Financial support by Dutch Organisation for Health Research and Development, the Hague, the Netherlands (project 920-03-164).
In Situ and Ex Vivo Evaluation of an Arthroscopic Indentation Instrument to Estimate the Health Status of Articular Cartilage in the Equine Metacarpophalangeal Joint
Article first published online: 5 APR 2006
Volume 35, Issue 3, pages 259–266, April 2006
How to Cite
BROMMER, H., LAASANEN, M. S., BRAMA, P. A. J., VAN WEEREN, P. R., HELMINEN, H. J. and JURVELIN, J. S. (2006), In Situ and Ex Vivo Evaluation of an Arthroscopic Indentation Instrument to Estimate the Health Status of Articular Cartilage in the Equine Metacarpophalangeal Joint. Veterinary Surgery, 35: 259–266. doi: 10.1111/j.1532-950X.2006.00136.x
- Issue published online: 5 APR 2006
- Article first published online: 5 APR 2006
- Submitted April 2005; Accepted November 2005
Objective— To evaluate an arthroscopic indentation instrument (Artscan 200) for assessment of the health status of equine articular cartilage.
Study Design— In vitro experiment using equine isolated proximal phalanx (P1) specimens.
Sample Population— P1 specimens from 39 horses (aged 1.5–22 years).
Methods— Reproducibility was tested by determination of the coefficient of variation (CV). Dynamic modulus and cartilage degeneration index (CDI) values were measured at 2 predefined sites (site 1, joint margin; site 2, joint center) to assess the accuracy and to evaluate the relation with surface integrity.
Results— CV was 9.0%. A significant decrease in indenter force was identified when dynamic modulus values decreased to <2.5 MPa (range of tested samples 0.9–8.1 MPa) and when CDI values at site 1 increased to >50% (range 5.4–72.8%).
Conclusions— Technique reproducibility was adequate but accuracy was limited. The device identified degeneration-associated decreases in cartilage stiffness only when the mechanical properties of the cartilage were considerably changed.
Clinical Relevance— Usefulness of this indentation instrument during arthroscopic surgery would be limited in the initial phase of OA-like cartilage degeneration, but may yield important information in more advanced OA.