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J Biomed Mater Res B Appl Biomater ; 111(4): 895-902, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36374005

RESUMO

This study aimed to investigate the appropriate size of scaffold implantation on stress distribution and evaluate its mechanical and biomechanical properties considering hydrolysis. The meniscus acts as a load distribution in the knee, and its biomechanical properties are essential for the development of the PGA scaffold. We established a novel meniscal scaffold, which consists of polyglycolic acid (PGA) covered with L-lactide-ε-caprolactone copolymer (P[LA/CL]). After 4 weeks of hydrolysis, the scaffold had a 7% volume reduction compared to the initial volume. In biomechanical tests, the implantation of scaffolds 20% larger than the circumferential and vertical defect size results in greater contact stress than the intact meniscus. In the mechanical evaluation associated with the decomposition behavior, the strength decreased after 4 weeks of hydrolysis. Meanwhile, in the biomechanical test considering hydrolysis, contact stress and area equivalent to intact were obtained after 4 weeks of hydrolysis. In conclusion, the implantation of the PGA scaffold might be a useful alternative to partial meniscectomy in terms of mechanical properties, and the PGA scaffold should be implanted up to 20% of the defect size.


Assuntos
Meniscectomia , Menisco , Humanos , Suínos , Animais , Meniscectomia/métodos , Meniscos Tibiais/cirurgia , Menisco/cirurgia , Articulação do Joelho/cirurgia , Joelho , Fenômenos Biomecânicos
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