Evidence map›Paper›PMID 41088253›Full record

ArticleBiomedical engineering online2025

The post-operative loading regimen influences the regenerative potential of a biomimetic osteochondral scaffold.

Umberto Cardinale, Alessio Pulino, Giuseppe Filardo, Marco Pes, Edoardo Fantinato, Pietro Parisse, Antonio Brunetti, Maria Antonietta Evangelisti, Lucia Manunta, Andrea Fabio Manunta

Abstract read
In one paragraph

Article in Biomedical engineering online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Umberto CardinaleAOU Sassari: Azienda Ospedaliero-Universitaria di Sassari, Sassari, Italy.
Alessio PulinoAOU Sassari: Azienda Ospedaliero-Universitaria di Sassari, Sassari, Italy. alessiopulino@gmail.com.
Giuseppe FilardoFaculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.
Marco PesThe Royal London Hospital, London, UK.
Edoardo FantinatoAOU Sassari: Azienda Ospedaliero-Universitaria di Sassari, Sassari, Italy.
Pietro ParisseIstituto Officina dei Materiali Consiglio Nazionale delle Ricerche, Genova, Italy.
Antonio BrunettiUniversità degli Studi di Sassari Dipartimento di Scienze Biomediche, Sassari, Italy.
Maria Antonietta EvangelistiUniversità degli Studi di Sassari Dipartimento di Medicina Veterinaria, Sassari, Italy.
Lucia ManuntaUniversità degli Studi di Sassari Dipartimento di Medicina Veterinaria, Sassari, Italy.
Andrea Fabio ManuntaAOU Sassari: Azienda Ospedaliero-Universitaria di Sassari, Sassari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArticular cartilage (AC) is highly resilient and deformable. Osteochondral scaffolds have been developed to repair cartilage by mimicking the structure and function of native tissues. Our experimental model was conducted on adult sheep, commonly used as an animal model for cartilage studies, to assess the effect of early loading after osteochondral implant placement.

methodsThe study was conducted on 16 adult male sheep. Cartilage defects were created and filled with an osteochondral scaffold. The sheep were divided into three groups: Group A (immobilization), Group B (partial load), and Group C (full load). Weekly clinical exams were performed, followed by micro-computed tomography (micro-CT) and atomic force microscopy (AFM) analysis on the knees, which were later collected after 6 months. The results assessed the effectiveness of partial loading compared to full immobilization or full load in terms of scaffold integration.

resultsAfter 6 months, sheep in Group B moved without limping, whereas Groups A and C showed limited movement of the operated limb. In Group B, micro-CT analysis showed different scaffold integration and adequate osteochondral defect filling, while fibrocartilage tissue was observed in Groups A and C. Group A exhibited increased subchondral bone porosity. Group C showed increased osteochondral mineralization. AFM measurements revealed a rough surface with fiber-like structures in the cartilage area compared to the subchondral bone. DISCUSSION: After 6 months, Group B showed better mobility recovery compared to the other groups. Micro-CT analysis revealed different scaffold integration and defect filling in Group B, while fibrocartilaginous tissue was found in Groups A and C. This study highlights the importance of controlled mechanical loading in osteochondral scaffold healing and integration.

conclusionOur study highlighted the importance of controlled mechanical loading in osteochondral scaffold development for cartilage repair. Partial load proved favorable for scaffold healing and integration, improving mobility and reducing limping in the animal model.

Indexed as

Biomimetic MaterialsCartilage, ArticularRegenerationTissue ScaffoldsAnimalsMalePostoperative PeriodSheepWeight-BearingX-Ray MicrotomographyArticular cartilageIn-vivoKneeLoad bearingOsteochondral scaffold

Identifiers

PMID41088253
PMCPMC12522686

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.