As a result of the low yield of cartilage from primary patient harvests and
a high demand for autologous cartilage for reconstructive surgery and stru
ctural repair, primary explant cartilage must be augmented by tissue engine
ering techniques. In this study, chondrocytes seeded on PLLA/PGA scaffolds
in static culture and a direct perfusion bioreactor were biochemically and
histologically analyzed to determine the effects of fluid flow and media pH
on matrix assembly. A gradual media pH change was maintained in the biorea
ctor within 7.4-6.96 over 2 weeks compared to a more rapid decrease from 7.
4 to 6.58 in static culture over 3 days. Seeded scaffolds subjected to 1 mu
m/s flow demonstrated a 118% increase (p < 0.05) in DNA content, a 184% in
crease (p < 0.05) in GAG content, and a 155% (p < 0.05) increase in hydroxy
proline content compared to static culture. Distinct differences were noted
in tissue morphology, including more intense staining for proteoglycans by
safranin-O and alignment of cells in the direction of media flow. Culture
of chondrocyte seeded matrices thus offers the possibility of rapid in vitr
o expansion of donor cartilage for the repair of structural defects, trache
al injury, and vascularized tissue damage.