# Engineering Multi-scale Structure of the Knee Meniscus using Advanced 3D Nonwovens Fabrication

> **NIH NIH R21** · NORTH CAROLINA STATE UNIVERSITY RALEIGH · 2021 · $157,057

## Abstract

Abstract
Meniscal tears are the most commonly reported knee injuries, and approximately 1 million surgeries involving
the meniscus are performed annually in the US. Tissue engineering and regenerative medicine approaches
are being actively pursued as potential alternatives to overcome limitations of current clinical treatments. Yet,
the translation of these approaches to clinical application has been hampered by their limited ability to
efficiently and reproducibly create physiologic-sized, patient-specific scaffolds featuring anisotropic structural
and mechanical properties on the order of native meniscus. 3D printing can create scaffolds that replicate
physiologic size and patient-specific geometry in a highly repeatable manner and with good handling
characteristics for surgical implantation, yet, these fiber sizes are typically on the order of hundreds of microns,
several orders of magnitude higher than the native tissue. On the other hand, nonwoven textiles approaches
allow the fabrication of fibers on the scale of native collagen fibrils, but it is infeasible to create complex
anatomical 3D geometries, such as that of the knee meniscus. The overall goal of this proposal is to
investigate the ability of a new 3D nonwoven scaffold fabrication approach that synergistically integrates
attributes of traditional nonwoven melt blowing and 3D printing to overcome these limitations and recapitulate
complex anisotropic structural characteristics of the meniscus at multiple scales as a means to provide
superior outcomes, in-vitro and in-vivo. We hypothesize that this 3D Melt Blowing (3DMB) approach can allow
physiological fiber morphology (similar to other nonwovens such as electrospinning), while also enabling the
creation of patient-specific meniscus 3D geometry via the customized rotating mandrel (similar to 3D printing).
We further hypothesize that the resulting scaffold features will permit superior in-vivo outcomes, particularly,
cell infiltration, new matrix production, and the prevention of cartilage degeneration via control of porosity and
fiber size. Aim 1 is to determine the effect of the 3DMB process variables on polycaprolactone scaffold fibrous
morphology and resulting ECM organization and biomechanical function using in-vitro, ex-vivo and sub-
cutaneous in-vivo models. Additionally within this aim, a response surface function will be developed and
validated to correlate cellular infiltration, collagen content, matrix alignment, and mechanics as a function of
fiber diameter and scaffold porosity. Aim 2 is to assess the distribution of cellular infiltration and viability,
aligned ECM formation and biomechanical function over 26 weeks in a sheep model for patient-specific 3D
melt blown meniscus scaffolds of the leading-group determined from Aim 1 outcomes. This Aim will also
provide the first one-on-one comparison between the characteristics of the 3DMB nonwoven and traditional 3D
printed scaffolds, wherein there is an order of magnitude di...

## Key facts

- **NIH application ID:** 10246257
- **Project number:** 5R21AR075261-02
- **Recipient organization:** NORTH CAROLINA STATE UNIVERSITY RALEIGH
- **Principal Investigator:** Matthew B Fisher
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $157,057
- **Award type:** 5
- **Project period:** 2020-09-01 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10246257

## Citation

> US National Institutes of Health, RePORTER application 10246257, Engineering Multi-scale Structure of the Knee Meniscus using Advanced 3D Nonwovens Fabrication (5R21AR075261-02). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10246257. Licensed CC0.

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