A comparative analysis of 3D bioprinted gelatin-hyaluronic acid-alginate scaffold and microfracture for the management of osteochondral defects in the rabbit knee joint.

OBJECTIVES: This study aims to compare the radiological, biomechanical, and histopathological results of microfracture treatment and osteochondral damage repair treatment with a new scaffold product produced by the three-dimensional (3D) bioprinting method containing gelatin-hyaluronic acid-alginate in rabbits with osteochondral damage. MATERIALS AND METHODS: A new 3D bioprinted scaffold consisting of gelatin, hyaluronic acid, and alginate designed by us was implanted into the osteochondral defect created in the femoral trochlea of 10 rabbits. By randomization, it was determined which side of 10 rabbits would be repaired with a 3D bioprinted scaffold, and microfracture treatment was applied to the other knees of the rabbits. After six months of follow-up, the rabbits were sacrificed. The results of both treatment groups were compared radiologically, biomechanically, and histopathologically. RESULTS: None of the rabbits experienced any complications. The magnetic resonance imaging evaluation showed that all osteochondral defect areas were integrated with healthy cartilage in both groups. There was no significant difference between the groups in the biomechanical load test (p=0.579). No statistically significant difference was detected in the histological examination using the modified Wakitani scores (p=0.731). CONCLUSION: Our study results showed that 3D bioprinted scaffolds exhibited comparable radiological, biomechanical, and histological properties to the conventional microfracture technique for osteochondral defect treatment.

Propolis-Based Nanofiber Patches to Repair Corneal Microbial Keratitis.

In this research, polyvinyl-alcohol (PVA)/gelatin (GEL)/propolis (Ps) biocompatible nanofiber patches were fabricated via electrospinning technique. The controlled release of Propolis, surface wettability behaviors, antimicrobial activities against the S. aureus and P. aeruginosa, and biocompatibility properties with the mesenchymal stem cells (MSCs) were investigated in detail. By adding 0.5, 1, and 3 wt.% GEL into the 13 wt.% PVA, the morphological and mechanical results suggested that 13 wt.% PVA/0.5 wt.% GEL patch can be an ideal matrix for 3 and 5 wt.% propolis addition. Morphological results revealed that the diameters of the electrospun nanofiber patches were increased with GEL (from 290 nm to 400 nm) and Ps addition and crosslinking process cause the formation of thicker nanofibers. The tensile strength and elongation at break enhancement were also determined for 13 wt.% PVA/0.5 wt.% GEL/3 wt.% Ps patch. Propolis was released quickly in the first hour and arrived at a plateau. Cell culture and contact angle results confirmed that the 3 wt.% addition of propolis reinforced mesenchymal stem cell proliferation and wettability properties of the patches. The antimicrobial activity demonstrated that propolis loaded patches had antibacterial activity against the S. aureus, but for P. aeruginosa, more studies should be performed.

A Comparison of Incremental Running Field and Treadmill Tests in Young Soccer Players.

The purpose of this study was to compare the incremental running tests performed by young soccer players on a treadmill (Tr) and in the field (FTcod: 100 m change of direction and FTcir: 100 m circle). Nineteen players (average age 17.4 ± 1.1 years; body height 172.0 ± 5.7 cm; body mass 68.9 ± 6.7 kg) volunteered to perform incremental Tr , FTcod and FTcir running tests. In all three tests, players ran for 3 min at 8, 10, 12 and 14 km∙h-1 and were given a 1 min rest interval between subsequent stages. Blood lactate concentrations (La-) were measured at 1 min rest intervals and the heart rate (HR) responses of players were recorded during the tests. After a 5 min recovery period, the second part of the test started; players ran at 15 km∙h-1 with velocity increments of 1 km∙h-1 every 1 min until exhaustion. This part was performed to determine maximum HR, maximum La- and the players' final velocities. The results showed that players had significantly lower La- (F = 6.93, p = 0.07, η2 = 0.46, 95%CI(TR-FTcir) = -1.91/-0.34, 95%CI(TR-FTcod) = -1.59/-0.05) and HR (F = 9.08, p = 0.02, η2 = 0.53, 95%CI(TR-FTcir) = -6.98/-1.68, 95%CI(TR-FTcod) = -7.19/1.08) responses in the Tr test than in the FTcir and FTcod tests at 14 km∙h-1. It was also found that players completed the Tr test (F = 58.22, p = 0.00, η2 = 0.87) at higher final running velocities than the FTcir (95%CI(TR-FTcir) = 1.67/2.78) and FTcod (95%CI(TR-FTcod) = 1.69/2.85) tests. In conclusion, when coaches or sports scientists plan to train at higher running velocities or according to the final velocity in the test, it is advisable to carry out testing in the circumstances under which training will be carried out (in the field or on a treadmill).