Vet Comp Orthop Traumatol 2002; 15(01): 23-29
DOI: 10.1055/s-0038-1632709
Original Research
Schattauer GmbH

A comparison of the effects of joint immobilisation, twice-daily passive motion, and voluntary motion on articular cartilage healing in sheep

W. J. Bruce
1   Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand
,
K. Frame
1   Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand
,
H. M. Burbidge
1   Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand
,
K. Thompson
1   Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand
,
E. C. Firth
1   Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Palmerston North, New Zealand
› Author Affiliations
The authors wish to thank Duncan Hedderley for his statistical analysis of the data and Dorette and Steven Goldie for their invaluable assistance in the physical therapy and care of the sheep.
Further Information

Publication History

Received 09 January 2001

Accepted 13 February 2001

Publication Date:
08 February 2018 (online)

Summary

In this study, articulated transarticular external skeletal fixators were used to examine the effects of joint immobilisation, twice-daily passive range-of-motion exercises, and voluntary motion on articular cartilage healing and other joint parameters. Abaxial articular cartilage lesions demonstrated superior cartilage healing to axial lesions. Twice-daily passive range of motion exercises failed to improve the quality of articular cartilage repair when compared with joint immobilisation. Voluntary motion resulted in superior articular cartilage repair tissue with maintenance of near normal cartilage architecture, proteoglycan staining, synovial fluid cell counts and specific gravity, and joint range-of-motion.

This research was supported by grants from the Lewis Fitch Veterinary Research Fund and the Massey University Research Fund.


 
  • References

  • 1 Ahlqvist J. On the structural and physiological basis of the influence of exercise, movement and immobilization in inflammatory joint diseases. Ann Chir Gynaecol 1985; 74 198: 10-8.
  • 2 Aron DN. Traumatic dislocation of the stifle joint: treatment of 12 dogs and one cat. J Am Anim Hosp Assoc 1988; 24: 333-40.
  • 3 Aron DN, Toombs JP. Updated principles of external skeletal fixation. Compend Contin Educ Pract Vet 1984; 06: 845-58.
  • 4 Bain GI, Mehta RJ, Heptinstall RJ, Bria M. Dynamic external fixation for injuries of the proximal interphalangeal joint. J Bone and Joint Surg 1998; 80-B (06) 1014-7.
  • 5 Behrens F, Kraft EL, Oegema TR. Biochemical changes in articular cartilage after joint immobilization by casting or external fixation. J Orthop Res 1989; 07: 335-43.
  • 6 Bjorling DE, Toombs JP. Transarticular application of the Kirschner-Ehmer splint. Vet Surg 1982; 11: 34-8.
  • 7 Boone EG, Johnson AL, Hohn RB. Distal tibial fractures in the dog and cat. J Am Vet Med Assoc 1986; 188: 36-40.
  • 8 Bruce WJ. Stifle joint luxation in the cat: treatment using transarticular external skeletal fixation. J Sm Anim Pract 1999; 40: 482-8.
  • 9 Buckwalter JA. Effects of early motion on healing of musculoskeletal tissues. Hand Clin 1996; 12 (01) 13-24.
  • 10 Carmichael S. The external fixator in small animal orthopaedics. J Sm Anim Pract 1991; 32: 486-93.
  • 11 Chambers P. Personal communication. IVABS, Massey University, Private Bag 11222; Palmerston North, New Zealand.:
  • 12 Dienst M, Wozasek GE, Seligson D. Dynamic external fixation for distal radius fractures. Clin Orthop Rel Res 1997; 338: 160-71.
  • 13 Frank C, Akeson WH, Woo SLY, Amiel D, Coutts RD. Physiology and therapeutic value of passive joint motion. Clin Orthop Rel Res 1984; 185: 113-25.
  • 14 Gebhard J, Kabo JM, Meals RA. Passive motion: The dose effects on joint stiffness, muscle mass, bone density, and regional swelling. A study in an experimental model following intra-articular injury. J Bone and Joint Surg 1993; 75-A (11) 1636-47.
  • 15 Holh M, Luck JV. Fractures of the tibial condyle. A clinical and experimental study. J Bone and Joint Surg 1956; 38-A: 1001-8.
  • 16 Keller WG, Aron DN, Rowland GN, Odend’hal S, Brown J. The effects of trans-stifle external skeletal fixation and hyaluronic acid therapy on articular cartilage in the dog. Vet Surg 1994; 23: 119-28.
  • 17 Kettunen K. The effects of articular function on the repair of a full-thickness defect of joint cartilage. An experimental study on growing rats. Ann Chir Gynaecol Fenniae 1963; 52: 627-42.
  • 18 Kettunen K, Rokkanen P. The repair of a fullthickness articular deficit. An experimental study on growing rats. Ann Chir Gynaecol fenniae 1973; 62: 166-8.
  • 19 Kraukauer JD, Stern PJ. Hinged device for fractures involving the proximal interphalangeal joint. Clin Orthop Rel Res 1996; 327: 29-37.
  • 20 Lastayo PC, Wright T, Jaffe R, Hartzel J. Continuous passive motion after repair of the rotator cuff: A prospective outcome study. J Bone and Joint Surg 1998; 80-A (07) 1002-11.
  • 21 Marsh JL, Bonar S, Nepola JV, Decoster TA, Hurwitz SR. Use of an articulated external fixator for fractures of the tibial plafond. J Bone and Joint Surg 1995; 77-A (10) 1498-509.
  • 22 Mitchell N, Shepard N. The resurfacing of adult rabbit articular cartilage by multiple perforations through subchondral bone. J Bone and Joint Surg 1976; 58-A (02) 230-3.
  • 23 Mooney V, Stills M. Continuous passive motion with joint fractures and infections. Orthop Clin NAm 1987; 18 (01) 1-9.
  • 24 Morshead D, Leeds EB. Kirschner-Ehmer apparatus immobilization following achilles tendon repair in six dogs. Vet Surg 1984; 13: 11-4.
  • 25 Namba RS, Kabo JM, Dorey FJ, Meals RA. Continuous passive motion versus immobilization. The effect on posttraumatic joint stiffness. Clin Orthop Rel Res 1991; 267: 218-23.
  • 26 O’Driscoll SW. The healing and regeneration of articular cartilage. J Bone and Joint Surg 1998; 80-A (12) 1795-812.
  • 27 Palmer RH, Aron DN. Ellis pin complications in seven dogs. Vet Surg 1990; 19: 440-5.
  • 28 Palmer RH, Hulse DA, Hyman WA, Palmer DR. Principles of bone healing and biomechanics of external skeletal fixation. Vet Clin N Am Sm Anim Pract 1992; 22 (01) 45-68.
  • 29 Palmoski MJ, C’olyer RA, Brandt KD. Joint motion in the absence of normal loading does not maintain normal articular cartilage. Arth Rheumatol 1980; 23 (03) 325-34.
  • 30 Pineda S, Pollack A, Stevens S, Goldberg V, Caplan A. A semiquantitative scale for histologic grading of articular cartilage repair. Acta Anatomica 1992; 143: 335-40.
  • 31 Richardson DW, Clark CC. Effects of shortterm cast immobilization on equine cartilage. Am J Vet Res 1993; 54 (03) 449-53.
  • 32 Salter RB. History of rest and motion and the scientific basis for early continuous motion. Hand Clin 1994; 12 (01) M1.
  • 33 Salter RB, Simmonds DF, Malcom BW, Rumble EJ, Macmichael D, Clements N. The biological effect of continuous motion on the healing of full-thickness defects in articular cartilage. J Bone and Joint Surg 1980; 62-A (08) 1232-51.
  • 34 Slocum B. Hock hinge for repair of shearing injuries of the canine hock. Vet Orthop Soc 22nd Ann Con Proc. 1995: 16.
  • 35 Slocum B, Devine TSlocum. Joint hinge for shearing injuries. In: Current Techniques in Small Animal Surgery. 4th . Ed. Bojrab JM, Ellison GW, Slocum B. (eds). Maryland, USA: Williams and Wilkins; 1998: 1269-71.
  • 36 Sommerkamp TG, Seeman M, Silliman J, Jones A, Patterson S, Walker J, Semmler M, Browne R, Ezaki M. Dynamic external fixation of unstable fractures of the distal parts of the radius. J Bone and Joint Surg 1994; 76-A (08) 1149-60.
  • 37 Toombs JP. Transarticular application of external skeletal fixation. Vet Clin N Am: Sm Anim Pract 1992; 22 (01) 181-94.
  • 38 Toombs JP, Aron DN, Basinger RR, Ewing P. Angled connecting bars lor transarticular application of Kirschner-Ehmer external fixation splints. J Am Ani Hosp Assoc 1989; 25: 213-6.