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Gautieri A, Uzel S, Vesentini S, Redaelli A, Buehler MJ. Molecular and mesoscale mechanisms of osteogenesis imperfecta disease in collagen fibrils. Biophys J 2009; 97:857-65. [PMID: 19651044 DOI: 10.1016/j.bpj.2009.04.059] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2009] [Revised: 04/17/2009] [Accepted: 04/28/2009] [Indexed: 10/20/2022] Open
Abstract
Osteogenesis imperfecta (OI) is a genetic disorder in collagen characterized by mechanically weakened tendon, fragile bones, skeletal deformities, and in severe cases, prenatal death. Although many studies have attempted to associate specific mutation types with phenotypic severity, the molecular and mesoscale mechanisms by which a single point mutation influences the mechanical behavior of tissues at multiple length scales remain unknown. We show by a hierarchy of full atomistic and mesoscale simulation that OI mutations severely compromise the mechanical properties of collagenous tissues at multiple scales, from single molecules to collagen fibrils. Mutations that lead to the most severe OI phenotype correlate with the strongest effects, leading to weakened intermolecular adhesion, increased intermolecular spacing, reduced stiffness, as well as a reduced failure strength of collagen fibrils. We find that these molecular-level changes lead to an alteration of the stress distribution in mutated collagen fibrils, causing the formation of stress concentrations that induce material failure via intermolecular slip. We believe that our findings provide insight into the microscopic mechanisms of this disease and lead to explanations of characteristic OI tissue features such as reduced mechanical strength and a lower cross-link density. Our study explains how single point mutations can control the breakdown of tissue at much larger length scales, a question of great relevance for a broad class of genetic diseases.
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Affiliation(s)
- Alfonso Gautieri
- Laboratory for Atomistic and Molecular Mechanics, Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA
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52
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Dubey DK, Tomar V. Role of the nanoscale interfacial arrangement in mechanical strength of tropocollagen-hydroxyapatite-based hard biomaterials. Acta Biomater 2009; 5:2704-16. [PMID: 19345162 DOI: 10.1016/j.actbio.2009.02.035] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2008] [Revised: 01/20/2009] [Accepted: 02/27/2009] [Indexed: 11/29/2022]
Abstract
Nanoscale interfacial interactions between a polypeptide (e.g. tropocollagen (TC)) phase and a mineral (e.g. hydroxyapatite (HAP), aragonite) phase is a strong determinant of the strength of hard biological materials such as bone, dentin and nacre. This work presents a mechanistic understanding of such interfacial interactions by examining idealized TC and HAP interfacial systems. For this purpose, three-dimensional molecular dynamics analyses of tensile and compressive failure in two structurally distinct TC-HAP supercells with TC molecules arranged either along or perpendicular to a chosen HAP surface are performed. Analyses point out that the peak interfacial strength for failure results when the load is applied in the direction of TC molecules aligned along the HAP surface such that the contact area between the TC and HAP phases is at a maximum. Such an alignment also leads to the localization of peak stress over a larger length scale resulting in higher fracture strength. The addition of water is found to invariably cause an increase in the mechanical strength. Overall, analyses point out that the relative alignment of TC molecules with respect to the HAP mineral surface such that the contact area is maximal, the optimal direction of applied loading with respect to the TC-HAP orientation and the increase in strength in a hydrated environment can be important factors that contribute to making nanoscale staggered arrangement a preferred structural configuration in biomaterials.
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Affiliation(s)
- Devendra K Dubey
- Aerospace and Mechanical Engineering, University of Notre Dame, IN 46556, USA
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53
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Gautieri A, Vesentini S, Redaelli A, Buehler MJ. Single molecule effects of osteogenesis imperfecta mutations in tropocollagen protein domains. Protein Sci 2009; 18:161-8. [PMID: 19177360 DOI: 10.1002/pro.21] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Osteogenesis imperfecta (OI) is a genetic disease characterized by fragile bones, skeletal deformities and, in severe cases, prenatal death that affects more than 1 in 10,000 individuals. Here we show by full atomistic simulation in explicit solvent that OI mutations have a significant influence on the mechanical properties of single tropocollagen molecules, and that the severity of different forms of OI is directly correlated with the reduction of the mechanical stiffness of individual tropocollagen molecules. The reduction of molecular stiffness provides insight into the molecular-scale mechanisms of the disease. The analysis of the molecular mechanisms reveals that physical parameters of side-chain volume and hydropathy index of the mutated residue control the loss of mechanical stiffness of individual tropocollagen molecules. We propose a model that enables us to predict the loss of stiffness based on these physical characteristics of mutations. This finding provides an atomistic-level mechanistic understanding of the role of OI mutations in defining the properties of the basic protein constituents, which could eventually lead to new strategies for diagnosis and treatment the disease. The focus on material properties and their role in genetic diseases is an important, yet so far only little explored, aspect in studying the mechanisms that lead to pathological conditions. The consideration of how material properties change in diseases could lead to a new paradigm that may expand beyond the focus on biochemical readings alone and include a characterization of material properties in diagnosis and treatment, an effort referred to as materiomics.
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Affiliation(s)
- Alfonso Gautieri
- Laboratory for Atomistic and Molecular Mechanics, Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts 02139, USA
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54
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Teng Z, Ochoa I, Li Z, Liao Z, Lin Y, Doblare M. Study on Tracheal Collapsibility, Compliance, and Stress by Considering Nonlinear Mechanical Property of Cartilage. Ann Biomed Eng 2009; 37:2380-9. [DOI: 10.1007/s10439-009-9765-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2008] [Accepted: 07/22/2009] [Indexed: 11/30/2022]
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Buehler MJ, Yung YC. Deformation and failure of protein materials in physiologically extreme conditions and disease. NATURE MATERIALS 2009; 8:175-88. [PMID: 19229265 DOI: 10.1038/nmat2387] [Citation(s) in RCA: 199] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Biological protein materials feature hierarchical structures that make up a diverse range of physiological materials. The analysis of protein materials is an emerging field that uses the relationships between biological structures, processes and properties to probe deformation and failure phenomena at the molecular and microscopic level. Here we discuss how advanced experimental, computational and theoretical methods can be used to assess structure-process-property relations and to monitor and predict mechanisms associated with failure of protein materials. Case studies are presented to examine failure phenomena in the progression of disease. From this materials science perspective, a de novo basis for understanding biological processes can be used to develop new approaches for treating medical disorders. We highlight opportunities to use knowledge gained from the integration of multiple scales with physical, biological and chemical concepts for potential applications in materials design and nanotechnology.
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Affiliation(s)
- Markus J Buehler
- Laboratory for Atomistic and Molecular Mechanics, Department of Civil and Environmental Engineering, 77 Massachusetts Avenue, Cambridge, Massachusetts 02139, USA.
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56
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Gevorkian SG, Allahverdyan AE, Gevorgyan DS, Simonian AL. Thermal (in)stability of type I collagen fibrils. PHYSICAL REVIEW LETTERS 2009; 102:048101. [PMID: 19257477 DOI: 10.1103/physrevlett.102.048101] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2008] [Indexed: 05/27/2023]
Abstract
We measured the Young's modulus at temperatures ranging from 20 to 100 degrees C for a collagen fibril that is taken from a rat's tendon. The hydration change under heating and the damping decrement were measured as well. At physiological temperatures 25 to 45 degrees C, the Young's modulus decreases, which can be interpreted as an instability of the collagen. For temperatures between 45 and 80 degrees C, the Young's modulus first stabilizes and then increases when the temperature is increased. The hydrated water content and the damping decrement have strong maximums in the interval 70 to 80 degrees C indicating complex intermolecular structural changes in the fibril. All these effects disappear after heat-denaturation of the sample at 120 degrees C. Our main achievement is a five-stage mechanism by which the instability of a single collagen at physiological temperatures is compensated by the interaction between collagen molecules.
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57
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Buehler MJ, Ackbarow T. Nanomechanical strength mechanisms of hierarchical biological materials and tissues. Comput Methods Biomech Biomed Engin 2009; 11:595-607. [PMID: 18803059 DOI: 10.1080/10255840802078030] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Biological protein materials (BPMs), intriguing hierarchical structures formed by assembly of chemical building blocks, are crucial for critical functions of life. The structural details of BPMs are fascinating: They represent a combination of universally found motifs such as alpha-helices or beta-sheets with highly adapted protein structures such as cytoskeletal networks or spider silk nanocomposites. BPMs combine properties like strength and robustness, self-healing ability, adaptability, changeability, evolvability and others into multi-functional materials at a level unmatched in synthetic materials. The ability to achieve these properties depends critically on the particular traits of these materials, first and foremost their hierarchical architecture and seamless integration of material and structure, from nano to macro. Here, we provide a brief review of this field and outline new research directions, along with a review of recent research results in the development of structure-property relationships of biological protein materials exemplified in a study of vimentin intermediate filaments.
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Affiliation(s)
- Markus J Buehler
- Laboratory for Atomistic and Molecular Mechanics, Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, 77 Massachusetts Ave. Rm. 1-235 A & B, Cambridge, MA, USA.
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58
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Layton BE, D'Souza AJ, Dampier W, Zeiger A, Sabur A, Jean-Charles J. Collagen's triglycine repeat number and phylogeny suggest an interdomain transfer event from a Devonian or Silurian organism into Trichodesmium erythraeum. J Mol Evol 2008; 66:539-54. [PMID: 18521530 PMCID: PMC2443231 DOI: 10.1007/s00239-008-9111-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2008] [Accepted: 04/10/2008] [Indexed: 11/29/2022]
Abstract
Two competing effects at two vastly different scales may explain collagen’s current translation length. The necessity to have long molecules for maintaining mechanical integrity at the organism and supraorganism scales may be limited by the need to have small molecules capable of robust self-assembly at the nanoscale. The triglycine repeat regions of all 556 currently cataloged organisms with collagen-like genes were ranked by length. This revealed a sharp boundary in the GXY transcript number at 1032 amino acids (344 GXY repeats). An anomalous exception, however, is the intron-free Trichodesmium erythraeum collagen gene. Immunogold atomic force microscopy reveals, for the first time, the presence of a collagen-like protein in T. erythraeum. A phylogenetic protein sequence analysis which includes vertebrates, nonvertebrates, shrimp white spot syndrome virus, Streptococcus equi, and Bacillus cereus predicts that the collagen-like sequence may have emerged shortly after the divergence of fibrillar and nonfibrillar collagens. The presence of this anomalously long collagen gene within a prokaryote may represent an interdomain transfer from eukaryotes into prokaryotes that gives T. erythraeum the ability to form blooms that cover hundreds of square kilometers of ocean. We propose that the collagen gene entered the prokaryote intron-free only after it had been molded by years of mechanical selective pressure in larger organisms and only after large, dense food sources such as marine vertebrates became available. This anomalously long collagen-like sequence may explain T. erythraeum’s ability to aggregate and thus concentrate its toxin for food-source procurement.
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Affiliation(s)
- Bradley E Layton
- Department of Mechanical Engineering and Mechanics, Drexel University, 3141 Chestnut Street, Suite 151G, Philadelphia, PA 19104, USA.
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59
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Kuo SM, Wang YJ, Niu GCC, Lu HE, Chang SJ. Influences of hyaluronan on type II collagen fibrillogenesis in vitro. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2008; 19:1235-41. [PMID: 17701300 DOI: 10.1007/s10856-007-3205-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/14/2006] [Accepted: 07/17/2006] [Indexed: 05/16/2023]
Abstract
The effect to the kinetics of type II collagen fibrillogenesis with the addition of hyaluronan (HA), (Mw of 1.8x10(6) Da), at various concentrations of HA (0.01, 0.05 and 0.1 wt.%) for a series of fibril formation systems was examined in this study. Evidences deduced from the turbidity-time curves revealed that the inclusion of HA had minor or no impact to the fibrillogenesis of type II collagen (collagen conc. at 0.2 mg/mL). The apparent rate constants, klag (lag phase) increased slightly but kg (growth phase) decreased not very significantly with addition of HA, as compared to the case of pure collagen. This leads us to believe tentatively that, with the addition of HA to collagen solutions, the nucleation process of the fibril formation might have been sped up slightly whereas the growth process slowed up slightly. However, data from TEM observations on the resulting fibrils indicated that the presence of HA did not significantly affect the diameters and the characteristic D-banding periods of the collagen fiber formed. And, from the statistical analyses, we found only insignificant difference (P>0.05) between the specimens from the various experimental groups. It seems to indicate that the ultimate packing of collagen monomers was probably not interfered or affected significantly by the presence of HA in vitro.
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Affiliation(s)
- Shyh Ming Kuo
- Department of Biomedical Engineering, I-SHOU University, Kaohsiung County, Taiwan
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60
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Nanomechanics of collagen fibrils under varying cross-link densities: Atomistic and continuum studies. J Mech Behav Biomed Mater 2008; 1:59-67. [DOI: 10.1016/j.jmbbm.2007.04.001] [Citation(s) in RCA: 208] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2007] [Revised: 04/05/2007] [Accepted: 04/06/2007] [Indexed: 11/18/2022]
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61
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Teng Z, Ochoa I, Li Z, Lin Y, Rodriguez JF, Bea JA, Doblare M. Nonlinear mechanical property of tracheal cartilage: A theoretical and experimental study. J Biomech 2008; 41:1995-2002. [DOI: 10.1016/j.jbiomech.2008.03.032] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2007] [Revised: 01/02/2008] [Accepted: 03/25/2008] [Indexed: 11/16/2022]
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62
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Teng Z, Ochoa I, Bea JA, Doblare M. Theoretical and experimental studies on the nonlinear mechanical property of tracheal cartilage. ACTA ACUST UNITED AC 2007; 2007:1058-61. [DOI: 10.1109/iembs.2007.4352477] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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63
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Abstract
We report molecular modeling of stretching single molecules of tropocollagen, the building block of collagen fibrils and fibers that provide mechanical support in connective tissues. For small deformation, we observe a dominance of entropic elasticity. At larger deformation, we find a transition to energetic elasticity, which is characterized by first stretching and breaking of hydrogen bonds, followed by deformation of covalent bonds in the protein backbone, eventually leading to molecular fracture. Our force-displacement curves at small forces show excellent quantitative agreement with optical tweezer experiments. Our model predicts a persistence length xi(p) approximately 16 nm, confirming experimental results suggesting that tropocollagen molecules are very flexible elastic entities. We demonstrate that assembly of single tropocollagen molecules into fibrils significantly decreases their bending flexibility, leading to decreased contributions of entropic effects during deformation. The molecular simulation results are used to develop a simple continuum model capable of describing an entire deformation range of tropocollagen molecules. Our molecular model is capable of describing different regimes of elastic and permanent deformation, without relying on empirical parameters, including a transition from entropic to energetic elasticity.
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Affiliation(s)
- Markus J Buehler
- Laboratory for Atomistic and Molecular Mechanics, Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
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64
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Ogden RW, Saccomandi G. Introducing mesoscopic information into constitutive equations for arterial walls. Biomech Model Mechanobiol 2006; 6:333-44. [PMID: 17124617 DOI: 10.1007/s10237-006-0064-8] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2006] [Accepted: 10/11/2006] [Indexed: 11/27/2022]
Abstract
We propose a new elastic constitutive law for arterial tissue in which the limiting polymeric chain extensibility of both collagen and elastin fibres is accounted for. The elastic strain-energy function is separated additively into two parts: an isotropic contribution associated with the matrix (incorporating the elastin fibre network) and an anisotropic one associated with the collagen fibres. Information on the limiting extensibility in each case provides some mesoscopic input into the model. The (logarithm-based) model is compared with the Fung-Demiray exponential model and certain other recently proposed models. Some aspects of the elastic response under extension and inflation of a thin-walled circular cylindrical tube (the artery) are then examined and compared with the corresponding response of a rubber-like tube. We point out that our model, when both isotropic and anisotropic terms are included, can be developed to accommodate changing mechanical properties associated with degradation of the elastin and collagen by considering the material constants that define the limit of chain extensibility to evolve in time.
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Affiliation(s)
- Ray W Ogden
- Department of Mathematics, University of Glasgow, Glasgow G12 8QW, UK.
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65
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Buehler MJ. Nature designs tough collagen: explaining the nanostructure of collagen fibrils. Proc Natl Acad Sci U S A 2006; 103:12285-90. [PMID: 16895989 PMCID: PMC1567872 DOI: 10.1073/pnas.0603216103] [Citation(s) in RCA: 442] [Impact Index Per Article: 23.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Collagen is a protein material with superior mechanical properties. It consists of collagen fibrils composed of a staggered array of ultra-long tropocollagen (TC) molecules. Theoretical and molecular modeling suggests that this natural design of collagen fibrils maximizes the strength and provides large energy dissipation during deformation, thus creating a tough and robust material. We find that the mechanics of collagen fibrils can be understood quantitatively in terms of two critical molecular length scales chi(S) and chi(R) that characterize when (i) deformation changes from homogeneous intermolecular shear to propagation of slip pulses and when (ii) covalent bonds within TC molecules begin to fracture, leading to brittle-like failure. The ratio chi(S)/chi(R) indicates which mechanism dominates deformation. Our modeling rigorously links the chemical properties of individual TC molecules to the macroscopic mechanical response of fibrils. The results help to explain why collagen fibers found in nature consist of TC molecules with lengths in the proximity of 300 nm and advance the understanding how collagen diseases that change intermolecular adhesion properties influence mechanical properties.
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Affiliation(s)
- Markus J Buehler
- Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, 77 Massachusetts Avenue, Room 1-272, Cambridge, MA 02139, USA.
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66
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Li G, Moses JM, Papannagari R, Pathare NP, DeFrate LE, Gill TJ. Anterior cruciate ligament deficiency alters the in vivo motion of the tibiofemoral cartilage contact points in both the anteroposterior and mediolateral directions. J Bone Joint Surg Am 2006; 88:1826-34. [PMID: 16882908 DOI: 10.2106/jbjs.e.00539] [Citation(s) in RCA: 146] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Quantifying the effects of anterior cruciate ligament deficiency on joint biomechanics is critical in order to better understand the mechanisms of joint degeneration in anterior cruciate ligament-deficient knees and to improve the surgical treatment of anterior cruciate ligament injuries. We investigated the changes in position of the in vivo tibiofemoral articular cartilage contact points in anterior cruciate ligament-deficient and intact contralateral knees with use of a newly developed dual orthogonal fluoroscopic and magnetic resonance imaging technique. METHODS Nine patients with an anterior cruciate ligament rupture in one knee and a normal contralateral knee were recruited. Magnetic resonance images were acquired for both the intact and anterior cruciate ligament-deficient knees to construct computer knee models of the surfaces of the bone and cartilage. Each patient performed a single-leg weight-bearing lunge as images were recorded with use of a dual fluoroscopic system at full extension and at 15 degrees , 30 degrees , 60 degrees , and 90 degrees of flexion. The in vivo knee position at each flexion angle was then reproduced with use of the knee models and fluoroscopic images. The contact points were defined as the centroids of the areas of intersection of the tibial and femoral articular cartilage surfaces. RESULTS The contact points moved not only in the anteroposterior direction but also in the mediolateral direction in both the anterior cruciate ligament-deficient and intact knees. In the anteroposterior direction, the contact points in the medial compartment of the tibia were more posterior in the anterior cruciate ligament-deficient knees than in the intact knees at full extension and 15 degrees of flexion (p < 0.05). No significant differences were observed with regard to the anteroposterior motion of the contact points in the lateral compartment of the tibia. In the mediolateral direction, there was a significant lateral shift of the contact points in the medial compartment of the tibia toward the medial tibial spine between full extension and 60 degrees of flexion (p < 0.05). The contact points in the lateral compartment of the tibia shifted laterally, away from the lateral tibial spine, at 15 degrees and 30 degrees of flexion (p < 0.05). CONCLUSIONS In the presence of anterior cruciate ligament injury, the contact points shift both posteriorly and laterally on the surface of the tibial plateau. In the medial compartment, the contact points shift toward the medial tibial spine, a region where degeneration is observed in patients with chronic anterior cruciate ligament injuries.
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Affiliation(s)
- Guoan Li
- Bioengineering Laboratory, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, GRJ 1215, Boston, MA 02114, USA.
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67
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Li G, Suggs J, Hanson G, Durbhakula S, Johnson T, Freiberg A. Three-dimensional tibiofemoral articular contact kinematics of a cruciate-retaining total knee arthroplasty. J Bone Joint Surg Am 2006; 88:395-402. [PMID: 16452753 DOI: 10.2106/jbjs.d.03028] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
BACKGROUND Accurate knowledge of the location of tibiofemoral articular contact following total knee arthroplasty is important in order to understand polyethylene wear and the mechanisms of component failure. The present study was performed to determine the three-dimensional tibiofemoral articular contact patterns of a posterior cruciate ligament-retaining total knee replacement during in vivo weight-bearing flexion. METHODS Nine osteoarthritic patients who were managed with a single design of a posterior cruciate ligament-retaining total knee implant were investigated with the use of an innovative dual orthogonal fluoroscopic imaging system. The position of the components during in vivo weight-bearing flexion was measured from full extension to maximum flexion in 15 degrees intervals. Tibiofemoral articular contact was determined by the overlap of the tibiofemoral articular surfaces. The centroid of the surface intersection was used to report the point of contact location. The average tibiofemoral contact points on both the medial and lateral tibial component surfaces were reported as a function of flexion. RESULTS The average maximum weight-bearing flexion angle was 113.3 degrees +/- 13.1 degrees (range, 96 degrees to 138 degrees ). In the anteroposterior direction, the contact location was relatively constant in the medial compartment and moved posteriorly by 5.6 mm in the lateral compartment as the knee flexed from full extension to 90 degrees of flexion. The range of the contact location in the mediolateral direction was 3.7 mm in the medial compartment and 4.8 mm in the lateral compartment. For both compartments, posterior translation of the contact point was significant from 90 degrees to maximum flexion, but the contact point at maximum flexion was not observed to reach the posterior edge of the polyethylene tibial insert articular surface. CONCLUSIONS While the minimum anteroposterior translation of the contact point on the medial side might be interpreted as a medial pivot rotation during knee flexion, the contact point did move in the mediolateral direction with flexion. Beyond 90 degrees , both medial and lateral contact points were shown to move posteriorly but stopped before reaching the posterior edge of the polyethylene tibial insert articular surface. It seemed that the current component design did not allow the femoral condyle to roll off the polyethylene edge at high degrees of flexion because of the geometry at the posterior lip.
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Affiliation(s)
- Guoan Li
- Massachusetts General Hospital, 55 Fruit Street, GRJ 1215, Boston, MA 02114, USA.
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68
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Ogden RW, Saccomandi G, Sgura I. On worm-like chain models within the three-dimensional continuum mechanics framework. Proc Math Phys Eng Sci 2005. [DOI: 10.1098/rspa.2005.1592] [Citation(s) in RCA: 54] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
In this paper, we review critically some basic models derived from the statistics of long-chain molecules and then discuss the status of such models within the three-dimensional nonlinear theory of elasticity. We draw attention to some deficiencies of certain worm-like chain (WLC) models when viewed within the three-dimensional continuum mechanics framework. Modifications of the WLC models motivated by such considerations and avoiding these deficiencies are then discussed and shown to correspond well with data generated by the exact WLC model.
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Affiliation(s)
- Ray W Ogden
- Department of Mathematics,University of GlasgowGlasgow G12 8QW, UK
| | - Giuseppe Saccomandi
- Dipartimento di Ingegneria dell'Innovazione, Sezione di Ingegneria Industriale Università degli Studi di Lecce73100 Lecce, Italy
| | - Ivonne Sgura
- Dipartimento di Matematica, Università degli Studi di Lecce73100 Lecce, Italy
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