In vivo evaluation of hydrogels of polyvinyl alcohol with and without carbon nanoparticles for osteochondral repair

Polyvinyl alcohol (PVA) hydrogels both pure and reinforced with two types of carbon nanoparticles (nanotubes and nanofibres) were studied as a candidate material for osteochondral defect repair. The carbon nanoparticles produced by chemical vapour deposition were characterised by Raman spectroscopy, field emission scanning electron microscopy and high-resolution transmission electron microscopy. The hydrogels were surgically implanted in osteochondral defects in the articular cartilage of rats and, after 3 and 12 weeks of follow-up, examined by scanning electron microscopy (SEM), optical microscopy (OM), creep indentation test (CIT) and X-ray fluorescence (XRF). No sign of tissue adhesion or abrasive wear could be seen by SEM. OM revealed dense connective tissue at the interface after 3 weeks and neoformed bone tissue without significant inflammatory process after 12 weeks. Dense connective tissue could be seen at the pure-PVA/tissue interface after 12 weeks, but not at the carbon reinforced-PVA/tissue interface after the same follow-up time. The hydrogel creep modulus increased with follow-up time. XRF revealed an increasing concentration of calcium and phosphorus in the implants over time, a phenomenon more pronounced for the hydrogels with carbon nanofibres. The results suggest that PVA hydrogel with carbon nanoparticles elicits a stronger biological response than pure hydrogel.