Editorial: Bioengineering and translational research for bone and joint diseases

Musculoskeletal disorders, commonly caused by sporting injuries, aging, accidents, and pathological factors, are one of the nonnegligible burdens that render severe pain and disability (Shang et al., 2022). As a long-term and costing disease, osteoarthritis occurs at a six folds higher rate, secondary to joint and bone lesions such as ligament rupture, cartilage defects, meniscus tear, and bone injuries (Snoeker et al., 2020). Different tissues show a great variation in the ability of post-injury self-repair. Due to increased angiogenesis and the capability to differentiate osteoblasts (Glowacki, 1998), bone is recognized as relatively prone to heal when lesions are small, whereas large instances remain challenging clinically and preclinically (Schemitsch, 2017). Unlike the adequation of blood supply in bone tissue, articular cartilage is an avascular, alymphatic, aneural, and hypocellular structure (Pathria et al., 2016). Chondrocytes, the predominant and welldifferentiated type of cells in cartilage, cluster in the lacuna rich in water, proteoglycans, and collagens. Under natural situations, articular cartilage microstructure degenerates in pace with systemic aging, such as a loss in water volume and thinning of the calcified cartilage layer (Hoemann et al., 2012). Due to its biological properties, once injured, cartilage can hardly heal itself, rather injury progresses to the deeper layers and is finally in need of arthroplasty (Baumann et al., 2019). Current strategies, including conservative surgeries like arthroscopic debridement and chondroplasty (Chilelli et al., 2017), bone marrow stimulating therapy like microfracture (Allahabadi et al., 2021), and autologous transfer therapy such as osteochondral autograft transfer (McCormick et al., 2014) cated on the tibia plateau, are indispensable structures that facilitate load transmission, shock absorption, joint lubrication, and proprioception (Fox et al., 2015). Meniscus tears, commonly due to trauma or degenerative diseases, badly influence the mobility of knees, especially in athletes (Fox et al., 2015). With adequate vascularity only in the outer red-red zone, tears occurring in the inner white-white zone cannot self-repair (Makris et al., 2011). Tendon and ligament injuries are also health problems that cause pain and instability of OPEN ACCESS

[1]  T. Zhu,et al.  Advances in Regenerative Sports Medicine Research , 2022, Frontiers in Bioengineering and Biotechnology.

[2]  D. Lim Cross-Linking Agents for Electrospinning-Based Bone Tissue Engineering , 2022, International journal of molecular sciences.

[3]  Xin Tang,et al.  Arthroscopic Anterior Cruciate Ligament Repair Versus Autograft Anterior Cruciate Ligament Reconstruction: A Meta-Analysis of Comparative Studies , 2022, Frontiers in Surgery.

[4]  R. Brophy,et al.  Global Variation in Studies of Articular Cartilage Procedures of the Knee: A Systematic Review , 2022, Cartilage.

[5]  R. Tuan,et al.  Tendon tissue engineering: Current progress towards an optimized tenogenic differentiation protocol for human stem cells. , 2022, Acta biomaterialia.

[6]  Hongtao Shang,et al.  Recent advances on transdermal delivery systems for the treatment of arthritic injuries: From classical treatment to nanomedicines. , 2022, Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology.

[7]  J. Helms,et al.  Clinically relevant preclinical animal models for testing novel cranio‐maxillofacial bone 3D‐printed biomaterials , 2022, Clinical and translational medicine.

[8]  F. O'Brien,et al.  Mechanosignalling in cartilage: an emerging target for the treatment of osteoarthritis , 2021, Nature Reviews Rheumatology.

[9]  K. L. Wong,et al.  Biomaterials for meniscus and cartilage in knee surgery: state of the art , 2021, Journal of ISAKOS : joint disorders & orthopaedic sports medicine.

[10]  Sachin Allahabadi,et al.  Osteochondral Lesions of the Distal Tibial Plafond: A Systematic Review of Lesion Locations and Treatment Outcomes , 2021, Orthopaedic journal of sports medicine.

[11]  J. Ciriza,et al.  Tendon Tissue Engineering: Cells, Growth Factors, Scaffolds and Production Techniques. , 2021, Journal of controlled release : official journal of the Controlled Release Society.

[12]  M. Englund,et al.  Risk of knee osteoarthritis after different types of knee injuries in young adults: a population-based cohort study , 2019, British Journal of Sports Medicine.

[13]  Jerry C. Hu,et al.  Surgical and tissue engineering strategies for articular cartilage and meniscus repair , 2019, Nature Reviews Rheumatology.

[14]  J. Farr,et al.  Articular Cartilage: Structure and Restoration , 2019, Joint Preservation of the Knee.

[15]  Kevin A Schafer,et al.  Treatment of Failed Articular Cartilage Reconstructive Procedures of the Knee: A Systematic Review , 2018, Orthopaedic journal of sports medicine.

[16]  Emil H Schemitsch,et al.  Size Matters: Defining Critical in Bone Defect Size! , 2017, Journal of orthopaedic trauma.

[17]  B. Cole,et al.  The Four Most Common Types of Knee Cartilage Damage Encountered in Practice: How and Why Orthopaedic Surgeons Manage Them. , 2017, Instructional course lectures.

[18]  D. Resnick,et al.  Acute and Stress-related Injuries of Bone and Cartilage: Pertinent Anatomy, Basic Biomechanics, and Imaging Perspective. , 2016, Radiology.

[19]  R. Warren,et al.  The human meniscus: A review of anatomy, function, injury, and advances in treatment , 2015, Clinical anatomy.

[20]  Joshua D. Harris,et al.  Trends in the surgical treatment of articular cartilage lesions in the United States: an analysis of a large private-payer database over a period of 8 years. , 2014, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association.

[21]  C. Hoemann,et al.  The Cartilage-Bone Interface , 2012, The journal of knee surgery.

[22]  Kyriacos A Athanasiou,et al.  The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. , 2011, Biomaterials.

[23]  J. Glowacki Angiogenesis in fracture repair. , 1998, Clinical orthopaedics and related research.