PRP is widely used in the clinical management of chronic tendinopathy. However, the clinical results are ambiguous. It is imperative to understand the influence of leukocytes on PRP-mediated tissue healing in vivo, which could facilitate the better clinical management of chronic tendinopathy. Further studies are needed to translate our findings to the clinical setting.

In this work, a fast water-responsive shape memory hybrid polymer based on thermoplastic polyurethane (TPU) was prepared by crosslinking with hydroxyethyl cotton cellulose nanofibers (CNF-C) and multi-walled carbon nanotubes (CNTs). The effect of CNTs content on the electrical conductivity of TPU/CNF-C/CNTs nanocomposite was investigated for the feasibility of being a strain sensor. In order to know its durability, the mechanical and water-responsive shape memory effects were studied comprehensively. The results indicated good mechanical properties and sensing performance for the TPU matrix fully crosslinked with CNF-C and CNTs. The water-induced shape fixity ratio (Rf) and shape recovery ratio (Rr) were 49.65% and 76.64%, respectively, indicating that the deformed composite was able to recover its original shape under a stimulus. The TPU/CNF-C/CNTs samples under their fixed and recovered shapes were tested to investigate their sensing properties, such as periodicity, frequency, and repeatability of the sensor spline under different loadings. Results indicated that the hybrid composite can sense large strains accurately for more than 103 times and water-induced shape recovery can to some extent maintain the sensing accuracy after material fatigue. With such good properties, we envisage that this kind of composite may play a significant role in developing new generations of water-responsive sensors or actuators.

Tissue engineering is a promising solution for meniscal regeneration after meniscectomy. However, in situ reconstruction still poses a formidable challenge due to multifunctional roles of the meniscus in the knee. In this study, we fabricate a silk sponge from 9% (w/v) silk fibroin solution through freeze drying and then coat its internal space and external surface with collagen sponge. Subsequently, various characteristics of the silk-collagen scaffold are evaluated, and cytocompatibility of the construct is assessed in vitro and subcutaneously. The efficacy of this composite scaffold for meniscal regeneration is evaluated through meniscus reconstruction in a rabbit meniscectomy model. It is found that the internally coated collagen sponge enhances the cytocompatibility of the silk sponge, and the external layer of collagen sponge significantly improves the initial frictional property. Additionally, the silkcollagen composite group shows more tissue ingrowth and less cartilage wear than the pure silk sponge group at 3 months postimplantation in situ. These findings thus demonstrate that the composite scaffold had less damage to the joint surface than the silk alone through promoting functional meniscal regeneration after meniscectomy, which indicates its clinical potential in meniscus reconstruction.

a b s t r a c tAnterior cruciate ligament (ACL) reconstruction remains a formidable clinical challenge because of the lack of vascularization and adequate cell numbers in the joint cavity. In this study, we developed a novel strategy to mimic the early stage of repair in vivo, which recapitulated extra-articular inflammatory response to facilitate the early ingrowth of blood vessels and cells. A vascularized ectopic tissue engineered ligament (ETEL) with silk collagen scaffold was developed and then transferred to reconstruct the ACL in rabbits without interruption of perfusion. At 2 weeks after ACL reconstruction, more wellperfused cells and vessels were found in the regenerated ACL with ETEL, which decreased dramatically at the 4 and 12 week time points with collagen deposition and maturation. ACL treated with ETEL exhibited more mature ligament structure and enhanced ligament-bone healing post-reconstructive surgery at 4 and 12 weeks, as compared with the control group. In addition, the ETEL group was demonstrated to have higher modulus and stiffness than the control group significantly at 12 weeks post-reconstructive surgery. In conclusion, our results demonstrated that the ETEL can provide sufficient vascularity and cellularity during the early stages of healing, and subsequently promote ACL regeneration and ligament-bone healing, suggesting its clinic use as a promising therapeutic modality. Statement of SignificanceEarly inflammatory cell infiltration, tissue and vessels ingrowth were significantly higher in the extraarticular implanted scaffolds than theses in the joint cavity. By mimicking the early stages of wound repair, which provided extra-articular inflammatory stimulation to facilitate the early ingrowth of blood vessels and cells, a vascularized ectopic tissue engineered ligament (ETEL) with silk collagen scaffold was constructed by subcutaneous implantation for 2 weeks. The fully vascularized TE ligament was then transferred to rebuild ACL without blood perfusion interruption, and was demonstrated to exhibit improved ACL regeneration, bone tunnel healing and mechanical properties.