Osteochondral
defects (OCDs) pose a significant challenge in clinical
practice, and recent advancements in their repair indicate that satisfying
subchondral bone repair may be critical for this. Herein, a series
of hydroxyapatite/poly(ether ether ketone) (HA/PEEK) scaffolds were
fabricated with varying mass percentages (0, 20, 30, and 40%) to induce
subchondral bone regeneration. Subsequently, an optimal scaffold with
40% HA/PEEK was selected to establish osteochondral scaffolds with
poly(ether urethane) urea-Danshensu (PUD) for repairing the OCD. The
material characteristics of HA/PEEK and PUD were investigated using
scanning electron microscopy, tensile, swelling, and fatigue tests,
and cytological experiments. The effects of serial HA/PEEK scaffolds
on subchondral bone repair were then assessed by using microcomputed
tomography, hard tissue slicing, and histological staining. Furthermore,
the optimal 40% HA/PEEK scaffold was used to develop osteochondral
scaffolds with PUD to observe the effect on the OCD repair. HA/PEEK
materials exhibited an even HA distribution in PEEK. However, when
composited with HA, PEEK exhibited inferior mechanical strength. 40%HA/PEEK
scaffolds showed an optimum effect on in vivo subchondral bone repair.
Cartilage regeneration on 40%HA/PEEK scaffolds was pronounced. After
PUD was introduced onto the HA/PEEK, the PUD@40%HA/PEEK scaffold produced
the expected effect on the repair of the OCD in rabbits. Therefore,
achieving satisfactory subchondral bone repair can benefit surficial
cartilage repair. The PUD@40%HA/PEEK scaffold could induce subchondral
bone regeneration to repair the OCD in rabbits and could provide a
novel approach for the repair of the OCD in clinical practice.