A novel in vivo joint loading system to investigate the effect of daily mechanical load on a healing anterior cruciate ligament reconstruction

Mark Stasiak, Carl Imhauser, Jonathan Packer, Asheesh Bedi, Robert Brophy, David Kovacevic, Kent Jackson, Xiang Hua Deng, Scott Rodeo, Peter Torzilli

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8 Citas (Scopus)

Resumen

We designed and validated a novel knee joint fixation/distraction system to study tendon-to-bone healing in an in vivo rat model of anterior cruciate ligament (ACL) reconstruction. The system uses an external fixator to apply a cyclic distraction of the knee joint while monitoring the resultant force developed across the joint, thus providing a temporal indication of structural changes during the healing process of the bone-tendon-bone reconstruction. The validation was performed using an optical kinematic tracking system to determine the local displacement of the knee. The average system compliance was determined to be 42.4±8.8 μm/N with a coefficient of variation of 20.7%. The compliance was used to obtain a best fit correction factor which brought the total root mean square error of knee joint distraction to within 179 μm (16.1%) of the applied distraction. We performed a pilot study using 15 rats that had ACL reconstructions using a flexor digitorum longus tendon autograft and found that the animals tolerated the indwelling fixator and daily anesthesia over a 10 day loading protocol. Our knee joint fixation/distraction system provides a valuable tool to study how mechanical stimuli affect in vivo bone-tendon-bone healing.

Idioma originalEnglish
PublicaciónJournal of Medical Devices, Transactions of the ASME
Volumen4
N.º1
DOI
EstadoPublished - mar. 2010

ASJC Scopus Subject Areas

  • Medicine (miscellaneous)
  • Biomedical Engineering

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Stasiak, M., Imhauser, C., Packer, J., Bedi, A., Brophy, R., Kovacevic, D., Jackson, K., Deng, X. H., Rodeo, S., & Torzilli, P. (2010). A novel in vivo joint loading system to investigate the effect of daily mechanical load on a healing anterior cruciate ligament reconstruction. Journal of Medical Devices, Transactions of the ASME, 4(1). https://doi.org/10.1115/1.4001158