Publications by authors named "Pithioux M"

The femoral head is one of the most commonly used bones for allografts and biomechanical studies. However, there are few reports on the trabecular bone microarchitectural parameters of freshly harvested trabecular bones. To our knowledge, this is the first study to characterize the microstructure of femoral heads tested immediately after surgery and compare it with the microstructure obtained with conventional freezing.

View Article and Find Full Text PDF

The Achilles tendon enthesis (ATE) anchors the Achilles tendon into the calcaneus through fibrocartilaginous tissue. The latter is enriched in type II collagen and proteoglycans (PGs), both of which give the enthesis its capacity to withstand compressive stress. Because unloading and reloading induce remodeling of the ATE fibrocartilage (Camy et al.

View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare the biomechanical strength of a new suture technique (ST-knot) against a traditional method (double Kessler) for repairing tendon lacerations.
  • Using 40 deep flexor tendons from pigs, researchers tested the force needed to create a 2mm gap in the repairs with both sutures, using different thread sizes.
  • Results showed that the ST-knot was as effective as the double Kessler in terms of strength and stress, but it was simpler to perform, making it a potential option for complex tendon injuries.
View Article and Find Full Text PDF

The fibrocartilaginous tendon enthesis, i.e. the site where a tendon is attached to bone through a fibrocartilaginous tissue, is considered as a functionally graded interface.

View Article and Find Full Text PDF

Purpose: It was hypothesized that using a Patient-Specific Cutting Guide (PSCG) would allow the creation of sawbones model osteotomies, identical in the 3 planes and the hinge parameters, that can be used for biomechanical studies. The aim of the study was to evaluate the accuracy of the PSCG system and to introduce and assess the new hinge parameter; the hinge area.

Methods: Six identical sawbones tibia models were identically set up for identical osteotomy cuts by the same surgeon in the same session and with identical instruments.

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to validate the use of a smartphone accelerometer for quantitatively assessing the Pivot Shift test in ACL-injured knees, focusing on its reliability among different observers.
  • Twelve ACL-injured knees were analyzed alongside their uninjured counterparts, with measurements taken before, during, and after surgical reconstruction.
  • Results showed high intra-observer (ICC 0.89 and 0.97) and inter-observer reliability (ICC 0.99), and a significant difference in tibial acceleration between injured and healthy knees pre-surgery, indicating the accelerometer's effectiveness in assessing knee movement.
View Article and Find Full Text PDF

Resorbable hydrogels are widely used as scaffolds for tissue engineering. These hydrogels can be modified by grafting dendrimer-linked functionalized molecules (dendrigrafts). Our aim was to develop a tunable poly(L-lysine) dendrigrafts (DGL)/PEG-based hydrogel with an inverse porosity and to investigate its osteogenic potential.

View Article and Find Full Text PDF

Purpose: To compare the mechanical stress applied to our grafted defect area according to the diameter of the plugs used in the treatment of osteochondral lesion with osteochondral autograft transplantation (OAT) procedure.

Methods: A biomechanical study was conducted on eight cadaveric knees. A 20-mm defect was created in the weight-bearing zone on the medial femoral condyle then filled either with three plugs of 8 mm, or with four plugs of 6 mm, or with 6 plugs of 4 mm diameter.

View Article and Find Full Text PDF

The current definition of osteoporosis includes alteration of bone quality. The assessment of bone quality is improved by the development of new texture analysis softwares. Our objectives were to assess if proximal femoral trabecular bone texture measured in Ultra high field (UHF) 7 Tesla MRI and CT scan were related to biomechanical parameters, and if the combination of texture parameters and areal bone mineral density (aBMD) measured by dual-energy X-ray absorptiometry provided a better prediction of femoral failure than aBMD alone.

View Article and Find Full Text PDF
Article Synopsis
  • The study explores using texture parameters from MRI and CT scans to identify patients at risk for vertebral fragility fractures, while also creating a decision tree and applying Random Forest analysis for fracture prediction.
  • Researchers assessed 180 vertebrae from 60 patients with and without fragility fractures, finding 12 texture parameters and Hounsfield Unit Bone Density significantly distinguished between the groups, unlike T score and BMD.
  • Results showed that age and Hounsfield Unit Bone Density were the best predictors for fracture risk, with machine learning algorithms demonstrating high sensitivity and specificity, suggesting their potential in diagnosing osteoporosis through imaging.
View Article and Find Full Text PDF

Although multiple structural, mechanical, and molecular factors are definitely involved in osteoporosis, the assessment of subregional bone mineral density remains the most commonly used diagnostic index. In this study, we characterized bone quality in the femoral neck of one osteoporotic patients as compared to an age-matched control subject, and so used a multiscale and multimodal approach including X-ray computed microtomography at different spatial resolutions (pixel size: 51.0, 4.

View Article and Find Full Text PDF

Distraction osteogenesis (DO) involves several processes to form an organized distracted callus. While bone regeneration during DO has been widely described, no study has yet focused on the evolution profile of mechanical properties of mineralized tissues in the distracted callus. The aim of this study was therefore to measure the elastic modulus and hardness of calcified cartilage and trabecular and cortical bone within the distracted callus during the consolidation phase.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates how mechanical loading affects the structure and mechanical properties of the Achilles tendon enthesis after deconditioning from hindlimb suspension in mice.
  • Key findings include a severe reduction in the non-calcified fibrocartilage surface area and collagen disorganization after 14 days of unloading, but reloading for 6 days improved these features and enhanced collagen II expression.
  • The research highlights that unloading decreased the stiffness of the enthesis and changed the failure site, but reloading restored the original function, which is important for countermeasure exercises in spaceflight contexts.
View Article and Find Full Text PDF

A better understanding of the mechanical behaviour of child bone is essential to improve the diagnosis of pediatric bone disorders that may influence bone development. Even though the process of bone growth is well described, there are still lacks of knowledge on intrinsic material properties of child bone and particularly on child bone considered as "non-pathological". Geometry, material properties, microstructure and biochemical components are associated with child bone fragility and remain difficult to assess for two main reasons: the scarcity of the bone samples and their small dimensions.

View Article and Find Full Text PDF

A lot of evidence has shown the importance of stimulating cell mechanically during bone repair. In this study, we modeled the challenging fracture healing of a large bone defect in tibial diaphysis. To fill the fracture gap, we considered the implantation of a porous osteoconductive biomaterial made of poly-lactic acid wrapped by a hydrogel membrane mimicking osteogenic properties of the periosteum.

View Article and Find Full Text PDF

MRI could be applied for bone microarchitecture assessment; however, this technique is still suffering from low resolution compared to the trabecular dimension. A clear comparative analysis between MRI and X-ray microcomputed tomography (μCT) regarding microarchitecture metrics is still lacking. In this study, we performed a comparative analysis between μCT and 7T MRI with the aim of assessing the image resolution effect on the accuracy of microarchitecture metrics.

View Article and Find Full Text PDF

Purpose: Flexor tendon injury continues to pose a number of challenges for hand surgeons. Improving mechanical properties of repairs should allow for earlier and unprotected rehabilitation. A 3-dimensional (3D) 4-strand suture technique has been proposed to combine high tensile strength and low gliding resistance without causing suture pullout due to tendon delamination.

View Article and Find Full Text PDF

Trabecular bone could be assessed non-invasively using MRI. However, MRI does not yet provide resolutions lower than trabecular thickness and a comparative analysis between different MRI sequences at different field strengths and X-ray microtomography (μCT) is still missing. In this study, we compared bone microstructure parameters and bone mineral density (BMD) computed using various MRI approaches, i.

View Article and Find Full Text PDF

Exposure to chronic skeletal muscle disuse and unloading that astronauts experience results in muscle deconditioning and bone remodeling. Tendons involved in the transmission of force from muscles to skeleton are also affected. Understanding the changes that occur in muscle, tendon, and bone is an essential step toward limiting or preventing the deleterious effects of chronic reduction in mechanical load.

View Article and Find Full Text PDF

Bone microarchitecture has been shown to provide useful information regarding the evaluation of skeleton quality with an added value to areal bone mineral density, which can be used for the diagnosis of several bone diseases. Bone mineral density estimated from dual-energy X-ray absorptiometry (DXA) has shown to be a limited tool to identify patients' risk stratification and therapy delivery. Magnetic resonance imaging (MRI) has been proposed as another technique to assess bone quality and fracture risk by evaluating the bone structure and microarchitecture.

View Article and Find Full Text PDF

Granulocyte colony-stimulating factor (G-CSF) was shown to promote bone regeneration and mobilization of vascular and osteogenic progenitor cells. In this study, we investigated the effects of a systemic low dose of G-CSF on both bone consolidation and mobilization of hematopoietic stem/progenitor cells (HSPCs), endothelial progenitor cells (EPCs) and mesenchymal stromal cells (MSCs) in a rat model of distraction osteogenesis (DO). Neovascularization and mineralization were longitudinally monitored using positron emission tomography and planar scintigraphy.

View Article and Find Full Text PDF

Juvenile bone growth is well described (physiological and anatomical) but there are still lacks of knowledge on intrinsic material properties. Our group has already published, on different samples, several studies on the assessment of intrinsic material properties of juvenile bone compared to material properties of adult bone. The purpose of this study was finally to combine different experimental modalities available (ultrasonic measurement, micro-Computed Tomography analysis, mechanical compression tests and biochemical measurements) applied on small cubic bone samples in order to gain insight into the multiparametric evaluation of bone quality.

View Article and Find Full Text PDF

Purpose: This work compares the biomechanical resistance of five modes of fixation coracoid bone-block fixation during Latarjet open-air or arthroscopic procedures. The hypothesis is that these systems are equivalent.

Methods: Latarjet procedures were performed on cadavers, then the samples were subjected to an increasing tension until the fixation failed.

View Article and Find Full Text PDF

Purpose: To compare the biomechanical properties of human semitendinosus graft presoaked with or without vancomycin under a load to failure tensile test.

Methods: Thirty semitendinosus grafts harvested during anterior cruciate ligament reconstruction were included. These were dissected equally into 2 halves and subsequently randomly allocated to a vancomycin group and to a control group.

View Article and Find Full Text PDF
Article Synopsis
  • Human cortical bone is made of two tissue types: osteonal and interstitial, but differences in their mechanical properties during growth are still unclear.
  • This study analyzed bone samples from both juvenile (ages 4-18) and adult (ages 50-95) donors using various techniques to assess their mechanical properties and composition.
  • Results indicated that juvenile bone has intrinsic properties that are not necessarily inferior to adult bone and that mechanical properties vary between juvenile and adult bones, suggesting distinct considerations in juvenile bone research.
View Article and Find Full Text PDF