Lampros Kourtis

Articular cartilage friction increases in hip joints after the removal of acetabular labrum

The acetabular labrum is believed to have a sealing function. However, a torn labrum may not effectively prevent joint fluid from escaping a compressed joint, resulting in impaired lubrication. We aimed to understand the role of the acetabular labrum in maintaining a low friction environment in the hip joint. We did this by measuring the resistance to rotation (RTR) of the hip, which reflects the friction of the articular cartilage surface, following focal and complete labrectomy. Five cadaveric hips without evidence of osteoarthritis and impingement were tested. We measured resistance to rotation of the hip joint during 0.5, 1, 2, and 3 times body weight (BW) cyclic loading in the intact hip, and after focal and complete labrectomy. Resistance to rotation, which reflects articular cartilage friction in an intact hip was significantly increased following focal labrectomy at 1-3 BW loading, and following complete labrectomy at all load levels. The acetabular labrum appears to maintain a low friction environment, possibly by sealing the joint from fluid exudation. Even focal labrectomy may result in increased joint friction, a condition that may be detrimental to articular cartilage and lead to osteoarthritis.

Feasibility of Using Real-Time MRI to Measure Joint Kinematics in 1.5T and Open-Bore 0.5T Systems

To test the feasibility and accuracy of measuring joint motion with real‐time MRI in a 1.5T scanner and in a 0.5T open‐bore scanner and to assess the dependence of measurement accuracy on movement speed.

Biocompatibility of poly(ethylene glycol)/poly(acrylic acid) interpenetrating polymer network hydrogel particles in RAW 264.7 macrophage and MG-63 osteoblast cell lines.

Hydrogel polymers comprise a novel category of synthetic materials being investigated for use in cartilage replacement. One candidate compound, a poly(ethylene glycol)/poly(acrylic acid) (PEG/PAA) interpenetrating polymer network (IPN), was developed for use in corneal prostheses and was recently engineered for potential orthopedic use. The current study examined the effects of particles of this compound on two cell lines (MG-63 osteoblast-like cells and RAW 264.7 macrophages) over a 48-h time course. To mimic the effects of wear debris, particles of the compound were generated and introduced to the cells. In the MG-63 cell line, the particles had no significant effect on cell viability measured by PicoGreen assay and trypan blue exclusion. In contrast, a significant decrease in cell viability was detected in the Raw 264.7 macrophage cells at the final timepoint with the highest concentration of hydrogel (3.0% v:v). A concentration- and time-dependent increase in TNF-alpha release characteristic of other known biocompatible materials was also detected in RAW 264.7 cells, but nitric oxide and interleukin (IL)-1beta showed no response. In addition, the MG-63 cell line demonstrated no IL-6 response. Particles of the PEG/PAA IPN thus seem to stimulate biological responses similar to those in other biocompatible materials.

New resource for the computation of cartilage biphasic material properties with the interpolant response surface method

Cartilage material properties are important for understanding joint function and diseases, but can be challenging to obtain. Three biphasic material properties (aggregate modulus, Poissons ratio and permeability) can be determined using an analytical or finite element model combined with optimisation to find the material properties values that best reproduce an experimental creep curve. The purpose of this study was to develop an easy-to-use resource to determine biphasic cartilage material properties. A Cartilage Interpolant Response Surface was generated from interpolation of finite element simulations of creep indentation tests. Creep indentation tests were performed on five sites across a tibial plateau. A least-squares residual search of the Cartilage Interpolant Response Surface resulted in a best-fit curve for each experimental condition with corresponding material properties. These sites provided a representative range of aggregate moduli (0.48–1.58 MPa), Poissons ratio (0.00–0.05) and permeability (1.7 × 10− 15–5.4 × 10− 15 m4/N s) values found in human cartilage. The resource is freely available from https://simtk.org/home/va-squish.

A new software tool (VA-BATTS) to calculate bending, axial, torsional and transverse shear stresses within bone cross sections having inhomogeneous material properties

Introduction: This study introduces, validates and demonstrates a new automated software tool (VA-BATTS) to calculate bone stresses within a bone cross section subjected to bending, axial, torsional and transverse shear far-field loading conditions, using quantitative computed tomography (QCT) data. Methods: A QCT image is imported and processed to generate a 2D finite element (FE) mesh of the bone with inhomogeneous (CT-based) transversely isotropic material properties. Bending and axial stresses are determined using inhomogeneous beam theory; torsional and transverse shear stresses are calculated using a new 2D FE formulation. Results: Validation studies show excellent agreement between results obtained using VA-BATTS and results obtained using analytical 2D models and inhomogeneous 3D FE models. Discussion: Out-of-plane bone stresses can be accurately calculated using a 2D analysis. Material inhomogeneity can have a marked effect on predicted stresses. In three-point bending experiments, transverse shear may present important contributions to the failure potential. The software is available at https://simtk.org/home/va-batts.

Improving the Estimate of the Effective Elastic Modulus Derived from Three-Point Bending Tests of Long Bones

Three-point bending tests are often used to determine the apparent or effective elastic modulus of long bones. The use of beam theory equations to interpret such tests can result in a substantial underestimation of the true effective modulus. In this study three-dimensional, nonlinear finite element analysis is used to quantify the errors inherent in beam theory and to create plots that can be used to correct the elastic modulus calculated from beam theory. Correction plots are generated for long bones representative of a variety of species commonly used in research studies. For a long bone with dimensions comparable to the mouse femur, the majority of the error in the effective elastic modulus results from deformations to the bone cross section that are not accounted for in the equations from beam theory. In some cases, the effective modulus calculated from beam theory can be less than one-third of the true effective modulus. Errors are larger: (1) for bones having short spans relative to bone length; (2) for bones with thin vs. thick cortices relative to periosteal diameter; and (3) when using a small radius or “knife-edge” geometry for the center loading ram and the outer supports in the three-point testing system. The use of these correction plots will enable researchers to compare results for long bones from different animal strains and to compare results obtained using testing systems that differ with regard to length between the outer supports and the radius used for the loading ram and outer supports.