The objective of this study was to evaluate the effect of allogeneic tissue
engineered cartilage implants on healing of osteochondral defects. Rabbit
chondrocytes were cultured in monolayer, then seeded onto biodegradable, th
ree-dimensional polyglycolic acid meshes. Cartilage constructs were culture
d hydrodynamically to yield tissue with relatively more (mature) or less (i
mmature) hyalinelike cartilage, as compared with adult rabbit articular car
tilage. Osteochondral defects in the patellar grooves of both stifle joints
either were left untreated or implanted with allogeneic tissue engineered
cartilage. Histologic samples from in and around the defect sites were exam
ined 3, 6, 9, and 12, and 24 months after surgery. By 9 months after surger
y, defect sites treated with cartilage implants contained significantly gre
ater amounts of hyalinelike cartilage with high levels of proteoglycan, and
had a smooth, nonfibrillated articular surface as compared to untreated de
fects. In contrast, the repair tissue formed in untreated defects had fibri
llated articular surfaces, significant amounts of fibrocartilage, and negli
gible proteoglycan, These differences between treated and untreated defects
persisted through 24 months after surgery. The results of this study sugge
st that the treatment of osteochondral lesions with allogeneic tissue engin
eered cartilage implants may lead to superior repair tissue than that found
in untreated osteochondral lesions.