Review Article

Advances and Prospects in Tissue-Engineered Meniscal Scaffolds for Meniscus Regeneration

Table 1

Summary of main studies concerning the bioabsorbable synthetic polymer scaffolds.

Polymers typeFabrication methodCellular typeIn vitro or
in vivo
StimulationsTimeResultsReferences

PGA bonded PLGALyophilizationAllogeneic rabbit meniscal chondrocytesIn vivo (rabbit)None36 weeksProteoglycan types I and II collagen in neomenisci
Differences in collagen content and aggregate modulus in comparison with native meniscus
Kang et al. (2006) [50]

PuSolvent leachingNoneIn vivo (male Wistar rats back)None24 weeksUnorganized collagen deposition in isotropic scaffolds
Collagen alignment in anisotropic scaffolds
De Mulder et al. (2013) [51]

PLDLA/PCL-TSolvent casting and particulate leachingRabbit meniscus fibrochondrocytesIn vivo (rabbit)None24 weeksWithout apparent rejection, infection, or chronic inflammatory response
Mature collagen in seeded cells scaffolds
Esposito et al. (2013) [52]

PEO loaded collagenaseElectrospinningNoneIn vitro None4 weeksImproved repair by promoting cell migration, proliferation, and matrix depositionQu et al. (2013) [53]

PCLElectrospinningJuvenile bovine MSCsIn vitro Collagenase and ChABC 120 daysCollagen dominated tensile response, GAG dominated compressive properties, and GAG removal result in significant stiffening in tensionNerurkar et al. (2011) [54]

PCL mixed PEOElectrospinning with rotating mandrelJuvenile meniscus fibrochondrocytesIn vitro Various porosity and preseeding8 weeksHighly porous scaffolds integrate better with a native tissue and mature, preseeding improved
integration with the native tissue
Ionescu and Mauck (2013) [55]

HYAFF/PCLLamination
technique
Autologous chondrocytesIn vivo (sheep)Transosseous
horns fixation
4 monthsBetter implant appearance was in without fixation group; significant cartilaginous tissue formation and lower joint degeneration was in cell-seeded groupKon et al. (2008) [56]

HYAFF/PCL Lamination
technique
Autologous chondrocytesIn vivo (sheep)None12 monthsAvascular cartilaginous formation was more frequent in cell-seeded constructs; OA was less in cell-seeded group than in meniscectomy groupKon et al. (2012) [57]

ActifitNoneIn vivo (sheep)None12 monthsPromoting tissue ingrowth into porous scaffolds
Friction coefficient of scaffolds decreasing to near native values
Galley et al. (2011) [58]

ActifitNoneClinical cases (54 patients)None24 monthsSignificant improvements of pain and function scores; scaffold is safe and effective in treating lateral meniscus defectsBouyarmane et al. (2014) [59]

ActifitNoneClinical cases
(18 patients)
None24 monthsScaffold with chronic segmental medial meniscus deficiency is not only a safe procedure but leads to good clinical results Schüttler et al. (2014) [60]

ActifitNoneClinical cases
(18 patients)
None24 monthsNo deleterious effects on patients
Inducing and promoting meniscal regeneration by normal chondrocytes and fibrochondrocytes
Beneficial in decreasing the risk of progression to knee OA
Baynat et al. (2014) [61]

PLDLA/PCL-T: poly (L-co-D,L-lactic acid)/poly (caprolactone-triol).
PEO: poly (ethylene oxide).
HYAFF/PCL: hyaluronan-derived polymers obtained by a coupling reaction (Fidia Advanced Biopolymers, Abano Terme, Italy).
Actifit: acellular meniscal scaffold mainly composed of PU (20%) and PCL (80%) (Orteq Sports Medicine, London, UK).