Structural and functional properties of articular cartilage under various loading modes (literature review)

Authors

DOI:

https://doi.org/10.15674/0030-598720163115-122

Keywords:

articular cartilage, physiological and non-physiological stress, immobilization, distraction, posttraumatic extra-articular deformity

Abstract

The formation of extra-articular traumatic deformities is a com­plication that occurs in about a third of cases with nonunion or pseudarthrosis after isolated diaphyseal fractures of long bones.

Objective: based on the analysis of scientific informa­tion to determine the structural and functional properties of ar­ticular cartilage (AC) under physiological and non-physiological load to determine the impact on extra-articular traumatic deformities of the long bones.

Methods: he literature search conducted by e-databases (PubMed, Medline, Google Scholar, RISC), monographs, dissertations, abstracts of dissertations in the last 20 years.

Results: physiological load plays a key role in the development, operation, and maintenance of homeostasis nutrition of AC. Its increase, decrease or non-physiological re­distribution is one of the biggest factors of structural and func­tional disorders in the AC and, accordingly, the development of osteoarthritis. Today, ongoing study of the effect of mechani­cal stimuli of varying duration and strength of the functioning of cells and structural features of the AC matrix. We describe some of the mechanotransduction ways. It was found that exces­sive exercise, immobilization of a limb, its lengthening by dis­traction osteosynthesis leads to the development of structural and functional disorders in the AC in knee and ankle joints, which progresses with time. Subsequently, the destructive changes noted in the AC in contralateral limb. In clinical researches the relationship between the existence of stable post-traumatic deformities of the long bones of the limbs and the development of osteoarthritis are studied. However, it has not been studied terms destructive affection in the joints, their severity in rela­tion to the magnitude of deformation reversibility after restoring the anatomical axis of the limb.

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