Impact orientation can significantly affect the outcome of a blunt impact to the rabbit patellofemoral joint.

This laboratory has developed a subfracture, joint trauma model in rabbits. Using a dropped impact mass directed onto a slightly abducted joint, chronic softening of retropatellar cartilage and thickening of underlying subchondral bone are documented in studies to 1 year post-insult. It has been hypothesized that these tissue changes are initiated by stresses developed during impact loading. A previous analytical study by this laboratory suggests that tensile strains in retropatellar cartilage can be significantly lowered, without significantly changing the intensity of stresses in the underlying subchondral bone, by reorientation of patellar impact more centrally on the joint. In the current study comparative experiments were performed on groups of animals after either an impact directed on the slightly abducted limb or a more central impact. One-year post-trauma in animals subjected to the central-oriented impact no degradation of the shear modulus for the retropatellar cartilage was documented, but the thickness of the underlying subchondral bone was significantly increased. In contrast, alterations in cartilage and underlying bone following impact on the slightly abducted limb were consistent with previous studies. The current experimental investigation showed the sensitivity of post-trauma alterations in joint tissues to slight changes in the orientation of impact load on the joint. Interestingly, for this trauma model thickening of the underlying subchondral plate occurred without mechanical degradation of the overlying articular cartilage. This supports the current laboratory hypothesis that alterations in the subchondral bone and overlying cartilage occur independently in this animal model.