“…Tissue engineering and regenerative medicine promise a step change in treatment options for defects such as non-union bone fractures and osteochondral lesions (Bedi et al 2010, Levengood and Zhang 2014, Tribe et al 2017, Marshall et al 2023, Angolkar et al 2024. Several osteochondral tissue engineered devices have been used in clinical trials (BSTCargel (Stanish et al 2013), Neocart (GlobeNewswire 2018), Salucartilage (Lange et al 2006), MaioRegen (Christensen et al 2016), Trufit (Verhaegen et al 2014)) and while these products showed encouraging signs at early timepoints, they largely failed to achieve reliable tissue repair and full functionality in the long term (GlobeNewswire 2018, Lange et al 2006, Christensen et al 2016, Verhaegen et al 2014, Hulsart-Billstrom et al 2016.…”