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The integrated repair of bone and cartilage boasts advantages for osteochondral restoration such as a long-term repair effect and less deterioration compared to repairing cartilage alone. Constructing multifactorial, spatially oriented scaffolds to stimulate osteochondral regeneration, has immense significance. Herein, targeted drugs, namely kartogenin@polydopamine (KGN@PDA) nanoparticles for cartilage repair and miRNA@calcium phosphate (miRNA@CaP) NPs for bone regeneration, were in situ deposited on a patterned supramolecular-assembled 2-ureido-4 [lH]-pyrimidinone (UPy) modified gelation hydrogel film, facilitated by the dynamic and responsive coordination and complexation of metal ions and their ligands. This hydrogel film can be rolled into a cylindrical plug, mimicking the Haversian canal structure of natural bone. The resultant hydrogel demonstrates stable mechanical properties, a self-healing ability, a high capability for reactive oxygen species capture, and controlled release of KGN and miR-26a. In vitro, KGN@PDA and miRNA@CaP promote chondrogenic and osteogenic differentiation of mesenchymal stem cells via the JNK/RUNX1 and GSK-3β/β-catenin pathways, respectively. In vivo, the osteochondral plug exhibits optimal subchondral bone and cartilage regeneration, evidenced by a significant increase in glycosaminoglycan and collagen accumulation in specific zones, along with the successful integration of neocartilage with subchondral bone. This biomaterial delivery approach represents a significant toward improved osteochondral repair.
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http://dx.doi.org/10.1007/s40820-023-01228-w | DOI Listing |
J Knee Surg
September 2025
Thompson Laboratory for Regenerative Medicine, University of Missouri Missouri Orthopaedic Institute, Columbia, United States.
This preclinical ex vivo study was conducted to evaluate the effects of submersion in saline or the Missouri Osteochondral Preservation System (MOPS®) solution during plug reaming on Day-0 viable chondrocyte density (%VCD) of osteochondral allograft (OCA) plugs used for osteochondral allograft transplantation (OCAT). Distal femoral OCAs preserved with MOPS were reamed to create cylindrical "plug" grafts using one of three techniques: submersion in MOPS (SG-MOPS), submersion in saline (SG-Saline), or reamer saturated with MOPS without OCA submersion (SR-MOPS). All plug reaming was performed using standardized instrumentation and technique to harvest 18-mm-diameter plugs.
View Article and Find Full Text PDFAm J Sports Med
September 2025
Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Background: Unstable osteochondritis dissecans of the capitellum (OCD-C) is most commonly treated with debridement and marrow stimulation. This treatment has historically been associated with suboptimal return to high-demand upper extremity sports and persistent elbow pain. Fresh osteochondral allograft transplant (OCAlloT) is an alternative treatment that restores subchondral bone and articular cartilage without the donor site morbidity that is associated with autograft harvest.
View Article and Find Full Text PDFAm J Sports Med
August 2025
Cartilage Restoration Center, Rush University Medical Center, Chicago, Illinois, USA.
Background: Multiplug "snowman" osteochondral allograft transplantation (OCA) is an effective treatment method for large, irregularly shaped osteochondral defects of the knee. No existing literature directly compares the effectiveness of this technique with traditional single-plug circular OCA.
Purpose: To compare failure rates, reoperation rates, and relevant patient-reported outcome (PRO) scores at 2-year follow-up between patients undergoing snowman OCA and patients undergoing single-plug OCA.
Am J Sports Med
June 2025
Department of Orthopaedics, Rush University Medical Center, Chicago, Illinois, USA.
Background: Previous literature shows that current osteochondral allograft (OCA) harvesting techniques lead to donor plug chondrocyte death during OCA transplant for treating focal knee cartilage defects.
Purpose: To evaluate the effects of drilling/reaming speed and irrigation temperature on chondrocyte viability during OCA harvest.
Study Design: Controlled laboratory study.
Video J Sports Med
November 2024
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, USA.
Background: Anterior cruciate ligament (ACL) injuries frequently present with lateral meniscal injuries, and when irreparable, this may lead to meniscectomy, increasing the risk for osteoarthritis. Lateral meniscal allograft transplant (LMAT) can restore knee function and proper contact pressures. When combined with osteochondral allograft (OCA) for chondral defects, results are highly positive.
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