Arthroscopic debridement with shaver is a standard procedure for the treatment of meniscus injury. The tissue damage level and surface quality depend significantly on the performance of the instrument and clinical operation. Therefore, it is critical to understand the cutting mechanism which causes collagen fibril fracture, in order to optimize the instrument designing and surgical processing. Nevertheless, there are only limited studies focusing on the cutting characteristics related to arthroscopic debridement. In this study, the effects of arthroscopic shaver design and the cutting parameters were investigated and considered in a model to characterize the differences in cutting force and surface quality. Furthermore, the fracture mechanics was studied based on the basic characteristics of meniscus. The results showed that the fibril structure contributed significantly to meniscus failure. Meniscus is a special composite, comprising the combination of soft tissue and fibre-reinforced composite. The geometry of the cutting teeth is a significant factor affecting the cutting force, mainly reflecting the area of the created surface and the fracture toughness in different direction. High surface quality could be achieved by optimizing the shaver combination and cutting parameter. The cutting experiment and compressive test on elemental cutting tool indicated that delamination is the main reason of meniscus failure. It concentrates on the interface between fibril bundles due to the shear and tensile strain generated by compression load. Moreover, crack bridging and uncracked ligament bridging are also common phenomena that occur during the process of meniscus fracture. Findings in this study may provide guidance to orthopedic surgeons for selecting appropriate arthroscopic shavers.
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