Methods for Testing Meniscal Repair Using a 3D-Printed Meniscus
Torn and damaged menisci resulting from trauma are very common knee injuries, which can cause pain and mobility limitations and lead to osteoarthritis. Meniscal injuries can require surgery to repair the tissue damage and restore mobility. Here we describe the biomechanical testing of a 3D-printed m...
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Published in | Applied Biosciences Vol. 3; no. 1; pp. 102 - 122 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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MDPI AG
06.02.2024
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Abstract | Torn and damaged menisci resulting from trauma are very common knee injuries, which can cause pain and mobility limitations and lead to osteoarthritis. Meniscal injuries can require surgery to repair the tissue damage and restore mobility. Here we describe the biomechanical testing of a 3D-printed meniscus to illustrate methods to determine if it has the strength and durability to effectively repair meniscal tears and restore knee biomechanics. This work was designed to demonstrate the steps needed to test novel meniscus repair devices prior to moving toward animal testing. The first testing step determined the ability of the 3D-printed meniscus to withstand surgical fixation by measuring the suture pull-out force. We show that vertical 2/0 silk or Fiberwire sutures need an average of 1.4 or 1.8 N, respectively, to pull through the meniscus, while horizontal sutures need only 0.7 and 1.2 N, respectively. The next step measured the compressive strength of normal, damaged, and repaired porcine meniscus tissue. Here, we show that meniscectomy decreased the stiffness of meniscus tissue from 26.7 ± 0.85 N to 7.43 ± 0.81 N at 25% strain. Menisci repaired with the 3D-printed tissue restored 66% of the measured force at 25% strain. The final step measured the contact pressures and areas in an ex vivo porcine knee before and after meniscal repair was made with the 3D-printed meniscus tissue. The example 3D-printed meniscus was successfully sutured into the porcine knee joint but failed to restore normal knee contact pressures. This work demonstrates the need for an iterative biomechanical testing process of biomaterial development, 3D-printing optimization, and knee kinematics to develop a durable and functional meniscus repair device. In summary, the methods described here serve as a guide for the functional evaluation of novel meniscus repair devices. |
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AbstractList | Torn and damaged menisci resulting from trauma are very common knee injuries, which can cause pain and mobility limitations and lead to osteoarthritis. Meniscal injuries can require surgery to repair the tissue damage and restore mobility. Here we describe the biomechanical testing of a 3D-printed meniscus to illustrate methods to determine if it has the strength and durability to effectively repair meniscal tears and restore knee biomechanics. This work was designed to demonstrate the steps needed to test novel meniscus repair devices prior to moving toward animal testing. The first testing step determined the ability of the 3D-printed meniscus to withstand surgical fixation by measuring the suture pull-out force. We show that vertical 2/0 silk or Fiberwire sutures need an average of 1.4 or 1.8 N, respectively, to pull through the meniscus, while horizontal sutures need only 0.7 and 1.2 N, respectively. The next step measured the compressive strength of normal, damaged, and repaired porcine meniscus tissue. Here, we show that meniscectomy decreased the stiffness of meniscus tissue from 26.7 ± 0.85 N to 7.43 ± 0.81 N at 25% strain. Menisci repaired with the 3D-printed tissue restored 66% of the measured force at 25% strain. The final step measured the contact pressures and areas in an ex vivo porcine knee before and after meniscal repair was made with the 3D-printed meniscus tissue. The example 3D-printed meniscus was successfully sutured into the porcine knee joint but failed to restore normal knee contact pressures. This work demonstrates the need for an iterative biomechanical testing process of biomaterial development, 3D-printing optimization, and knee kinematics to develop a durable and functional meniscus repair device. In summary, the methods described here serve as a guide for the functional evaluation of novel meniscus repair devices. |
Author | Helgeson, Melvin Voinier, Steven Gilchrist, Kristin H. Ho, Vincent B. Nelson, Andrew Klarmann, George J. Tran, Jeremy |
Author_xml | – sequence: 1 givenname: Andrew surname: Nelson fullname: Nelson, Andrew – sequence: 2 givenname: Steven surname: Voinier fullname: Voinier, Steven – sequence: 3 givenname: Jeremy surname: Tran fullname: Tran, Jeremy – sequence: 4 givenname: Kristin H. orcidid: 0000-0003-3584-9832 surname: Gilchrist fullname: Gilchrist, Kristin H. – sequence: 5 givenname: Melvin surname: Helgeson fullname: Helgeson, Melvin – sequence: 6 givenname: Vincent B. surname: Ho fullname: Ho, Vincent B. – sequence: 7 givenname: George J. orcidid: 0000-0001-9614-9464 surname: Klarmann fullname: Klarmann, George J. |
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References | ref_50 Moxon (ref_14) 2017; 29 Antosh (ref_9) 2020; 478 Rimmer (ref_32) 1995; 11 Puetzer (ref_53) 2016; 22 ref_12 Donohue (ref_4) 2019; 32 Senior (ref_13) 2019; 29 ref_19 ref_16 ICengiz (ref_21) 2016; 1–2 Hinton (ref_15) 2015; 1 Boenisch (ref_30) 1999; 27 Snoeker (ref_6) 2013; 43 Long (ref_40) 2022; 21 ref_25 Skaggs (ref_29) 1994; 12 ref_23 Matthews (ref_34) 2020; 32 Zhang (ref_18) 2017; 45 Herregodts (ref_46) 2015; 6 ref_28 Doral (ref_8) 2018; 3 ref_27 Szojka (ref_20) 2017; 8 Nielsen (ref_3) 1991; 31 Yan (ref_11) 2018; 4 Romanazzo (ref_22) 2018; 12 Puetzer (ref_26) 2013; 9 Kim (ref_49) 2015; 43 Willinger (ref_48) 2019; 7 Feucht (ref_31) 2015; 23 Bao (ref_43) 2016; 2 Loverde (ref_51) 2023; 14 Sharma (ref_47) 2014; 66 Zhang (ref_33) 2017; 65 Ode (ref_36) 2012; 40 Mazy (ref_37) 2023; 10 Chia (ref_39) 2008; 26 Jones (ref_5) 2012; 47 Cook (ref_7) 2005; 435 Narayanan (ref_17) 2016; 2 ref_42 ref_41 ref_1 Zhang (ref_24) 2019; 11 Zaffagnini (ref_45) 2007; 15 Petri (ref_52) 2012; 20 Lee (ref_10) 2016; 5 Zantop (ref_44) 2006; 34 Koh (ref_35) 2016; 98 Logerstedt (ref_2) 2010; 40 Aros (ref_38) 2010; 18 |
References_xml | – volume: 40 start-page: 1863 year: 2012 ident: ref_36 article-title: Effects of serial sectioning and repair of radial tears in the lateral meniscus publication-title: Am. J. Sports Med. doi: 10.1177/0363546512453291 contributor: fullname: Ode – volume: 27 start-page: 626 year: 1999 ident: ref_30 article-title: Pull-out strength and stiffness of meniscal repair using absorbable arrows or Ti-Cron vertical and horizontal loop sutures publication-title: Am. J. Sports Med. doi: 10.1177/03635465990270051401 contributor: fullname: Boenisch – volume: 9 start-page: 7787 year: 2013 ident: ref_26 article-title: High density type I collagen gels for tissue engineering of whole menisci publication-title: Acta Biomater. doi: 10.1016/j.actbio.2013.05.002 contributor: fullname: Puetzer – volume: 8 start-page: 1 year: 2017 ident: ref_20 article-title: Biomimetic 3D printed scaffolds for meniscus tissue engineering publication-title: Bioprinting doi: 10.1016/j.bprint.2017.08.001 contributor: fullname: Szojka – volume: 3 start-page: 260 year: 2018 ident: ref_8 article-title: Modern treatment of meniscal tears publication-title: EFORT Open Rev. doi: 10.1302/2058-5241.3.170067 contributor: fullname: Doral – volume: 15 start-page: 175 year: 2007 ident: ref_45 article-title: Arthroscopic collagen meniscus implant results at 6 to 8 years follow up publication-title: Knee Surg Sports Traumatol. Arthrosc. doi: 10.1007/s00167-006-0144-4 contributor: fullname: Zaffagnini – volume: 22 start-page: 907 year: 2016 ident: ref_53 article-title: Physiologically Distributed Loading Patterns Drive the Formation of Zonally Organized Collagen Structures in Tissue-Engineered Meniscus publication-title: Tissue Eng. Part A doi: 10.1089/ten.tea.2015.0519 contributor: fullname: Puetzer – volume: 20 start-page: 223 year: 2012 ident: ref_52 article-title: Effects of perfusion and cyclic compression on in vitro tissue engineered meniscus implants publication-title: Knee Surg Sports Traumatol. Arthrosc. doi: 10.1007/s00167-011-1600-3 contributor: fullname: Petri – volume: 21 start-page: 1641 year: 2022 ident: ref_40 article-title: Experiments and hyperelastic modeling of porcine meniscus show heterogeneity at high strains publication-title: Biomech. Model Mechanobiol. doi: 10.1007/s10237-022-01611-3 contributor: fullname: Long – volume: 14 start-page: e00433 year: 2023 ident: ref_51 article-title: Development of a bioreactor for in-vitro compression cycling of tissue engineered meniscal implants publication-title: HardwareX doi: 10.1016/j.ohx.2023.e00433 contributor: fullname: Loverde – volume: 65 start-page: 127 year: 2017 ident: ref_33 article-title: Friction Behavior at the Interface Between Surgical Sutures and Tissues publication-title: Tribol. Lett. doi: 10.1007/s11249-017-0909-6 contributor: fullname: Zhang – ident: ref_16 doi: 10.1088/1758-5090/aaf707 – volume: 23 start-page: 132 year: 2015 ident: ref_31 article-title: Biomechanical evaluation of different suture materials for arthroscopic transtibial pull-out repair of posterior meniscus root tears publication-title: Knee Surg Sports Traumatol. Arthrosc. doi: 10.1007/s00167-013-2656-z contributor: fullname: Feucht – volume: 45 start-page: 1497 year: 2017 ident: ref_18 article-title: 3D-Printed Poly(epsilon-caprolactone) Scaffold Augmented with Mesenchymal Stem Cells for Total Meniscal Substitution: A 12- and 24-Week Animal Study in a Rabbit Model publication-title: Am. J. Sports Med. doi: 10.1177/0363546517691513 contributor: fullname: Zhang – volume: 7 start-page: 2325967118824611 year: 2019 ident: ref_48 article-title: Effect of Lower Limb Alignment in Medial Meniscus-Deficient Knees on Tibiofemoral Contact Pressure publication-title: Orthop. J. Sports Med. doi: 10.1177/2325967118824611 contributor: fullname: Willinger – volume: 2 start-page: 49 year: 2016 ident: ref_43 article-title: Experiment study on puncture force between MIS suture needle and soft tissue publication-title: Biosurface Biotribol. doi: 10.1016/j.bsbt.2016.05.001 contributor: fullname: Bao – ident: ref_23 doi: 10.1088/1758-5090/ab40fa – volume: 47 start-page: 67 year: 2012 ident: ref_5 article-title: Incidence and risk factors associated with meniscal injuries among active-duty US military service members publication-title: J. Athl. Train. doi: 10.4085/1062-6050-47.1.67 contributor: fullname: Jones – volume: 43 start-page: 352 year: 2013 ident: ref_6 article-title: Risk factors for meniscal tears: A systematic review including meta-analysis publication-title: J. Orthop. Sports Phys. Ther. doi: 10.2519/jospt.2013.4295 contributor: fullname: Snoeker – volume: 6 start-page: 7 year: 2015 ident: ref_46 article-title: Use of Tekscan pressure sensors for measuring contact pressures in the human knee joint publication-title: Int. J. Sustain. Constr. Des. contributor: fullname: Herregodts – volume: 18 start-page: 1594 year: 2010 ident: ref_38 article-title: Mechanical comparison of meniscal repair devices with mattress suture devices in vitro publication-title: Knee Surg Sports Traumatol. Arthrosc. doi: 10.1007/s00167-010-1188-z contributor: fullname: Aros – volume: 40 start-page: A1 year: 2010 ident: ref_2 article-title: Section of the American Physical Therapy, Knee pain and mobility impairments: Meniscal and articular cartilage lesions publication-title: J. Orthop. Sports Phys. Ther. contributor: fullname: Logerstedt – volume: 11 start-page: 146 year: 1995 ident: ref_32 article-title: Failure strengths of different meniscal suturing techniques publication-title: Arthroscopy doi: 10.1016/0749-8063(95)90059-4 contributor: fullname: Rimmer – volume: 12 start-page: e1826 year: 2018 ident: ref_22 article-title: Meniscus ECM-functionalised hydrogels containing infrapatellar fat pad-derived stem cells for bioprinting of regionally defined meniscal tissue publication-title: J. Tissue Eng. Regen. Med. doi: 10.1002/term.2602 contributor: fullname: Romanazzo – volume: 435 start-page: 88 year: 2005 ident: ref_7 article-title: The current status of treatment for large meniscal defects publication-title: Clin. Orthop. Relat. Res. doi: 10.1097/00003086-200506000-00014 contributor: fullname: Cook – ident: ref_28 – volume: 66 start-page: 1811 year: 2014 ident: ref_47 article-title: Significance of preradiographic magnetic resonance imaging lesions in persons at increased risk of knee osteoarthritis publication-title: Arthritis Rheumatol. doi: 10.1002/art.38611 contributor: fullname: Sharma – volume: 32 start-page: 123 year: 2019 ident: ref_4 article-title: Meniscus Injuries in the Military Athlete publication-title: J. Knee Surg. doi: 10.1055/s-0038-1676959 contributor: fullname: Donohue – volume: 26 start-page: 951 year: 2008 ident: ref_39 article-title: Compressive moduli of the human medial meniscus in the axial and radial directions at equilibrium and at a physiological strain rate publication-title: J. Orthop. Res. doi: 10.1002/jor.20573 contributor: fullname: Chia – ident: ref_12 doi: 10.1016/j.bprint.2022.e00239 – volume: 5 start-page: 2856 year: 2016 ident: ref_10 article-title: Design and Printing Strategies in 3D Bioprinting of Cell-Hydrogels: A Review publication-title: Adv. Healthc. Mater. doi: 10.1002/adhm.201600435 contributor: fullname: Lee – volume: 29 start-page: 1904845 year: 2019 ident: ref_13 article-title: Fabrication of Complex Hydrogel Structures Using Suspended Layer Additive Manufacturing (SLAM) publication-title: Adv. Funct. Mater. doi: 10.1002/adfm.201904845 contributor: fullname: Senior – ident: ref_50 doi: 10.1371/journal.pone.0027857 – volume: 43 start-page: 937 year: 2015 ident: ref_49 article-title: Does decreased meniscal thickness affect surgical outcomes after medial meniscectomy? publication-title: Am. J. Sports Med. doi: 10.1177/0363546514544677 contributor: fullname: Kim – volume: 12 start-page: 176 year: 1994 ident: ref_29 article-title: Radial tie fibers influence the tensile properties of the bovine medial meniscus publication-title: J. Orthop. Res. doi: 10.1002/jor.1100120205 contributor: fullname: Skaggs – volume: 11 start-page: eaao0750 year: 2019 ident: ref_24 article-title: Orchestrated biomechanical, structural, and biochemical stimuli for engineering anisotropic meniscus publication-title: Sci. Transl. Med. doi: 10.1126/scitranslmed.aao0750 contributor: fullname: Zhang – volume: 34 start-page: 799 year: 2006 ident: ref_44 article-title: Elongation and structural properties of meniscal repair using suture techniques in distraction and shear force scenarios: Biomechanical evaluation using a cyclic loading protocol publication-title: Am. J. Sports Med. doi: 10.1177/0363546505285583 contributor: fullname: Zantop – volume: 2 start-page: 1732 year: 2016 ident: ref_17 article-title: 3D-Bioprinting of Polylactic Acid (PLA) Nanofiber-Alginate Hydrogel Bioink Containing Human Adipose-Derived Stem Cells publication-title: ACS Biomater. Sci. Eng. doi: 10.1021/acsbiomaterials.6b00196 contributor: fullname: Narayanan – volume: 478 start-page: 722 year: 2020 ident: ref_9 article-title: Likelihood of Return to Duty Is Low After Meniscal Allograft Transplantation in an Active-duty Military Population publication-title: Clin. Orthop. Relat. Res. doi: 10.1097/CORR.0000000000000915 contributor: fullname: Antosh – volume: 1 start-page: e1500758 year: 2015 ident: ref_15 article-title: Three-dimensional printing of complex biological structures by freeform reversible embedding of suspended hydrogels publication-title: Sci. Adv. doi: 10.1126/sciadv.1500758 contributor: fullname: Hinton – volume: 32 start-page: 42 year: 2020 ident: ref_34 article-title: The influence of suture materials on the biomechanical behavior of suture-meniscal specimens: A comparative study in a porcine model publication-title: Knee Surg. Relat. Res. doi: 10.1186/s43019-020-00053-4 contributor: fullname: Matthews – ident: ref_1 doi: 10.1007/978-3-031-02576-1 – volume: 29 start-page: 1605594 year: 2017 ident: ref_14 article-title: Suspended Manufacture of Biological Structures publication-title: Adv. Mater. doi: 10.1002/adma.201605594 contributor: fullname: Moxon – volume: 98 start-page: 1829 year: 2016 ident: ref_35 article-title: Tibiofemoral Contact Mechanics with Horizontal Cleavage Tear and Resection of the Medial Meniscus in the Human Knee publication-title: J. Bone Jt. Surg. doi: 10.2106/JBJS.16.00214 contributor: fullname: Koh – volume: 4 start-page: 729 year: 2018 ident: ref_11 article-title: A Review of 3D Printing Technology for Medical Applications publication-title: Engineering doi: 10.1016/j.eng.2018.07.021 contributor: fullname: Yan – ident: ref_42 doi: 10.1186/s12891-020-03197-2 – volume: 10 start-page: 139 year: 2023 ident: ref_37 article-title: Tough gel adhesive is an effective method for meniscal repair in a bovine cadaveric study publication-title: J. Exp. Orthop. doi: 10.1186/s40634-023-00691-z contributor: fullname: Mazy – volume: 31 start-page: 1644 year: 1991 ident: ref_3 article-title: Epidemiology of acute knee injuries: A prospective hospital investigation publication-title: J. Trauma doi: 10.1097/00005373-199112000-00014 contributor: fullname: Nielsen – volume: 1–2 start-page: 1 year: 2016 ident: ref_21 article-title: Building the basis for patient-specific meniscal scaffolds: From human knee MRI to fabrication of 3D printed scaffolds publication-title: Bioprinting doi: 10.1016/j.bprint.2016.05.001 contributor: fullname: ICengiz – ident: ref_41 doi: 10.3389/fbioe.2020.622552 – ident: ref_19 doi: 10.1016/j.biomaterials.2019.119361 – ident: ref_25 doi: 10.1016/j.bprint.2023.e00272 – ident: ref_27 doi: 10.1016/j.bbiosy.2021.100026 |
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