Joint diseases are one of the most common causes of morbidity
and
disability worldwide. The main diseases that affect joint cartilage
are osteoarthritis and rheumatoid arthritis, which require chronic
treatment focused on symptomatic relief. Conventional drugs administered
through systemic or intra-articular routes have low accumulation and/or
retention in articular cartilage, causing dose-limiting toxicities
and reduced efficacy. Therefore, there is an urgent need to develop
improved strategies for drug delivery, in particular, the use of micro-
and nanotechnology-based methods. Encapsulation of therapeutic agents
in delivery systems reduces drug efflux from the joint and protects
against rapid cellular and enzymatic clearance following intra-articular
injection. Consequently, the use of drug delivery systems decreases
side effects and increases therapeutic efficacy due to enhanced drug
retention in the intra-articular space. Additionally, the frequency
of intra-articular administration is reduced, as delivery systems
enable sustained drug release. This review summarizes various advanced
drug delivery systems, such as nano- and microcarriers, developed
for articular cartilage diseases.