“…Although in vitro chondrogenic differentiation is extensively published for pellet cultures, cell seeded scaffolds, and scaffold-free high-density seeding cultures [ 14 , 15 , 16 , 87 ], these 3D constructs are limited in their abilities to achieve both robust hyaline-like differentiation and direct, unassisted transplantation to defect sites [ 1 , 21 , 23 , 154 ]. To address these concerns, cell sheet tissue engineering constructs afford improved control of 3D cellular interactions, maintenance of chondrogenic characteristics via established manipulation techniques, and optimize endogenous adhesion abilities [ 83 , 156 , 157 , 160 , 162 , 163 , 164 ]. To date, autologous chondrocyte cell sheets have exhibited experimental and some clinical success in adhering, surviving, and inducing regeneration in articular cartilage defects [ 24 , 173 , 177 , 180 , 182 , 185 , 189 ].…”