A new mechanical indentation framework for functional assessment of articular cartilage

Articular and Artificial Cartilage, Characteristics, Properties and Testing Approaches-A Review

The design and manufacture of artificial tissue for knee joints have been highlighted recently among researchers which necessitates an apt approach for its assessment. Even though most re-searches have focused on specific mechanical or tribological tests, other aspects have remained underexplored. In this review, elemental keys for design and testing artificial cartilage are dis-cussed and advanced methods addressed. Articular cartilage structure, its compositions in load-bearing and tribological properties of hydrogels, mechanical properties, test approaches and wear mechanisms are discussed. Bilayer hydrogels as a niche in tissue artificialization are presented, and recent gaps are assessed.

A novel assessment of microstructural and mechanical behaviour of bilayer silica-reinforced nanocomposite hydrogels as a candidate for artificial cartilage

The complex structure of healthy articular cartilage facilitates the joint withstanding the imposed pressures and retaining interstitial fluid to lessen stresses on its soft tissue, while easing the locomotion and minimising friction between cartilage mates. Avascular nature of this tissue results in unrecoverable damaged lesions and severe pain over time. Polymeric hydrogels are promising candidate materials for the replacement of the damaged cartilage. Hence, a tough bilayer nanocomposite acrylamide-acrylic acid hydrogel reinforced with silica nanoparticles (SNPs) was designed and synthesised. The mechanical characterisations showed a significant increase in compressive strength up to 1.4 MPa and doubled elastic modulus (240 kPa) by utilising only 0.6 wt% SNPs compared to the non-reinforced hydrogel. The optimum amounts of monomers and SNPs resulted in the compression of samples up to 85% strain without failure. Viscoelastic responses improved as the stress relaxation lessened to half in all nanocomposite hydrogels. Diffusion rate theory was applied, and the results showed to what extent elastic modulus results in an improvement in stress relaxation. The proposed hydrogel formulation exhibited the poroelastic relaxation occurred before viscoelastic relaxation at the time elapses under stress relaxation tests. SEM images showed uniform funnel-like porosity with 570 μm thick lubricious layer, which is an important feature to retain interstitial fluid. Energy-dispersive X-ray spectroscopy was conducted to characterise the elemental composition within the polymeric macrostructure.

Osteoarthritis Severely Decreases the Elasticity and Hardness of Knee Joint Cartilage: A Nanoindentation Study

The nanoindentation method was applied to determine the elastic modulus and hardness of knee articular cartilage. Cartilage samples from both high weight bearing (HWB) and low weight bearing (LWB) femoral condyles were collected from patients diagnosed with osteoarthritis (OA). The mean elastic modulus of HWB cartilage was 4.46 ± 4.44 MPa in comparison to that of the LWB region (9.81 ± 8.88 MPa, p < 0.001). Similarly, the hardness was significantly lower in HWB tissue (0.317 ± 0.397 MPa) than in LWB cartilage (0.455 ± 0.434 MPa, p < 0.001). When adjusted to patients’ ages, the mean elastic modulus and hardness were both significantly lower in the age group over 70 years (p < 0.001). A statistically significant difference in mechanical parameters was also found in grade 3 and 4 OA. This study provides an insight into the nanomechanical properties of the knee articular cartilage and provides a starting point for personalized cartilage grafts that are compatible with the mechanical properties of the native tissue.