In vivo performance of a novel silk fibroin scaffold for partial meniscal replacement in a sheep model

Verfasser / Beitragende:
[Katharina Gruchenberg, Anita Ignatius, Benedikt Friemert, Falk von Lübken, Nick Skaer, Kris Gellynck, Oliver Kessler, Lutz Dürselen]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/8(2015-08-01), 2218-2229
Format:
Artikel (online)
ID: 605459622
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024 7 0 |a 10.1007/s00167-014-3009-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3009-2 
245 0 0 |a In vivo performance of a novel silk fibroin scaffold for partial meniscal replacement in a sheep model  |h [Elektronische Daten]  |c [Katharina Gruchenberg, Anita Ignatius, Benedikt Friemert, Falk von Lübken, Nick Skaer, Kris Gellynck, Oliver Kessler, Lutz Dürselen] 
520 3 |a Purpose: Due to the negative effects of meniscectomy, there is a need for an adequate material to replace damaged meniscal tissue. To date, no material tested has been able to replace the meniscus sufficiently. Therefore, a new silk fibroin scaffold was investigated in an in vivo sheep model. Methods: Partial meniscectomy was carried out to the medial meniscus of 28 sheep, and a scaffold was implanted in 19 menisci (3-month scaffold group, n=9; 6-month scaffold group, n=10). In 9 sheep, the defect remained empty (partial meniscectomy group). Sham operation was performed in 9 animals. Results: The silk scaffold was able to withstand the loads experienced during the implantation period. It caused no inflammatory reaction in the joint 6months postoperatively, and there were no significant differences in cartilage degeneration between the scaffold and sham groups. The compressive properties of the scaffold approached those of meniscal tissue. However, the scaffolds were not always stably fixed in the defect, leading to gapping between implant and host tissue or to total loss of the implant in 3 of 9 cases in each scaffold group. Hence, the fixation technique needs to be improved to achieve a better integration into the host tissue, and the long-term performance of the scaffolds should be further investigated. Conclusion: These first in vivo results on a new silk fibroin scaffold provide the basis for further meniscal implant development. Whilst more data are required, there is preliminary evidence of chondroprotective properties, and the compressive properties and biocompatibility are promising. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Meniscus  |2 nationallicence 
690 7 |a Meniscal replacement  |2 nationallicence 
690 7 |a Silk fibroin  |2 nationallicence 
690 7 |a Scaffold  |2 nationallicence 
690 7 |a Osteoarthritis  |2 nationallicence 
700 1 |a Gruchenberg  |D Katharina  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstraße 14, 89081, Ulm, Germany  |4 aut 
700 1 |a Ignatius  |D Anita  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstraße 14, 89081, Ulm, Germany  |4 aut 
700 1 |a Friemert  |D Benedikt  |u Department of Trauma and Orthopaedic Surgery, Centre of Musculoskeletal Research, Hospital of the Federal Armed Forces Ulm, 89081, Ulm, Germany  |4 aut 
700 1 |a von Lübken  |D Falk  |u Department of Trauma and Orthopaedic Surgery, Centre of Musculoskeletal Research, Hospital of the Federal Armed Forces Ulm, 89081, Ulm, Germany  |4 aut 
700 1 |a Skaer  |D Nick  |u Orthox Ltd., OX14 3HG, Abingdon, UK  |4 aut 
700 1 |a Gellynck  |D Kris  |u Division of Biomaterials and Tissue Engineering, Eastman Dental Institute, University College London, WC1X 8LD, London, UK  |4 aut 
700 1 |a Kessler  |D Oliver  |u Centre for Orthopaedic and Sports Medicine, 8047, Zurich, Switzerland  |4 aut 
700 1 |a Dürselen  |D Lutz  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstraße 14, 89081, Ulm, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2218-2229  |x 0942-2056  |q 23:8<2218  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3009-2  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3009-2  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gruchenberg  |D Katharina  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstraße 14, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ignatius  |D Anita  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstraße 14, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Friemert  |D Benedikt  |u Department of Trauma and Orthopaedic Surgery, Centre of Musculoskeletal Research, Hospital of the Federal Armed Forces Ulm, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a von Lübken  |D Falk  |u Department of Trauma and Orthopaedic Surgery, Centre of Musculoskeletal Research, Hospital of the Federal Armed Forces Ulm, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Skaer  |D Nick  |u Orthox Ltd., OX14 3HG, Abingdon, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gellynck  |D Kris  |u Division of Biomaterials and Tissue Engineering, Eastman Dental Institute, University College London, WC1X 8LD, London, UK  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kessler  |D Oliver  |u Centre for Orthopaedic and Sports Medicine, 8047, Zurich, Switzerland  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dürselen  |D Lutz  |u Institute of Orthopaedic Research and Biomechanics, Centre of Musculoskeletal Research, University of Ulm, Helmholtzstraße 14, 89081, Ulm, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2218-2229  |x 0942-2056  |q 23:8<2218  |1 2015  |2 23  |o 167