The shift in the extinction maximum, λmax, of the localized surface plasmon resonance (LSPR) spectrum of triangular Ag nanoparticles (∼90 nm wide and 50 nm high) is used to probe the interaction between a surface-confined antigen, biotin (B), and a solution-phase antibody, anti-biotin (AB). Exposure of biotin-functionalized Ag nanotriangles to 7 × 10-7 M < [AB] < 7 × 10-6 M caused a ∼38 nm red-shift in the LSPR λmax. The experimental normalized response of the LSPR λmax shift, (ΔR/ΔR max), versus [AB] was measured over the concentration range 7 × 10-10 M < [AB] < 7 × 10-6 M. Comparison of the experimental data with the theoretical normalized response for a 1:1 binding model yielded values for the saturation response, ΔR max = 38.0 nm, the surface-confined thermodynamic binding constant, K a,surf = 4.5 × 107 M-1, and the limit of detection (LOD) < 7 × 10-10 M. The experimental saturation response was interpreted in terms of a closest-packed structural model for the surface B−AB complex in which the long axis of AB, l AB = 15 nm, is oriented horizontally and the short axis, h AB = 4 nm is oriented vertically to the nanoparticle surface. This model yields a quantitative response for the saturation response, ΔR max = 40.6 nm, in good agreement with experiment, ΔR max = 38.0 nm. An atomic force microscopy (AFM) study supports this interpretation. In addition, major improvements in the LSPR nanobiosensor are reported. The LSPR nanobiosensor substrate was changed from glass to mica, and a surfactant, Triton X-100, was used in the nanosphere lithography fabrication procedure. These changes increased the adhesion of the Ag nanotriangles by a factor of 9 as determined by AFM normal force studies. The improved adhesion of Ag nanotriangles now enables the study of the B−AB immunoassay in a physiologically relevant fluid environment as well as in real-time. These results represent important new steps in the development of the LSPR nanosensor for applications in medical diagnostics, biomedical research, and environmental science.

LP-PRP results in improved functional outcome scores compared with hyaluronic acid and placebo when used for treatment of knee osteoarthritis. LP-PRP and LR-PRP have similar safety profiles, although both induce more transient reactions than does hyaluronic acid. Adverse reactions to PRP may not be directly related to leukocyte concentration.

Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

This article reports the first hydrogel with the strength and modulus of cartilage in both tension and compression, and the first to exhibit cartilage‐equivalent tensile fatigue strength at 100 000 cycles. These properties are achieved by infiltrating a bacterial cellulose (BC) nanofiber network with a poly(vinyl alcohol) (PVA)–poly(2‐acrylamido‐2‐methyl‐1‐propanesulfonic acid sodium salt) (PAMPS) double network hydrogel. The BC provides tensile strength in a manner analogous to collagen in cartilage, while the PAMPS provides a fixed negative charge and osmotic restoring force similar to the role of aggrecan in cartilage. The hydrogel has the same aggregate modulus and permeability as cartilage, resulting in the same time‐dependent deformation under confined compression. The hydrogel is not cytotoxic, has a coefficient of friction 45% lower than cartilage, and is 4.4 times more wear‐resistant than a PVA hydrogel. The properties of this hydrogel make it an excellent candidate material for replacement of damaged cartilage.

The quality of the evidence comparing inside-out and all-inside meniscal repair remains low, with a majority of the literature being evidence level 4 studies. In this review comparing modern all-inside devices with inside-out repair, no differences were seen in failure rates, functional outcome scores, or complication rates.

The current evidence shows that transtibial and independent drilling techniques have equivalent clinical outcomes at short-term to midterm follow-up. The long-term effects of subtle differences in tunnel position and postoperative knee kinematics should be further studied in dedicated, prospective cohort and randomized studies.

Meta-analysis studies, Level I.

Mutilating injuries of the hand and upper extremity result in tendon losses too great to be replaced by autologous grafts. The goal of this study was to use tissue engineering techniques to produce additional tendon material. We used a custom bioreactor to apply cyclic mechanical loading onto tissue-engineered tendon constructs to study ultimate tensile stress (UTS) and elastic modulus (E). Constructs used were acellularized rabbit hindpaw flexor digitorum profundus equivalents reseeded with tenocytes or left unseeded. Tendon constructs were subjected to a stretch force of 1.25 N over a 5-day course. Seeded tendon constructs that were exposed to bioreactor loading had a significantly increased UTS (71.17 +/- 14.15 N) compared to nonloaded controls (35.69 +/- 5.62 N) (p = 0.001). Similarly, seeded constructs exposed to bioreactor loading also had a significantly higher E (1091 +/- 169 MPa) compared to nonloaded controls (632 +/- 86 MPa) (p = 0.001). This study shows that cyclic loading of tendon constructs increases the UTS and elastic modulus of seeded constructs. The use of the bioreactor may therefore accelerate the in vitro production of strong, nonimmunogenic tendon material that can potentially be used clinically to reconstruct significant tendon losses.