Biomechanical analysis of a salt-modified polyvinyl alcohol hydrogel for knee meniscus applications, including comparison with human donor samples

Abstract The primary objective of this research was the biomechanical analysis of a salt-modified polyvinyl alcohol hydrogel, in order to assess its potential for use as an artificial meniscal implant. Aqueous polyvinyl alcohol (PVA) was treated with a sodium sulphate (Na 2 SO 4 ) solution to precipitate out the polyvinyl alcohol resulting in a pliable hydrogel. The freeze–thaw process, a strictly physical method of crosslinking, was employed to crosslink the hydrogel. Development of a meniscal shaped mould and sample housing unit allowed the production of meniscal shaped hydrogels for direct comparison to human meniscal tissue. Results obtained show that compressive responses were slightly higher in PVA/Na 2 SO 4 menisci, displaying maximum compressive loads of 2472 N, 2482 N and 2476 N for samples having undergone 1, 3 and 5 freeze–thaw cycles respectively. When compared to the human meniscal tissue tested under the same conditions, an average maximum load of 2467.5 N was observed. This suggests that the PVA/Na 2 SO 4 menisci are mechanically comparable to the human meniscus. Biocompatibility analysis of PVA/Na 2 SO 4 hydrogels revealed no acute cytotoxicity. The work described herein has innovative potential in load bearing applications, specifically as an alternative to meniscectomy as replacement of critically damaged meniscal tissue in the knee joint where repair is not viable.