Figure 1From: Mast cells and hypoxia drive tissue metaplasia and heterotopic ossification in idiopathic arthrofibrosis after total knee arthroplastyMicrocomputed tomography (microCT) analysis of the periarticular tissue and comparison of bone volume (BV) and range of motion (ROM). Representative microCT images are shown for (A) minimal calcification in pre-surgical osteoarthritic tissues (n = 5), (B) low BV group (0.07 ± 0.02 mm3 of hydroxyapatite; n = 5) and (C) high BV group (7.4 ± 2.7 mm3; n = 5). Calcified regions adjoining the fibrocartilage were confirmed by microCT analysis to have the appearance and density consistent with newly formed bone. (D) ROM and BV comparisons; the closer the patient ROM was to normal flexion, the lower the amount of tissue calcification or BV. Once the ROM was restricted to < 50 degrees, BV increased, and reached a peak when ROM was ≤ 20 degrees.Back to article page