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International Journal of Bioprinting                             Implantation of composites for cartilage repair

















































            Figure 7. Evaluation of implant fixation methods via micro-CT and picrosirius red staining. (A) Micro-CT scans of cartilage defects and underlying
            subchondral bone, with representative cross-sectional images 12 weeks after composite implantation shown. Insets show the top-down view for each
            defect. Scale bars = 1 cm. (B) Picrosirius red staining of repair cartilage, with representative cross-sectional images showing the center of cartilage defects
            for each of the respective experimental groups 12 weeks after composite implantation. Scale bars = 500 mm. Control osteochondral samples are isolated
            from the most distal portion of the trochlea for qualitative comparisons. FG: fibrin glue.
               Micro-CT was performed on all the cartilage defects to   did not completely degrade over 12 weeks  in vivo and
            qualitatively assess the relative amount of bone resorption   that the pinheads, perhaps due to onset of degradation,
            associated with each of the respective treatment groups   encompassed an appreciable amount of the overall defect
            (Figure 7A). To this end, control osteochondral samples   surface area. While this might suggest that there is a risk
            (i.e., healthy tissue) were also isolated from the most   of loose bodies (i.e., pinheads) in the joint, previous work
            distal portion of the trochlea to identify any potential   with these pins has shown via India ink staining that the
            subchondral bone remodeling in treated defects.    pins do not cause any damage or defects on the opposing
            Subchondral bone remodeling may compromise the     patellar surface .
                                                                           [16]
            long-term stability of any repair cartilage formed in the
            overlaying  defect  or  alternatively  give  rise  to  differential   Picrosirius red and safranin O/fast green stainings
            osteochondral loading, leading to the progression of OA .   were performed to gain insight into the composition of the
                                                        [42]
            While some degree of bone resorption was qualitatively   repair cartilage within the cartilage defects (Figures 7B and
            observed across all experimental groups, bone resorption   8) . Across all of the animals and experimental groups,
                                                                [32]
            appeared more pronounced in defects treated with pinned   variability in repair tissue staining and morphology was
            composites. In addition, micro-CT confirmed the presence   observed. Generally, the fixation of composites with fibrin
            of the biodegradable pins in defects treated with pinned   glue resulted in more intense picrosirius red staining than
            composites, further corroborating both that the pins   fixation with pins, indicating increased collagen formation


            Volume 9 Issue 5 (2023)                        503                         https://doi.org/10.18063/ijb.775
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