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International Journal of Bioprinting                             Implantation of composites for cartilage repair
















































            Figure 2. Encapsulation of pMSCs within MEW-NorHA composites. (A) Schematic overview of the encapsulation of pMSCs within MEW-NorHA
            composites. Cells are suspended in NorHA macromer, which is then infilled into MEW meshes and crosslinked via light-mediated (hν) thiol-ene
            crosslinking in the presence of LAP photoinitiator and DTT crosslinker. (B) Live/Dead staining and representative micrographs of pMSC-laden composites
            containing cells sourced from three different porcine donors and cultured for 7 days in chondrogenic media. (C) Quantification of the cell viability within
            composites 7 days after pMSC encapsulation. n = 6, one-way ANOVA with Tukey’s HSD post-hoc test, *p < 0.05, ns = not significant. DTT: dithiothreitol;
            LAP: lithium phenyl-2,4,6-trimethylbenzoylphosphinate.

            [10] . Cartilage defects were created along the femoral trochlea   PLDLLA pins, which degrade on the order of months,
            of Yucatan minipigs to investigate both the retention and   and (ii) fixation with fibrin glue (Figure 5B and  C).
            performance of implanted acellular and precultured (i.e.,   While the former fixation method has been previously
            culture for 28 days in chondrogenic media) composites. To   shown  to  retain nanofibrous  HA-based  scaffolds  within
            mitigate the potential influence of defect location on the   full-thickness porcine defects, it is also associated
                                                                                                           [16]
            performance of different experimental groups, treatment   with appreciable subchondral bone remodeling .
            location was randomized across all the performed surgeries.   Alternatively, past results suggest that subchondral bone
                                                                                                           [16]
            Adult animals were selected over skeletally immature   remodeling is attenuated with the use of fibrin glue
            animals to better recapitulate the patient populations that   but that the retention of implants within defects is not
            develop full-thickness cartilage defects and to mitigate the   significantly improved when compared to press-fitting
            degree of subchondral bone remodeling that occurs with   alone . Given the previously reported advantages and
                                                                   [17]
                                    [39]
            initial cartilage defect creation .                limitations of  these respective  approaches, this study
                                                               aimed to identify the fixation method most appropriate
               Two  distinct  fixation  methods  were investigated  to
            identify how best to implant MEW-NorHA composites   for use with these MEW-NorHA composites.
            within cartilage defects: (i) pinning of composites to   Unilateral stifle joint surgeries were performed and
            the underlying subchondral bone with bioresorbable   treated with pinned acellular composites (“Acellular+Pin,”

            Volume 9 Issue 5 (2023)                        499                         https://doi.org/10.18063/ijb.775
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