Long-Term Osteochondral Repair Induced by Electrospun PLA/PCL Scaffolds Functionalized with Polypyrrole and Aggrecan:...

Articular cartilage possesses a limited intrinsic repair capacity, and current treatment strategies frequently result in fibrocartilaginous repair tissue with inferior structural and mechanical properties compared with native hyaline cartilage. Increasing evidence indicates that successful restoration of joint function requires regeneration of the entire osteochondral unit and adequate integration between cartilage and subchondral bone. Cartilage tissue engineering has emerged as an effective approach for repairing damaged cartilage. The present study evaluated the long-term performance of electrospun PLA/PCL (70/30) scaffolds coated with iodine-doped polypyrrole (PPy-I), with and without aggrecan incorporation, in a rabbit osteochondral defect model after 12 months of implantation. Two scaffold formulations were evaluated: M1 (PLA-PCL-PPy-I) and M2 (PLA-PCL-PPy-I-AG), each implanted either without cells or after in vitro pre-culture with autologous chondrocytes prior to implantation. Histological analyses were performed to assess tissue organization and osteochondral integration, while indentation testing was used to characterize the mechanical behavior of the regenerated tissues. Experimental force-displacement data were further analyzed using a generalized nonlinear Maxwell viscoelastic model. Histological evaluation revealed that scaffold composition and cellularization influenced the characteristics of the regenerated tissue. The M2 scaffold pre-cultured with autologous chondrocytes exhibited the structural organization most closely resembling native hyaline cartilage, including a tri-zonal architecture and a continuous tidemark indicative of improved osteochondral integration. Mechanical testing demonstrated nonlinear viscoelastic behavior and hysteresis in both regenerated and native tissues. The proposed generalized nonlinear Maxwell viscoelastic model provides a practical framework for the mechanical characterization of regenerated osteochondral tissues using only two effective parameters representing the elastic and viscous response, and may support future studies aimed at estimating their intrinsic mechanical properties.