture remains controversial. This research aims to investigate the underlying mechanism of partial ACL injuries to the meniscus degeneration in the rabbit knee.

Methods

Sixty New Zealand white rabbits were randomly divided into three groups including an experimental group, a sham group (n = 6), and a blank control group (n = 6). The experimental group is composed of an anteromedial bundle (AMB) rupture group (n = 24) and a posterolateral bundle (PLB) rupture group (n = 24). Rabbits in the experimental group were subjected to right hind limbs knee surgery to induce ACL part injury under the arthroscopy. Finally, eight rabbits including 6 in the model group and 2 in the control group were sampled randomly on the 2nd, 4th, and 8th weeks respectively. We observed the typical form of the meniscus through HE staining. Expressions of inflammatory factors including interleukin-1β (IL-1β) and IL-17 in the knee joint fluid were determined by means of an ELISA. Analysis of the mRNA expressions of matrix metalloproteinases-13(MMP-13) was performed to evaluate the inflammatory mediators in the pathogenesis of the meniscus.

Results

HE staining results showed that the surface was rough and the tissues were loose displaying collagen fibers of varying thickness. Both IL-1β and IL-17 in the synovial fluid and the positive rate of MMP-13 in addition to MMP-13 mRNA showed a demonstrable increase treads from the 2nd to the 8th week. The significant difference was found (P < 0.05) compared to the control group.

Conclusion

We conclude that the elevated levels of IL-1β and IL-17, along with increased MMP13 expression, resulted in meniscus degradation in the rabbit knee joint model with partial ACL injury.
Literature
1.
go back to reference Rayan F, Nanjayan SK, Quah C, Ramoutar D, Konan S, Haddad FS. Review of evolution of tunnel position in anterior cruciate ligament reconstruction. World J Orthop. 2015;6:252–62.PubMedPubMedCentralCrossRef Rayan F, Nanjayan SK, Quah C, Ramoutar D, Konan S, Haddad FS. Review of evolution of tunnel position in anterior cruciate ligament reconstruction. World J Orthop. 2015;6:252–62.PubMedPubMedCentralCrossRef
2.
go back to reference Zhang L, Guan TY, Qi J, Zhang SQ, Zhou X, Liu Y, Fu SJ. A model of anterior cruciate ligament injury in cynomolgus monkeys developed via arthroscopic surgery. EXP THER MED. 2018;15:2239–46.PubMedPubMedCentral Zhang L, Guan TY, Qi J, Zhang SQ, Zhou X, Liu Y, Fu SJ. A model of anterior cruciate ligament injury in cynomolgus monkeys developed via arthroscopic surgery. EXP THER MED. 2018;15:2239–46.PubMedPubMedCentral
3.
go back to reference Wylie JD, Marchand LS, Burks RT. Etiologic factors that lead to failure after primary anterior cruciate ligament surgery. Clin Sports Med. 2017;36(1):155–72.PubMedCrossRef Wylie JD, Marchand LS, Burks RT. Etiologic factors that lead to failure after primary anterior cruciate ligament surgery. Clin Sports Med. 2017;36(1):155–72.PubMedCrossRef
4.
go back to reference Bryant AL, Kelly J, Hohmann E. Neuromuscular adaptations and correlates of knee functionality following ACL reconstruction. J Orthop Res. 2008;26:126–35.PubMedCrossRef Bryant AL, Kelly J, Hohmann E. Neuromuscular adaptations and correlates of knee functionality following ACL reconstruction. J Orthop Res. 2008;26:126–35.PubMedCrossRef
5.
go back to reference Dhillon MS, Bali K, Prabhakar S. Differences among mechanoreceptors in healthy and injured anterior cruciate ligaments and their clinical importance. Muscles Ligaments Tendons J. 2012;2(1):38–43.PubMedPubMedCentral Dhillon MS, Bali K, Prabhakar S. Differences among mechanoreceptors in healthy and injured anterior cruciate ligaments and their clinical importance. Muscles Ligaments Tendons J. 2012;2(1):38–43.PubMedPubMedCentral
6.
go back to reference Di Vico G, Di Donato SL, Balato G, Correra G, D'Addona A, Maffulli N, Rosa D. Correlation between time from injury to surgery and the prevalence of ramp and hidden lesions during anterior cruciate ligament reconstruction. A new diagnostic algorithm. Muscles Ligaments Tendons J. 2018;7(3):491–7.PubMedPubMedCentralCrossRef Di Vico G, Di Donato SL, Balato G, Correra G, D'Addona A, Maffulli N, Rosa D. Correlation between time from injury to surgery and the prevalence of ramp and hidden lesions during anterior cruciate ligament reconstruction. A new diagnostic algorithm. Muscles Ligaments Tendons J. 2018;7(3):491–7.PubMedPubMedCentralCrossRef
7.
go back to reference Lohmander LS, Roos H, Dahlberg L, Hoerrner LA, Lark MW. Temporal patterns of stromelysin-1, tissue inhibitor, and proteoglycan fragments in human knee joint fluid after injury to the cruciate ligament or meniscus. J Orthop Res. 1994;12(1):21–8.PubMedCrossRef Lohmander LS, Roos H, Dahlberg L, Hoerrner LA, Lark MW. Temporal patterns of stromelysin-1, tissue inhibitor, and proteoglycan fragments in human knee joint fluid after injury to the cruciate ligament or meniscus. J Orthop Res. 1994;12(1):21–8.PubMedCrossRef
8.
go back to reference Wu X, Kondragunta V, Kornman KS, et al. IL-1 receptor antagonist gene as a predictive biomarker of progression of knee osteoarthritis in a population cohort. Osteoarthritis Cartilage. 2013;21(7):930–8.PubMedPubMedCentralCrossRef Wu X, Kondragunta V, Kornman KS, et al. IL-1 receptor antagonist gene as a predictive biomarker of progression of knee osteoarthritis in a population cohort. Osteoarthritis Cartilage. 2013;21(7):930–8.PubMedPubMedCentralCrossRef
9.
go back to reference Chaudhari AM, Briant PL, Bevill SL, Koo S, Andriacchi TP. Anterior cruciate reconstruction combined with valgus upper tibial osteotomy: 12 years follow-up. Knee. 2004;11(6):431–7.CrossRef Chaudhari AM, Briant PL, Bevill SL, Koo S, Andriacchi TP. Anterior cruciate reconstruction combined with valgus upper tibial osteotomy: 12 years follow-up. Knee. 2004;11(6):431–7.CrossRef
10.
go back to reference Xue R, Yang L, Tang Z, Zhang J, Wang Y, Tang X, Jiang J, Wu Y, Yang R, Chen P, Sung KL. The profile of MMP and TIMP in injured rat ACL. Mol Cell Biomech. 2010;7(2):115–24.PubMed Xue R, Yang L, Tang Z, Zhang J, Wang Y, Tang X, Jiang J, Wu Y, Yang R, Chen P, Sung KL. The profile of MMP and TIMP in injured rat ACL. Mol Cell Biomech. 2010;7(2):115–24.PubMed
11.
go back to reference Du G, Zhan H, Ding D, Wang S, Wei X, Wei F, Zhang J, Bilgen B, Reginato AM, Fleming BC, Deng J, Wei L. Abnormal mechanical loading induces cartilage degeneration by accelerating meniscus hypertrophy and mineralization after ACL injuries in vivo. Am J Sports Med. 2016;44(3):652–63.PubMedPubMedCentralCrossRef Du G, Zhan H, Ding D, Wang S, Wei X, Wei F, Zhang J, Bilgen B, Reginato AM, Fleming BC, Deng J, Wei L. Abnormal mechanical loading induces cartilage degeneration by accelerating meniscus hypertrophy and mineralization after ACL injuries in vivo. Am J Sports Med. 2016;44(3):652–63.PubMedPubMedCentralCrossRef
12.
go back to reference Sun L, Wu B, Tian M, Liu BC, Luo YZ. The significance of remnant preservation in anterior cruciate ligament reconstruction. Chin J Sports Med. 2012;31(7):577–89 Abstract in English. Sun L, Wu B, Tian M, Liu BC, Luo YZ. The significance of remnant preservation in anterior cruciate ligament reconstruction. Chin J Sports Med. 2012;31(7):577–89 Abstract in English.
13.
go back to reference Buchanan TS, Lloyd DG, Manal K, Besier TF. Estimation of muscle forces and joint moments using a forward-inverse dynamics model. Med Sci Sports Exerc. 2005;37:1911–6.PubMedCrossRef Buchanan TS, Lloyd DG, Manal K, Besier TF. Estimation of muscle forces and joint moments using a forward-inverse dynamics model. Med Sci Sports Exerc. 2005;37:1911–6.PubMedCrossRef
14.
go back to reference Sasahara J, Takao M, Miyamoto W, Oguro K, Matsushita T. Partial harvesting technique in anterior cruciate ligament reconstruction with autologous semitendinosus tendon to prevent a postoperative decrease in deep knee flexion torque. Knee. 2014;21(5):936–43.PubMedCrossRef Sasahara J, Takao M, Miyamoto W, Oguro K, Matsushita T. Partial harvesting technique in anterior cruciate ligament reconstruction with autologous semitendinosus tendon to prevent a postoperative decrease in deep knee flexion torque. Knee. 2014;21(5):936–43.PubMedCrossRef
15.
go back to reference Anand BS, Feller JA, Richmond AK, Webster KE. Return-to-sport outcomes after revision anterior cruciate ligament reconstruction surgery. Am J Sports Med. 2016;44(3):580–4.PubMedCrossRef Anand BS, Feller JA, Richmond AK, Webster KE. Return-to-sport outcomes after revision anterior cruciate ligament reconstruction surgery. Am J Sports Med. 2016;44(3):580–4.PubMedCrossRef
16.
go back to reference Andernord D, Desai N, Björnsson H, Ylander M, Karlsson J, Samuelsson K. Patient predictors of early revision surgery after anterior cruciate ligament reconstruction: a cohort study of 16,930 patients with 2-year follow-up. Am J Sports Med. 2015;43(1):121–7.PubMedCrossRef Andernord D, Desai N, Björnsson H, Ylander M, Karlsson J, Samuelsson K. Patient predictors of early revision surgery after anterior cruciate ligament reconstruction: a cohort study of 16,930 patients with 2-year follow-up. Am J Sports Med. 2015;43(1):121–7.PubMedCrossRef
17.
go back to reference Anderson AF, Snyder RB, Lipscomb AB. Anterior cruciate ligament reconstruction: a prospective randomized study of three surgical methods. Am J Sports Med. 2001;29(3):272–9.PubMedCrossRef Anderson AF, Snyder RB, Lipscomb AB. Anterior cruciate ligament reconstruction: a prospective randomized study of three surgical methods. Am J Sports Med. 2001;29(3):272–9.PubMedCrossRef
18.
19.
go back to reference Pezeshki S, Vogl TJ, Pezeshki MZ, Daghighi MH, Pourisa M. Association of the type of trauma, occurrence of bone bruise, fracture and joint effusion with the injury to the menisci and ligaments in MRI of knee trauma. Muscles Ligaments Tendons J. 2016;6(1):161–6.PubMedPubMedCentral Pezeshki S, Vogl TJ, Pezeshki MZ, Daghighi MH, Pourisa M. Association of the type of trauma, occurrence of bone bruise, fracture and joint effusion with the injury to the menisci and ligaments in MRI of knee trauma. Muscles Ligaments Tendons J. 2016;6(1):161–6.PubMedPubMedCentral
20.
go back to reference Doherty DB, Lowe WR. Meniscal root tears: identification and repair. Am J Orthop (Belle Mead NJ). 2016;45(3):183–7.PubMed Doherty DB, Lowe WR. Meniscal root tears: identification and repair. Am J Orthop (Belle Mead NJ). 2016;45(3):183–7.PubMed
21.
go back to reference Fukubayashi T, Torzilli PA, Sherman MF, Warren RF. An in vitro biomechanical evaluation of anterior-posterior motion of the knee: tibial displacement, rotation, and torque. J Bone Joint Surg Am. 1982;64(2):258–64.PubMedCrossRef Fukubayashi T, Torzilli PA, Sherman MF, Warren RF. An in vitro biomechanical evaluation of anterior-posterior motion of the knee: tibial displacement, rotation, and torque. J Bone Joint Surg Am. 1982;64(2):258–64.PubMedCrossRef
23.
go back to reference Andriacchi TP, Mundermann A, Smith RL, Alexander EJ, Dyrby CO, Koo S. A framework for the in vivo pathomechanics of osteoarthritis at the knee. Ann Biomed Eng. 2004;32:447–57.PubMedCrossRef Andriacchi TP, Mundermann A, Smith RL, Alexander EJ, Dyrby CO, Koo S. A framework for the in vivo pathomechanics of osteoarthritis at the knee. Ann Biomed Eng. 2004;32:447–57.PubMedCrossRef
24.
go back to reference O’Malley MP, Milewski MD, Solomito MJ, Erwteman AS, Nissen CW. The association of tibial slope and anterior cruciate ligament rupture in skeletally immature patients. Arthroscopy. 2015;31(1):77–82.PubMedCrossRef O’Malley MP, Milewski MD, Solomito MJ, Erwteman AS, Nissen CW. The association of tibial slope and anterior cruciate ligament rupture in skeletally immature patients. Arthroscopy. 2015;31(1):77–82.PubMedCrossRef
25.
go back to reference Papageorgiou CD, Gil JE, Kanamori A, Fenwick JA, Woo SL-Y, Fu FH. The biomechanical interdependence between the anterior cruciate ligament replacement graft and the medial meniscus. Am J Sports Med. 2001;29(2):226–31.PubMedCrossRef Papageorgiou CD, Gil JE, Kanamori A, Fenwick JA, Woo SL-Y, Fu FH. The biomechanical interdependence between the anterior cruciate ligament replacement graft and the medial meniscus. Am J Sports Med. 2001;29(2):226–31.PubMedCrossRef
26.
go back to reference Savarese E, Bisicchia S, Romeo R, Amendola A. Role of high tibial osteotomy in chronic injuries of posterior cruciate ligament and posterolateral corner. J Orthop Traumatol. 2011;12(1):1–17.PubMedCrossRef Savarese E, Bisicchia S, Romeo R, Amendola A. Role of high tibial osteotomy in chronic injuries of posterior cruciate ligament and posterolateral corner. J Orthop Traumatol. 2011;12(1):1–17.PubMedCrossRef
27.
go back to reference Shao Q, MacLeod TD, Manal K, Buchanan TS. Estimation of ligament loading and anterior tibial translation in healthy and ACL-deficient knees during gait and the influence of increasing tibial slope using EMG-driven approach. Ann Biomed Eng. 2011;39(1):110–21.PubMedCrossRef Shao Q, MacLeod TD, Manal K, Buchanan TS. Estimation of ligament loading and anterior tibial translation in healthy and ACL-deficient knees during gait and the influence of increasing tibial slope using EMG-driven approach. Ann Biomed Eng. 2011;39(1):110–21.PubMedCrossRef
28.
go back to reference Shoemaker SC, Markolf KL. The role of the meniscus in the anterior-posterior stability of the loaded anterior cruciate-deficient knee: effects of partial versus total excision. J Bone Joint Surg Am. 1986;68(1):71–9.PubMedCrossRef Shoemaker SC, Markolf KL. The role of the meniscus in the anterior-posterior stability of the loaded anterior cruciate-deficient knee: effects of partial versus total excision. J Bone Joint Surg Am. 1986;68(1):71–9.PubMedCrossRef
29.
go back to reference Stephen JM, Halewood C, Kittl C, Bollen SR, Williams A, Amis AA. Posteromedial meniscocapsular lesions increase tibiofemoral joint laxity with anterior cruciate ligament deficiency, and their repair reduces laxity. Am J Sports Med. 2016;44(2):400–8.PubMedCrossRef Stephen JM, Halewood C, Kittl C, Bollen SR, Williams A, Amis AA. Posteromedial meniscocapsular lesions increase tibiofemoral joint laxity with anterior cruciate ligament deficiency, and their repair reduces laxity. Am J Sports Med. 2016;44(2):400–8.PubMedCrossRef
30.
go back to reference Tavlo M, Eljaja S, Jensen JT, Siersma VD, Krogsgaard MR. The role of the anterolateral ligament in ACL insufficient and reconstructed knees on rotatory stability: a biomechanical study on human cadavers. Scand J Med Sci Sports. 2016;26(8):960–6.PubMedCrossRef Tavlo M, Eljaja S, Jensen JT, Siersma VD, Krogsgaard MR. The role of the anterolateral ligament in ACL insufficient and reconstructed knees on rotatory stability: a biomechanical study on human cadavers. Scand J Med Sci Sports. 2016;26(8):960–6.PubMedCrossRef
31.
go back to reference Thein R, Boorman-Padgett J, Stone K, Wickiewicz TL, Imhauser CW, Pearle AD. Biomechanical assessment of the anterolateral ligament of the knee: a secondary restraint in simulated tests of the pivot shift and of anterior stability. J Bone Joint Surg Am. 2016;98(11):937–43.PubMedCrossRef Thein R, Boorman-Padgett J, Stone K, Wickiewicz TL, Imhauser CW, Pearle AD. Biomechanical assessment of the anterolateral ligament of the knee: a secondary restraint in simulated tests of the pivot shift and of anterior stability. J Bone Joint Surg Am. 2016;98(11):937–43.PubMedCrossRef
32.
go back to reference Todd MS, Lalliss S, Garcia E, DeBerardino TM, Cameron KL. The relationship between posterior tibial slope and anterior cruciate ligament injuries. Am J Sports Med. 2010;38(1):63–7.PubMedCrossRef Todd MS, Lalliss S, Garcia E, DeBerardino TM, Cameron KL. The relationship between posterior tibial slope and anterior cruciate ligament injuries. Am J Sports Med. 2010;38(1):63–7.PubMedCrossRef
33.
go back to reference Bertrand SC, Lavoie F, Ogassawara R, Scussiato RG, Kidder JF, Chambat P. Selective anteromedial bundle reconstruction in partial ACL tears: a series of 36 patients with mean 24 months follow-up. Knee Surg Sports Traumatol Arthrosc. 2010;18:47–51.CrossRef Bertrand SC, Lavoie F, Ogassawara R, Scussiato RG, Kidder JF, Chambat P. Selective anteromedial bundle reconstruction in partial ACL tears: a series of 36 patients with mean 24 months follow-up. Knee Surg Sports Traumatol Arthrosc. 2010;18:47–51.CrossRef
34.
go back to reference Wassilew GI, Lehnigk U, Duda GN, et al. The expression of proinflammatory cytokines and matrix metalloproteinases in the synovial membranes of patients with osteoarthritis compared with traumatic knee disorders. Arthroscopy. 2010;26(8):1096–104.PubMedCrossRef Wassilew GI, Lehnigk U, Duda GN, et al. The expression of proinflammatory cytokines and matrix metalloproteinases in the synovial membranes of patients with osteoarthritis compared with traumatic knee disorders. Arthroscopy. 2010;26(8):1096–104.PubMedCrossRef
35.
go back to reference Roberto B, Alberto F, Francesca V, Lisa Z, Francesco DC. Augmentation technique with semitendinosus and gracilistendons in chronic partial lesions of the ACL:clinical and arthrometric analysis. Knee Surg Sports Traumatol Arthrosc. 2006;14:1101–7.CrossRef Roberto B, Alberto F, Francesca V, Lisa Z, Francesco DC. Augmentation technique with semitendinosus and gracilistendons in chronic partial lesions of the ACL:clinical and arthrometric analysis. Knee Surg Sports Traumatol Arthrosc. 2006;14:1101–7.CrossRef
36.
go back to reference Anderson MJ, Diko S, Baehr LM, Baar K, Bodine SC, Christiansen BA. Contribution of mechanical unloading to trabecular bone loss following non-invasive knee injury in mice. J Orthop Res. 2016;34:1680–7.PubMedPubMedCentralCrossRef Anderson MJ, Diko S, Baehr LM, Baar K, Bodine SC, Christiansen BA. Contribution of mechanical unloading to trabecular bone loss following non-invasive knee injury in mice. J Orthop Res. 2016;34:1680–7.PubMedPubMedCentralCrossRef
Metadata
Title
The underlying mechanism of partial anterior cruciate ligament injuries to the meniscus degeneration of knee joint in rabbit models
Authors
Dalin Wang
Zhe Wang
Mingcheng Li
Songbao Xu
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2020
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-020-01954-6

Other articles of this Issue 1/2020

Journal of Orthopaedic Surgery and Research 1/2020 Go to the issue