Biological healing between cartilage and bone is difficult, because their h
istological structure and physiological function are completely different,
and the healing ability of cartilage is limited. A full-thickness articular
cartilage defect was created in the femoral groove of 48 Japanese white ra
bbits. The defects were filled with a piece of articular cartilage from the
contralateral patella with its superficial zone facing down to the defect.
Before grafting, a piece of articular cartilage was treated with 0.05% try
psin or phosphate-buffered saline (PBS) for 5 min. The healing process was
histologically observed at 2, 4, 8, and 16 weeks after operation. We found
that the incorporation process of cartilage implant treated with trypsin wa
s much better than that of PBS-pretreated cartilage. Proliferation and reor
ganization of chondrocytes in the cartilage implant and subchondral bone in
growth were observed in the trypsin-pretreated group. Although the observat
ion period in our study was not very long, our results suggest that trypsin
pretreatment might be one of the most promising methods to facilitate the
repair process between cartilage and bone.