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Bio-Design and Manufacturing  2025 Vol.8 No.5 P.800-818

http://doi.org/10.1631/bdm.2400495


Silk fibroin bandage for preventing tendon adhesions


Author(s):  Pengcheng Xia (???), Guofeng Liu (???), Tianhong Qiao (???), Ke Yao (??), Chaofan He (???), Yong He (??), Jianchao Gui (???) & Yuan Sun (??)

Affiliation(s):  State Key Laboratory of Fluid Power and Mechatronic Systems & Liangzhu Laboratory, School of Mechanical Engineering, Zhejiang University, Hangzhou 310027, China; more

Corresponding email(s):   gui1997@126.com, yuansun@zju.edu.cn

Key Words:  Silk fibroin Directional freeze-casting Biomaterials Tendon adhesion Tendon healing


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Pengcheng Xia (???), Guofeng Liu (???), Tianhong Qiao (???), Ke Yao (??), Chaofan He (???), Yong He (??), Jianchao Gui (???) & Yuan Sun (??) . Silk fibroin bandage for preventing tendon adhesions[J]. Journal of Zhejiang University Science D, 2025, 8(5): 800-818.

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journal="Journal of Zhejiang University Science D",
volume="8",
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pages="800-818",
year="2025",
publisher="Zhejiang University Press & Springer",
doi="10.1631/bdm.2400495"
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%A Yong He (??)
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A1 - Chaofan He (???)
A1 - Yong He (??)
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Abstract: 
Tendon adhesion, a prevalent complication affecting over 30% of patients after a tendon injury or surgery, results in joint stiffness and impaired mobility. Although current treatments facilitate tendon repair, they are often insufficient in preventing adhesions and promoting optimal healing outcomes. To address these challenges, we developed an oriented cryostructured silk fibroin bandage (OCSFB) using the directional freeze-casting methodology. In vitro studies demonstrated that OCSFB provided a favorable microenvironment for cell viability, proliferation, and alignment, concurrently upregulating the expres? sion of tendon-specific genes. In a rat Achilles tendon model, OCSFB significantly reduced adhesion formation and improved tendon healing. RNA-seq analysis further revealed modulation of cell adhesion molecules, substantiating its role in tissue regeneration. The integration of silk fibroin biocompatibility with a unique microstructure that facilitates cellular adhesion and proliferation renders OCSFB a promising approach for mitigating tendon adhesions and improving repair outcomes, establishing it as a robust candidate for clinical application.

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