
A knee joint contracture, a loss in passive range of motion (ROM), can be caused by prolonged immobility. In a rat knee immobilization flexion contracture model, the posterior capsule was shown to contribute to an irreversible limitation in ROM, and collagen pathways were identified as differentially expressed over the development of a contracture. Collagenases purified from Clostridium histolyticum are currently prescribed to treat Dupuytren's and Peyronie's contractures due to their ability to degrade collagen. The potential application of collagenases to target collagen in the posterior capsule was tested in this model.Rats had one hind leg immobilized, developing a knee flexion contracture. After 4 weeks, the immobilization device was removed, and the rats received one 50 µL intra-articular injection of 0.6 mg/mL purified collagenase. Control rats were injected with only the buffer. After 2 weeks of spontaneous remobilization following the injections, ROM was measured with a rat knee arthrometer, and histological sections were immunostained with antibodies against rat collagen types I and III.Compared with buffer-injected control knees, collagenase-treated knees showed increased ROM in extension by 8.0°±3.8° (p-value 0.05). The current study provides experimental evidence for the pharmacological treatment of knee flexion contractures with intra-articular collagenase injection, improving the knee ROM.
Male, Contracture, Time Factors, RM1-950, Collagen Type I, Injections, Intra-Articular, Rats, Sprague-Dawley, Immobilization, Animals, Collagenases, Range of Motion, Articular, Original Research, Drug Design, Development and Therapy, Recovery of Function, Biomechanical Phenomena, Disease Models, Animal, Collagen Type III, Hindlimb Suspension, Joint, Proteolysis, Joints, Collagen, Therapeutics. Pharmacology, Joint Capsule
Male, Contracture, Time Factors, RM1-950, Collagen Type I, Injections, Intra-Articular, Rats, Sprague-Dawley, Immobilization, Animals, Collagenases, Range of Motion, Articular, Original Research, Drug Design, Development and Therapy, Recovery of Function, Biomechanical Phenomena, Disease Models, Animal, Collagen Type III, Hindlimb Suspension, Joint, Proteolysis, Joints, Collagen, Therapeutics. Pharmacology, Joint Capsule
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 15 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Top 10% | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |
