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Orthopaedic Proceedings
Vol. 100-B, Issue SUPP_3 | Pages 24 - 24
1 Apr 2018
Fischer J Scholtes S Krämer E Weisser M Roth W Luginbuehl R Grossner T Richter W
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Objective

In order to effectively utilize mechanical signals in the clinic as a non-drug-based intervention to improve cartilage defect regeneration after surgical treatment, it is essential to identify crucial components of the cellular response that are typical to the anabolic process. The mechanisms behind the effect of mechanical stimulation are, however, not fully understood and the signaling pathways involved in the anabolic response of chondrocytes to mechano-transduction are not well described. Therefore, a genome-wide identification of mechano-regulated genes and candidate pathways in human chondrocytes subjected to a single anabolic loading episode was performed in this study and time evolution and re-inducibility of the response was characterized.

Design

Osteochondral constructs consisting of a chondrocyte-seeded collagen-scaffold connected to β-tricalcium-phosphate were pre-cultured for 35 days and subjected to dynamic compression (25% strain, 1 Hz, 9×10 minutes over 3h) before microarray-profiling was performed. Proteoglycan synthesis was determined by 35S-sulfate-incorporation over 24 hours. Protein alterations were determined by Western blotting.


Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XL | Pages 210 - 210
1 Sep 2012
Sague J Vogt J Andreatta B Egli R Luginbuehl R
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In search for appropriate materials of potential use to relieve injured articular cartilage, we explored copolymers from HEMA (2-hydroxy-methyl-methacrylate) and MMA (methyl-methacrylate). Such copolymers can be synthesized by thermal or photochemical induced polymerization reaction. The water uptake by swelling to homogeneous hydrogels can easily be controlled by varying the mixing ratio of the hydrophilic (HEMA) and hydrophobic (MMA) monomer, and the nature and amount of added crosslinker (typically EGDA, ethyleneglycol-dimethacrylate). Essentially the same variables strongly influence the mechanical properties, i.e. modulus (stiffness), relaxation response, as well as tribological behavior.

The polymer samples were engineered in molds from degassed formulations containing various amounts of HEMA and MMA, 10 % deionized water, and 0.01 % AIBN for thermal polymerization (12 h @ 70°C) or 0.5 % Darocur 1173 (2-hydroxy-2-methyl-1-phenyl-propane-1-one, for photopolymerization, 360 nm UV radiation, 5 to 7 min, sample thickness up to 5 mm). The samples were immersed in saline buffer after curing to allow free swelling to the equilibrium water content (EWC). Subsequently, samples were mechanically and tribologically tested. The mechanical moduli were determined at different strains and as a function of MMA content using a Zwicki Z5.0 (Zwick-Roell, Ulm, Germany). Tribological versus cartilage tissue was performed on an in-house-built pin-on-plate setup. Flat polymer samples were mounted and tested versus fresh porcine osteochondral grafts, harvested from humeral heads.

Mechanical testing revealed that the elastic modulus of pHEMA can be tuned as a function of MMA (0–50%) with 1 to 2 % bifunctional crosslinker to values ranging between 0.5 to 50 MPa, and corresponding water content of 40 to 10 % (decreasing with increasing MMA content). Friction measurements revealed a very low friction coefficient of around 0.02 for pHEMA-cartilage pairings. The values are 2–5 fold smaller than typical values of CoCrMo or UHMWPE versus cartilage.

Hydrogels from HEMA and MMA as main constituents are already rather well known for their biocompatibility. Knowledge of the dependence of e.g. the mechanical properties from chemical composition and polymer network structure makes this system ideal to design anisotropic specimen with controlled macrostructure to be used for temporal or permanent implants.