Articular Cartilage Structure Hyaline Cartilage Ends of long bones (1-5 mm thick) Avascular Aneural Function Synovial Joints Distribute loads Allow for movement Composition Cellular – chondrocytes (10% of volume) Composition Extracellular Matrix Organic – collagen (type II) (10-30% of weight) & proteoglycans (3-10% of weight) Water (most abundant component), inorganic salts, glycoproteins, lipids (60 - 87%) Composition Collagen fibers offer little resistance to compressive forces Highly organized stiffness and tensile strength Composition Isotropic – material properties of substance are same regardless of loading Hyaline cartilage is anisotropic: Collagen arrangement Cross link density Collagen/PG interaction Composition Composition Fluid Component Permits diffusion of gases, nutrients, wastes SYNOVIAL FLUID Important to the structural organization of collagen load bearing /mechanical behavior (80% surface / 65% deep) Collagen-PG Interaction Plays direct role in organization of extracellular matrix Important to mechanical properties resists compression AC under Compression AC under Compression AC under Compression AC under Compression constant load rapid initial deformation slow (time dependent) deformation equilibrium 20 to exudation of interstitial fluid AC under tension AC under tension AC under tension Toe region – alignment of collagen fibers Linear region – stretching of collagen fibers AC under tension Osteoarthritis Collagen cross link alteration fibrillation OA deterioration of tensile properties of collagen-PG solid matrix Loosening of collagen network increased swelling Synovial Fluid Lubrication Reduce Friction Nutrition Synovial Fluid Plasma-like High in hyaluronate lubrication to reduce friction Lubricin – has an affinity for AC cartilage lubrication Synovial Fluid Hyaluronate (HA) – responsible for viscosity of synovial fluid Resistance to shear forces Lubrication of Articular Cartilage Boundary Lubrication Fluid-Film Lubrication Hydrodynamic (non-// surfaces) Squeeze-film ( surfaces) Mixed Lubrication Boundary - Fluid-film Boosted Type of Lubrication Boundary – single layer of lubricant molecules on each bearing surface (lubricin has affinity for AC) Type of Lubrication Fluid Film thin fluid film provides greater surface separation rigid bearings (stainless steel) Fluid Film Lubrication Hydrodynamic – a wedge of fluid is formed when non-parallel surfaces slide over each other Fluid-Film Lubrication Squeeze film – pressure is created in the fluid film by bearing surfaces that are Mixed Lubrication Mixed Lubrication Boosted ultrafiltration of synovial fluid thru collagen-PG matrix H2O & electrolytesarticular cartilage (squeeze-film) concentrated gel of HA protein complex coats surfaces (boundary) Type of Lubrication Boundary high loads low relative speeds long duration Fluid-film low/oscillated magnitude high relative speeds Wear of AC Interfacial Wear Fatigue Wear High Impact Loading Wear results from results from Bearing surfaces in direct Microscopic damage 20 High load w/ insufficient contact - no film separating repetitive loading time for fluid redistribution Adhesion Abrasion results from Strain rate microtrauma exceed reparative process Stress Strain Disruption of collagen-PG matrix, PG “wash-out”, alteration of load reducing mechanism DISRUPTION OF CARTILAGE MICROSTRUCTURE Cartilage Degeneration Magnitude & distribution of imposed stress stress conc. # of sustained stress peaks in load frequency & magnitude Degenerative changes to matrix Swelling & weak tissue destruction by normal forces Changes in tissue’s mechanical properties Insult to molecular structure of collagen-PG matrix Loosening of collagen network, abnormal PG expansion, tissue swelling, cartilage stiffness, permeability Abnormal: Stresses & strains Mechanoelectrochemical stimuli ECM remodeling by chondrocytes OA Wear of AC Interfacial - adhesive - abrasive Fatigue - disruption of collagen-PG solid matrix due to repetitive stress Cartilage Degeneration Magnitude of imposed stresses Total number of sustained stress peaks Changes in collagen-PG matrix Changes in mechanical properties of tissue Cartilage Degeneration Loosening of collagen network PG expansion Tissue swelling Decrease in stiffness and increase in permeability Altered cartilage function