Analyzing Composition and Lubrication Properties of Synovial Fluid (SFCL)
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Purpose
To analyze the relationship between composition of synovial fluid and its lubrication properties
| Condition | Intervention |
|---|---|
|
Knee Osteoarthritis HA Injection One Injection Per Week for Five Week Synovial Fluid Composition Synovial Fluid Lubrication |
Other: Synovial fluid composition and lubrication analysis |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Boundary Lubrication of Synovial Fluid Molecules and Its Effect on the Surrounding Cells and Tissues |
- Synovial fluid HA and albumin concentration; synovial fluid lubrication [ Time Frame: 1 wk, 2 wk, 3 wk, 4 wk, 5 wk ] [ Designated as safety issue: Yes ]
Biospecimen Retention: Samples Without DNA
synovial fluid from knee joint
| Enrollment: | 55 |
| Study Start Date: | April 2008 |
| Study Completion Date: | June 2009 |
| Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
HA injection
Patients with osteoarthritis of knee. They are going to received HA injection 1 vial per week for 5 weeks.
|
Other: Synovial fluid composition and lubrication analysis
Before HA injection, synovial fluid must be drawn to increase treatment effectiveness. The drawn synovial fluid was then analyzed in the lab. There was no influence for patients enrolled because the drawn synovial fluid would usually be discarded.
|
Detailed Description:
Patients suffering from serious arthritis may receive the artificial joint replacement surgery. Comparing to the articulation of articular cartilage, the artificial joint undergo a boundary lubrication in which a thin layer of synovial fluid molecules is formed between the artificial joint materials. Therefore a larger wear rate is observed in the artificial joint system. Researchers have devoted themselves to modifying the artificial joint materials in order to reduce the wear phenomena. We first propose that modification the lubrication by adding effective lubricating molecules may help to reduce the wear of artificial joint. However, there still lacks fundamentally understanding of the artificial joint lubrication mechanism under synovial fluid. Hence, we plan to investigate the boundary lubrication mechanism of synovial molecules, such as albumin, globulin, hyaluronic acid, and lipid in the first year. We would like to obtain the adsorption behaviors of the single molecules as well as multiple molecules on the surfaces of artificial joint materials by experiments. Molecular dynamics simulation will also be performed to gain the knowledge of adsorption energy and possible conformation change of the molecules. In the second year, the tribological heat and mechanical effects on the synovial molecules will be studied. The analysis platform will be established to perform the composition and properties measurement of the synovial molecules. In the third year, we will further discuss the effect of the synovial molecules transformation on the surrounding cells and tissues. Their influences on the tribological and biochemical behaviors will be investigated.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Patients who are going to receive HA injection of one or two knees
Inclusion Criteria:
- Patients who are going to receive HA injection of one or two knees
Exclusion Criteria:
- Patients whose quantity of synovial fluid is not enough to be drawn
Contacts and Locations| Taiwan | |
| Far Eastern Memorial Hospital | |
| Pan-Ciao, Taipei, Taiwan, 22050 | |
| Study Director: | Chih-Hung Chang, Ph. D | Far Eastern Memorial Hospital |
More Information
No publications provided
| Responsible Party: | Chih-Hung Chang, Division of Orthopedics, Far Eastern Memorial Hospital |
| ClinicalTrials.gov Identifier: | NCT00912106 History of Changes |
| Other Study ID Numbers: | 96024, NSC-96- |
| Study First Received: | June 2, 2009 |
| Last Updated: | June 2, 2009 |
| Health Authority: | Taiwan: Department of Health |
Keywords provided by Far Eastern Memorial Hospital:
|
osteoarthritis HA synovial fluid lubrication |
Additional relevant MeSH terms:
|
Osteoarthritis Osteoarthritis, Knee Arthritis |
Joint Diseases Musculoskeletal Diseases Rheumatic Diseases |
ClinicalTrials.gov processed this record on June 18, 2013