Creating a Prelaminated Chondrocapsular Tissue Model in Composite Defect Reconstruction Accompanied by Cartilage Tissue Deficiency: An Experimental Study


Aytaç Y. A., YAŞAR E. K., GÜRBÜZ M. C., BAYRAM M., Alagoz S., DUMAN ÖZTÜRK S.

Journal of Reconstructive Microsurgery, 2026 (SCI-Expanded, Scopus) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1055/a-2856-1380
  • Dergi Adı: Journal of Reconstructive Microsurgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Anahtar Kelimeler: capsule, cartilage, chondrocapsular, composite defect reconstruction, prefabrication, prelamination
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Background Reconstruction of composite tissue defects, particularly those involving cartilage deficiency, remains highly challenging. This study aimed to develop a chondrocapsular tissue by prelaminating avascular cartilage with vascularized capsule tissue to enhance cartilage viability. Methods Twenty-seven rats were divided into three groups. In Group 1, two silicone sheets were implanted around the femoral vessels to induce double-layer capsule formation, followed by insertion of autologous auricular cartilage between the layers. In Group 2, a single silicone sheet was used for capsule induction before cartilage implantation. Group 3 served as the control, with direct cartilage implantation. Vascularity and cartilage viability were assessed using histology and immunohistochemistry. Results Capsule formation occurred only in Groups 1 and 2. Group 2 demonstrated the highest chondrocyte viability, while Group 1 exhibited the strongest neovascularization. Immunohistochemistry (CD31, CD44, Col2A1) confirmed superior vascularity and chondrogenic activity in Groups 1 and 2 compared with Group 3. Conclusion Prelamination of cartilage with vascularized capsule tissue resulted in a viable, vascularized chondrocapsular construct. This model shows potential as a clinically applicable strategy for reconstructing composite tissue defects involving cartilage loss.