Abstract

The meniscus is an integral part of the human knee, preventing joint degradation by distributing load from the femoral condyles to the tibial plateau. Recent qualitative studies suggested that the meniscus is constituted by an intricate net of collagen channels inside which the fluid flows during loading. The aim of this study is to describe in detail the structure in which this fluid flows by quantifying the orientation and morphology of the collagen channels of the meniscal tissue. A 7 mm cylindrical sample, extracted vertically from the central part of a lateral porcine meniscus was freeze-dried and scanned using the highest-to-date resolution Microscopic Computed Tomography. The orientation of the collagen channels, their size and distribution was calculated. Comparisons with confocal multi-photon microscopy imaging performed on portions of fresh tissue have shown that the freeze-dried procedure adopted here ensures that the native architecture of the tissue is maintained. Sections of the probe at different heights were examined to determine differences in composition and structure along the sample from the superficial to the internal layers. Results reveal a different arrangement of the collagen channels in the superficial layers with respect to the internal layers with the internal layers showing a more ordered structure of the channels oriented at 30^{circ } with respect to the vertical, a porosity of 66.28% and the mean size of the channels of 22.14 mu {text {m}}.

Highlights

  • The meniscus is a type of tough fibro-cartilage soft tissue that conforms to the surfaces of the tibia and the femur

  • Fast Fourier Transform has been already used in various studies to analyse and describe collagen fibers’ orientation or just fibers’ alignment of many materials, the majority of the works are based on skin samples

  • There are no studies that used highresolution micro-CT scans as imaging technique combined with a Fast Fourier Transform (FFT) analysis to quantify collagen or soft tissue pattern orientation

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Summary

Introduction

The meniscus is a type of tough fibro-cartilage soft tissue that conforms to the surfaces of the tibia and the femur. There are two menisci: lateral and medial meniscus, each one rest between the thigh bone (femur) and shin bone (tibia).[2] They play a critical role in load transmission to the articular cartilage, structural stability and shock absorption in the knee joint by helping to protect the articulation from the stresses originated during physical activities.[21]. Degenerative tears tend to start in the inside circumference of the meniscus which is avascular. In this case tears are usually treated by partial meniscectomy. It has been noticed that the loss of the meniscus leads to joint degeneration and osteoarthritis as contact stresses on the tibial plateau increase proportionally with the amount of meniscus tissue removed.

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