Abstract
The purpose of this study was to characterise accurately, the extent and geometry, and produce representative rigid resin models of full thickness articular cartilage lesions of various types, shapes and sizes on the articular surface of pig patellae.
Ten adult pig patellae and three adult Ox patellae were obtained and cleared of adhering tissue. Full thickness lesions were induced from oval shaped to “U” shaped scarifications by careful use of a hand held bur, and the geometry noted by taking appropriate dimensions with a Vernier cailper in the horizontal and vertical planes, and plan view photographs. MRI images using fat-suppressed weighted 1.5 mm thick slices scans in the horizontal plane, were produced in DICOM format for conversion to SLE files used in the reconstruction in the computer. The patellae were then held in a stone plaster mix to produce a male mould of the articular surface. The computer images were generated and the physical dimensions taken with the Vernier calliper were recorded from the reconstructed image in the computer using graphics software. The computer data was used to produce a rigid full scale model of the articular surface in resin using laser stereolithography which is using in the rapid prototyping industry. The resin models were matched with the male plaster moulds to confirm an accurate match of the 3-dimensional shape of the computer generated in all the types of lesions we produced. It is proposed to use the rigid models to produce sterile templates that could be used by surgeons to fashion an area around a lesion using a suitable reamer/bur using a predetermined criteria of cartilage thickness (say 2 mm), and the same geometrical data would be used to produce a suitable semi rigid scaffold shaped to the lesion. Our study has shown that very accurate 3 dimensional data can be quickly processed from MRI images to produce, using current rapid prototyping techniques, templates and implants to fit lesions accurately in the patella. There is no reason why this technology could not be applied to any joint surface that can be accessed by MRI.
The abstracts were prepared by Mr Roger Smith. Correspondence should be addressed to him at the British Association for Surgery of the Knee, c/o BOA, Royal College of Surgeons of England, 35–43 Lincoln’s Inn Fields, London WC2A 3PN.
