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A strong bio-ink for Meniscus Regeneration
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           Figure 5. (A) The general view of the regenerated meniscus and worn cartilage surface. The blue dotted line showed the regeneration of
           meniscus and the wear of cartilage on the surface of femoral and tibial plateau. (B) The micro-MRI of the rabbit knee after 12 weeks. The
           red arrow indicates the regeneration site of meniscus defect.

           Table 1. The area of meniscal repair and the total scores of ICRS   properties may be made using this technique. It was also
           and O’Driscoll.                                     discovered that when water was added to the created PVA
            Group         Area of      Total      Total        hydrogel, 90% of the plastic deformation due to extension
                          meniscal     ICRS     O’Driscoll     was recovered, resulting in a significant contraction force
                                                                                                        [17]
                         repair (%)    score      score        capable of lifting items 1100 times their weight . The
           PVA/dECM      92.37±3.68   10±1.08   20.33±2.15     PVA/dECM hydrogel showed a promising compression
           Control       60.94±6.52   7±1.16    16.33±1.89     performance, and it was not broken when compressed to
           Blank         45.23±7.32   6±1.50    14.66±2.67     80%. The Young’s modulus reached 0.49 MPa, and the
                                                               stress limitation was 2.9 MPa. An excellent compression
                                                               ability allows hydrogels to keep intact in meniscal repair.
           have been shown to be a key regulator of proper tissue
           shape when used in physiological settings. Meanwhile,   The mechanical environment has a big impact on cellular
                                                               functions such cell adhesion, cell tension, and cytoskeleton
           multiple in vivo and in vitro investigations have revealed   architecture,  and it even has a long-term stability
           that mechanical variables play a key role in the meniscus’s   influence. According to Zhang et al., cyclic hydrostatic
           health,  degeneration,  and regeneration [32,33] . The  PVA/  compress force therapy stimulates proliferation of isolated
           dECM hydrogel scaffold showed a promising mechanical   primary meniscus fibrochondrocytes through increasing
           strength. The PVA forms stable crystalline domains by a   integrin  51 expression .  An appropriate  mechanical
                                                                                   [34]
           high concentration of hydroxyl ion and repeated freezing/  environment plays an important role in the regeneration
           thawing cycles. Physically crosslinked PVA biomaterials   and repair of meniscus. Meanwhile, excellent mechanical
           with excellent mechanical  capabilities,  low water   properties are conducive to the protection  of cartilage,
           content, damage resistance, and shape memory polymer   which reduced friction between cartilage surfaces.

           40                          International Journal of Bioprinting (2022)–Volume 8, Issue 4
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