Hemiarthroplasties typically result in accelerated wear of the preserved side of the joint, resulting in suboptimal clinical outcomes and limited longevity. This in vitro study investigated the effects of hemiarthroplasty implant curvature on the early biological response of articular cartilage measured by proteoglycan release, histology, and surface morphology. Cartilage from boar radiocarpal joints were worn by metal pins of varying radii of curvature (RoC) using a pin-on-plate wear simulator. Histology and proteoglycan assays showed no significant differences between RoC treatment groups, and proteoglycan assays showed increased proteoglycan release 72 hours after wear testing in worn cartilage specimens compared to control specimens. Field emission scanning electron microscopy showed increased surface damage as RoC decreased. Results suggest that early wear mechanisms smoothen cartilage surface before causing damage. Delayed biological response implied that implant curvature affects early wear mechanics before cartilage biologics. Overall, this study improves our understanding of cartilage wear and cellular response.
Keywords:
Hemiarthroplasty; cartilage wear; proteoglycan; histology; surface morphology; field emission scanning electron microscopy; FESEM; curvature; biological response; assay