Regenerative engineering
holds the potential to treat clinically
pervasive osteochondral defects (OCDs). In a synthetic materials-guided
approach, the scaffold’s chemical and physical properties alone
instruct cellular behavior in order to effect regeneration, referred
to herein as “instructive” properties. While this alleviates
the costs and off-target risks associated with exogenous growth factors,
the scaffold must be potently instructive to achieve tissue growth.
Moreover, toward achieving functionality, such a scaffold should also
recapitulate the spatial complexity of the osteochondral tissues.
Thus, in addition to the regeneration of the articular cartilage and
underlying cancellous bone, the complex osteochondral interface, composed
of calcified cartilage and subchondral bone, should also be restored.
In this Perspective, we highlight recent synthetic-based, instructive
osteochondral scaffolds that have leveraged new material chemistries
as well as innovative fabrication strategies. In particular, scaffolds
with spatially complex chemical and morphological features have been
prepared with electrospinning, solvent-casting–particulate-leaching,
freeze-drying, and additive manufacturing. While few synthetic scaffolds
have advanced to clinical studies to treat OCDs, these recent efforts
point to the promising use of the chemical and physical properties
of synthetic materials for regeneration of osteochondral tissues.