Biomaterials in search of a meniscus substitute

Jan J. Rongen*, Tony G. van Tienen, Bas van Bochove, Dirk. W. Grijpma, Pieter Buma

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

62 Citations (Scopus)

Abstract

The menisci fulfill key biomechanical functions in the tibiofemoral (knee) joint. Unfortunately meniscal injuries are quite common and most often treated by (partial) meniscectomy. However, some patients experience enduring symptoms, and, more importantly, it leads to an increased risk for symptomatic osteoarthritis. Over the past decades, researchers have put effort in developing a meniscal substitute able to prevent osteoarthritis and treat enduring clinical symptoms. Grossly, two categories of substitutes are observed: First, a resorbable scaffold mimicking biomechanical function which slowly degrades while tissue regeneration and organization is promoted. Second, a non resorbable, permanent implant which mimics the biomechanical function of the native meniscus. Numerous biomaterials with different (material) properties have been used in order to provide such a substitute. Nevertheless, a clinically applicable cartilage protecting material is not yet emerged. In the current review we provide an overview, and discuss, these different materials and extract recommendations regarding material properties for future developmental research. (C) 2014 Elsevier Ltd. All rights reserved.

Original languageEnglish
Pages (from-to)3527-3540
Number of pages14
JournalBiomaterials
Volume35
Issue number11
DOIs
Publication statusPublished - Apr-2014

Keywords

  • Meniscus
  • Implant
  • Scaffold
  • Biomaterials
  • Tissue engineering
  • Cartilage
  • POLYVINYL ALCOHOL-HYDROGEL
  • POROUS POLYMER IMPLANT
  • H ARTIFICIAL MENISCUS
  • HUMAN MEDIAL MENISCUS
  • ARTHROSCOPIC PARTIAL MENISCECTOMY
  • ENGINEERED COLLAGEN MENISCUS
  • HUMAN CADAVERIC KNEE
  • 15-YEAR FOLLOW-UP
  • POLYURETHANE SCAFFOLD
  • ARTICULAR-CARTILAGE

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