A damaged meniscus is hard to repair or replace.
Closing In On 3-D Printed Meniscus

As Lauren Dubinsky wrote of researchers working at Duke University to replicate the meniscus, “historically it has been a challenge to create recipes for hydrogels that have the same strength as human cartilage and are 3-D printable.”
Researchers are not there yet but are getting close.
Benjamin Wiley, Ph.D., an associate professor of chemistry at Duke, said in a statement, “We’ve made it very easy now for anyone to print something that is pretty close in its mechanical properties to cartilage in a relatively simple and inexpensive process.”
In their attempt to create cartilage strong enough to form a meniscus, the researchers combined a stiff hydrogel and a second formulation of a softer hydrogel and used that mixture to create a substance that resembles human cartilage. An ingredient called nano particle clay was added to make it 3-D-printable. The team then took a CT scan of a plastic model of a knee and used the information to 3-D print new menisci from the hydrogel mixture.
They reported that the entire process from the time of the CT scan to the finished 3-D printed menisci took only about a day. The 3-D printer that was used cost $300.
“This is really a young field, just starting out,” said Wiley. “I hope that demonstrating the ease with which this can be done will help get a lot of other people interested in making more realistic printable hydrogels with mechanical properties that are even closer to human tissue.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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