Effect of stress shielding on the mechanical properties of healing tissue in the patellar tendon after removal of its central third

2002 ◽  
Vol 2002.13 (0) ◽  
pp. 21-22
Author(s):  
Takafumi HIRO ◽  
Yoshiaki KITAMURA ◽  
Harukazu TOHYAMA ◽  
Kazunori YASUDA ◽  
Kozaburo HAYASHI
1996 ◽  
Vol 118 (2) ◽  
pp. 216-220 ◽  
Author(s):  
Noritaka Yamamoto ◽  
Kozaburo Hayashi ◽  
Hiroyuki Kuriyama ◽  
Kazunori Ohno ◽  
Kazunori Yasuda ◽  
...  

We studied the effects of restressing on the mechanical properties and morphology of stress-shielded rabbit patellar tendons. After completely unloading the patellar tendon for 1 to 3 weeks, tension was again applied to the tendon for the subsequent 3 to 12 weeks. Although the stress shielding markedly decreased the tangent modulus and tensile strength of the tendon, restressing significantly increased them. However, the mechanical properties of the tendon were not completely recovered even after a prolonged period of restressing. The microstructure of the tendon was also restored by although the recovery was incomplete. These results indicate that the mechanical properties and morphology of tendinous tissue change in response to mechanical demands.


1993 ◽  
Vol 11 (4) ◽  
pp. 592-602 ◽  
Author(s):  
Kazunori Ohno ◽  
Kazunori Yasuda ◽  
Noritaka Yamamoto ◽  
Kiyoshi Kaneda ◽  
Kozaburo Hayashi

2009 ◽  
Vol 42 (11) ◽  
pp. 1592-1597 ◽  
Author(s):  
Eijiro Maeda ◽  
Hiroyuki Asanuma ◽  
Hitoshi Noguchi ◽  
Harukazu Tohyama ◽  
Kazunori Yasuda ◽  
...  

1993 ◽  
Vol 115 (1) ◽  
pp. 23-28 ◽  
Author(s):  
N. Yamamoto ◽  
K. Ohno ◽  
K. Hayashi ◽  
H. Kuriyama ◽  
K. Yasuda ◽  
...  

Mechanical properties of the stress-shielded patellar tendon were studied in the rabbit knee. Stress shielding was accomplished by stretching a stainless-steel wire installed between the patella and tibial tubercle and thus, releasing the tension in the patellar tendon completely. Tensile tests were carried out on the specimens obtained from the patellar tendons which were exposed to the stress shielding for 1 to 6 weeks. The stress shielding changed the mechanical properties of the patellar tendon significantly: it decreased the tangent modulus and tensile strength to 9 percent of the control values after 3 weeks. There was a 131 percent increase in the cross-sectional area and a 15 percent decrease in the tendinous length. Remarkable changes were also observed in the structural properties: for example, the maximum load of the bone-tendon complex decreased to 20 percent of the control value after 3 weeks. Histological studies showed that the stress shielding increased the number of fibroblasts and decreased the longitudinally aligned collagen bundles. These results imply that if no stress is applied to the autograft in the case of augmentative reconstruction of the knee ligament, the graft strength decreases remarkably.


2008 ◽  
Vol 105 (3) ◽  
pp. 805-810 ◽  
Author(s):  
C. Couppé ◽  
M. Kongsgaard ◽  
P. Aagaard ◽  
P. Hansen ◽  
J. Bojsen-Moller ◽  
...  

The purpose of this study was to examine patellar tendon (PT) size and mechanical properties in subjects with a side-to-side strength difference of ≥15% due to sport-induced loading. Seven elite fencers and badminton players were included. Cross-sectional area (CSA) of the PT obtained from MRI and ultrasonography-based measurement of tibial and patellar movement together with PT force during isometric contractions were used to estimate mechanical properties of the PT bilaterally. We found that distal tendon and PT, but not mid-tendon, CSA were greater on the lead extremity compared with the nonlead extremity (distal: 139 ± 11 vs. 116 ± 7 mm2; mid-tendon: 85 ± 5 vs. 77 ± 3 mm2; proximal: 106 ± 7 vs. 83 ± 4 mm2; P < 0.05). Distal tendon CSA was greater than proximal and mid-tendon CSA on both the lead and nonlead extremity ( P < 0.05). For a given common force, stress was lower on the lead extremity (52.9 ± 4.8 MPa) compared with the nonlead extremity (66.0 ± 8.0 MPa; P < 0.05). PT stiffness was also higher in the lead extremity (4,766 ± 716 N/mm) compared with the nonlead extremity (3,494 ± 446 N/mm) ( P < 0.05), whereas the modulus did not differ (lead 2.27 ± 0.27 GPa vs. nonlead 2.16 ± 0.28 GPa) at a common force. These data show that a habitual loading is associated with a significant increase in PT size and mechanical properties.


2016 ◽  
Vol 116 (10) ◽  
pp. 1921-1929 ◽  
Author(s):  
Luis M. Alegre ◽  
Michael Hasler ◽  
Sebastian Wenger ◽  
Werner Nachbauer ◽  
Robert Csapo

2013 ◽  
Vol 47 (13) ◽  
pp. 862-868 ◽  
Author(s):  
Christian Helland ◽  
Jens Bojsen-Møller ◽  
Truls Raastad ◽  
Olivier R Seynnes ◽  
Marie M Moltubakk ◽  
...  

2003 ◽  
Vol 125 (6) ◽  
pp. 893-901 ◽  
Author(s):  
Ei Yamamoto ◽  
Susumu Tokura ◽  
Kozaburo Hayashi

Effects of cyclic stress on the mechanical properties of collagen fascicles were studied by in vitro tissue culture experiments. Collagen fascicles (approximately 300 μm in diameter) obtained from the rabbit patellar tendon were applied cyclic load at 4 Hz for one hour per day during culture period for one or two weeks, and then their mechanical properties were determined using a micro-tensile tester. There was a statistically significant correlation between tensile strength and applied peak stress in the range of 0 to 5 MPa, and the relation was expressed by a quadratic function. The maximum strength (19.4 MPa) was obtained at the applied peak stress of 1.8 MPa. The tensile strength of fascicles were within a range of control values, if they were cultured under peak stresses between 1.1 and 2.6 MPa. Similar results were also observed in the tangent modulus, which was maintained at control level under applied peak stresses between 0.9 and 2.8 MPa. The stress of 0.9 to 1.1 MPa is equivalent to approximately 40% of the in vivo peak stress which is developed in the intact rabbit patellar tendon by running, whereas that of 2.6 to 2.8 MPa corresponds to approximately 120% of the in vivo peak stress. Therefore, the fascicles cultured under applied peak stresses of lower than 40% and higher than 120% of the in vivo peak stress do not keep the original strength and modulus. These results indicate that the mechanical properties of cultured collagen fascicles strongly depend upon the magnitude of the stress applied during culture, which are similar to our previous results observed in stress-shielded and overstressed patellar tendons in vivo.


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