Degradables |
PLGA-based |
BioSeed®-C |
BioTissue, AG |
PGA-PLA scaffold reinforced with PDS and seeded with autologous chondrocytes and suspended in fibrin |
Two-step procedure; MACI |
No clinical superiority compared to ACI-p; radiologically better than ACI-p. |
[115,116] |
Chondrotissue®
|
BioTissue AG |
Non-woven PGA textile treated with hyaluronic acid combined with either PRP or BMC. |
One-step procedure; AMIC |
Promising outcomes from case series with evidence of hyaline cartilaginous tissue; no comparative studies available. |
[26,177,178,181] |
Collagen-based |
NeoCart®
|
Histogenics Corporation |
Scaffold using bovine type I collagen seeded with autologous chondrocytes cultured in a bioreactor |
Two-step procedure; MACI |
Good clinical outcomes and superior to microfracture in comparative study. |
[182,183] |
NovoCART® 3D |
TETEC® Tissue Engineering Technologies AG |
3D collagen-chondroitin sulfate scaffold seeded with autologous chondrocytes |
Two-step procedure; MACI |
Performed better than ACI-p in high demanding patients, effect was not significant; high rate of graft hypertrophy in case series studies. |
[184,185,186] |
CaReS®
|
Arthro Kinetics |
Hydrogel using type I collagen from rat tails seeded with autologous chondrocytes cultured in autologous blood |
Two-step procedure; MACI |
Superior results when compared to microfracture in matched-pair analysis after 3 years |
[188,189] |
Chondro-Gide®
|
Geistlich Pharma AG, Wolhusen, Switzerland |
Collagen type I/III matrix sutured to debrided microfractured defect and supported by fibrin glue |
One-step procedure; AMIC |
No comparative studies available. |
[190,191,192] |
Maioregen®
|
Fin-Ceramica Faenza S.p.A., Italy |
Threelayered nanostructured scaffold with a top layer consisting of type I collagen, a middle layer of 60% type I collagen and 40% hydroxyapatite and a bottom layer with 60% hydroxyapatie and 40% type I collagen. |
One-step procedure; AMIC |
No comparative studies available. |
[193,194] |
Other natural polymer-based constructs |
Hyalograft® C |
Anika Therapeutics, Inc. |
Hyaluronan (HYAFF-11S), a benzylic ester of hyaluronic acid, scaffold seeded with autologous chondrocytes and fixated using fibrin glue |
Two-step procedure; MACI |
Performed better than microfracture after 2 years up to 7 years; faster improvements compared to Chondro-Gide®
|
[195,196,197,198] |
Cartipatch®
|
Tissue Bank of France |
Hydrogel using an ultrapurified agarose-alginate suspension (GelForGel) seeded with autologous chondrocytes cultured in monolayer conditiones in autologous serum |
Two-step procedure; MACI |
Inferior results compared to mosaicplasty after 2 years in comparative study. |
[199,200] |
Chondron™ |
Sewon Cellontech Co. Ltd |
Hydrogel using autologous chondrocytes mixed with fibrin glue (ratio 1:1). |
Two-step procedure; MACI |
No comparative studies available. |
[201,202,203] |
BST-CarGel®
|
Piramal Healthcare Ltd |
Chitosan mixed with autologous blood |
One-step procedure; AMIC |
Little evidence; clinically equal to microfracture but radiologically superior in comparative study |
[204] |
GelrinC™ |
Regentis Biomaterials |
PEG-fibrinogen hydrogel applied as liquid formulation and cured in-situ using long wave UV light |
One-step procedure; AMIC |
No comparative studies available. |
[105,205] |
Non-degrad-ables |
Metals |
HemiCAP®
|
Arthosurface INC. |
Titanium cancellous screw with cobalt-chrome articular surface |
One-step procedure; FKR |
No comparative studies available; possible feasible treatment option for failed regenerative treatments. |
[206,207,208] |
Episealer® Condyle Solo |
Episurf medical AB |
Cobalt-chrome monobloc with titanium-hydroxyapatie coating |
One-step procedure; FKR |
No clinical evidence yet. |
[209,210,211] |