Wounds penetrating articular cartilage to bone heal with cartilage
described variably as either fibrous or hyaline. In the present study, such
repair cartilage was induced in the rabbit for biochemical comparison with
normal articular cartilage. The main collagen in the repair tissue after
three weeks was type I. By six to eight weeks, type II had become
predominant and continued to be enriched up to one year; but type I still
persisted as a significant constituent of the repair tissue even after a
year, so the repair cartilage never fully resembled normal articular
cartilage. From radiochemical analysis, type II was determined to be the
major collagen synthesized by the repair tissue after three to four weeks.
After six months, the repair cartilage contained more collagen and less
hexosamine than control cartilage, suggesting that the fibrous texture that
often developed was due to a loss of proteoglycans rather than to a change
in the type of collagen. Clinical Relevance: Procedures capable of inducing
the differentiation of authentic articular cartilage to resurface
degenerated human joints would be invaluable. Surgical methods, such as
drilling through to subchondral bone, are often attempted. It is not known,
however, whether the cartilage that forms is true articular cartilage or,
for example, fibrocartilage. The present experimental study in rabbits
compared the properties of such repair cartilage with those of normal
articular cartilage.