Affiliations: Department of Orthopaedic Surgery, University of Aachen, Aachen, Germany | Institute of Mechanics, University of Aachen, Aachen, Germany | Arthro Nova Clinic, Ringsee, Germany
Note: [] Address for correspondence: Dr. Ralf Mueller-Rath, Orthopaedic Clinic, Breite Str. 96, 41460 Neuss, Germany. Tel.: +49 2131 274531; Fax: +49 2131 25412; E-mail: mueller-rath@opn-neuss.de.
Abstract: Three-dimensional autologous chondrocyte implantation based on collagen gel as matrix scaffold has become a clinically applied treatment for focal defects of articular cartilage. However, the low biomechanical properties of collagen gel makes intraoperative handling difficult and creates the risk of early damages to the vulnerable implant. The aim of the study was to create a stabilized form of collagen gel and to evaluate its biomechanical and biochemical properties. Collagen type-I gel was seeded with human articular chondrocytes. 20 samples were subject to condensation which was achieved mechanically by compression and filtration. Control samples were left uncondensed. From both types of gels 10 samples were used for initial biomechanical evaluation by means of unconfined compression and 10 samples were cultivated under standard conditions in vitro. Following cultivation the samples were evaluated by conventional histology and immunohistochemistry. The proliferation rate was calculated and matrix gene expression was quantified by real-time PCR. The biomechanical tests revealed a higher force carrying capacity of the condensed specimens. Strain rate dependency and relaxation was seen in both types of collagen gel representing viscoelastic material properties. Cells embedded within the condensed collagen gel were able to produce extracellular matrix proteins and showed proliferation. Condensed collagen gel represents a mechanically improved type of biomaterial which is suitable for three-dimensional autologous chondrocyte implantation.
