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Bone marrow stimulation of the medial femoral condyle produces inferior cartilage and bone repair compared to the trochlea in a rabbit surgical model

ABSTRACT The influence of the location of cartilage lesions on cartilage repair outcome is incompletely understood. This study compared cartilage and bone repair in medial femoral condylar (MFC) versus femoral trochlear (TR) defects 3 months after bone marrow stimulation in mature rabbits. Intact fe...

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Published in:Journal of orthopaedic research 2013-11, Vol.31 (11), p.1757-1764
Main Authors: Chen, Hongmei, Chevrier, Anik, Hoemann, Caroline D., Sun, Jun, Picard, Genevieve, Buschmann, Michael D.
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cited_by cdi_FETCH-LOGICAL-c3982-fa51baec9bafb13288474a427c968611bfde69b59ed1b7f633e64419c10699773
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container_issue 11
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container_title Journal of orthopaedic research
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creator Chen, Hongmei
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description ABSTRACT The influence of the location of cartilage lesions on cartilage repair outcome is incompletely understood. This study compared cartilage and bone repair in medial femoral condylar (MFC) versus femoral trochlear (TR) defects 3 months after bone marrow stimulation in mature rabbits. Intact femurs from adult rabbits served as controls. Results from quantitative histomorphometry and histological scoring showed that bone marrow stimulation produced inferior soft tissue repair in MFC versus TR defects, as indicated by significantly lower % Fill (p = 0.03), a significant increase in collagen type I immunostaining (p 
doi_str_mv 10.1002/jor.22422
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This study compared cartilage and bone repair in medial femoral condylar (MFC) versus femoral trochlear (TR) defects 3 months after bone marrow stimulation in mature rabbits. Intact femurs from adult rabbits served as controls. Results from quantitative histomorphometry and histological scoring showed that bone marrow stimulation produced inferior soft tissue repair in MFC versus TR defects, as indicated by significantly lower % Fill (p = 0.03), a significant increase in collagen type I immunostaining (p &lt; 0.00001) and lower O'Driscoll scores (p &lt; 0.05). 3D micro‐CT analysis showed that repaired TR defects regained normal un‐operated values of bone volume fraction, trabecular thickness, and trabecular number, whereas in MFC defects the repaired bone architecture appeared immature and less dense compared to intact un‐operated MFC controls (p &lt; 0.0001). Severe medial meniscal damage was found in 28% of operated animals and was strongly correlated with (i) low cartilage defect fill, (ii) incomplete bone repair in MFC, and (iii) with a more posterior defect placement in the weight‐bearing region. We conclude that the location of cartilage lesions influences cartilage repair, with better outcome in TR versus MFC defects in rabbits. Meniscal degeneration is associated with cartilage damage. © 2013 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 31:1757–1764, 2013</description><identifier>ISSN: 0736-0266</identifier><identifier>EISSN: 1554-527X</identifier><identifier>DOI: 10.1002/jor.22422</identifier><identifier>PMID: 23843172</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Animals ; Bone Marrow - physiology ; bone marrow stimulation ; cartilage repair ; Cartilage, Articular - physiopathology ; Cartilage, Articular - surgery ; Female ; Femur - pathology ; Femur - physiopathology ; Femur - surgery ; medial femoral condyle ; Menisci, Tibial - pathology ; meniscus degeneration ; Models, Anatomic ; Models, Animal ; Rabbits ; trochlea ; Wound Healing ; X-Ray Microtomography</subject><ispartof>Journal of orthopaedic research, 2013-11, Vol.31 (11), p.1757-1764</ispartof><rights>2013 Orthopaedic Research Society. 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Orthop. Res</addtitle><description>ABSTRACT The influence of the location of cartilage lesions on cartilage repair outcome is incompletely understood. This study compared cartilage and bone repair in medial femoral condylar (MFC) versus femoral trochlear (TR) defects 3 months after bone marrow stimulation in mature rabbits. Intact femurs from adult rabbits served as controls. Results from quantitative histomorphometry and histological scoring showed that bone marrow stimulation produced inferior soft tissue repair in MFC versus TR defects, as indicated by significantly lower % Fill (p = 0.03), a significant increase in collagen type I immunostaining (p &lt; 0.00001) and lower O'Driscoll scores (p &lt; 0.05). 3D micro‐CT analysis showed that repaired TR defects regained normal un‐operated values of bone volume fraction, trabecular thickness, and trabecular number, whereas in MFC defects the repaired bone architecture appeared immature and less dense compared to intact un‐operated MFC controls (p &lt; 0.0001). Severe medial meniscal damage was found in 28% of operated animals and was strongly correlated with (i) low cartilage defect fill, (ii) incomplete bone repair in MFC, and (iii) with a more posterior defect placement in the weight‐bearing region. We conclude that the location of cartilage lesions influences cartilage repair, with better outcome in TR versus MFC defects in rabbits. Meniscal degeneration is associated with cartilage damage. © 2013 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. 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Results from quantitative histomorphometry and histological scoring showed that bone marrow stimulation produced inferior soft tissue repair in MFC versus TR defects, as indicated by significantly lower % Fill (p = 0.03), a significant increase in collagen type I immunostaining (p &lt; 0.00001) and lower O'Driscoll scores (p &lt; 0.05). 3D micro‐CT analysis showed that repaired TR defects regained normal un‐operated values of bone volume fraction, trabecular thickness, and trabecular number, whereas in MFC defects the repaired bone architecture appeared immature and less dense compared to intact un‐operated MFC controls (p &lt; 0.0001). Severe medial meniscal damage was found in 28% of operated animals and was strongly correlated with (i) low cartilage defect fill, (ii) incomplete bone repair in MFC, and (iii) with a more posterior defect placement in the weight‐bearing region. We conclude that the location of cartilage lesions influences cartilage repair, with better outcome in TR versus MFC defects in rabbits. Meniscal degeneration is associated with cartilage damage. © 2013 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 31:1757–1764, 2013</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23843172</pmid><doi>10.1002/jor.22422</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Bone Marrow - physiology
bone marrow stimulation
cartilage repair
Cartilage, Articular - physiopathology
Cartilage, Articular - surgery
Female
Femur - pathology
Femur - physiopathology
Femur - surgery
medial femoral condyle
Menisci, Tibial - pathology
meniscus degeneration
Models, Anatomic
Models, Animal
Rabbits
trochlea
Wound Healing
X-Ray Microtomography
title Bone marrow stimulation of the medial femoral condyle produces inferior cartilage and bone repair compared to the trochlea in a rabbit surgical model
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