Cartilage injuries are escalating worldwide, particularly
in aging
society. Given its limited self-healing ability, the repair and regeneration
of damaged articular cartilage remain formidable challenges. To address
this issue, nanomaterials are leveraged to achieve desirable repair
outcomes by enhancing mechanical properties, optimizing drug loading
and bioavailability, enabling site-specific and targeted delivery,
and orchestrating cell activities at the nanoscale. This review presents
a comprehensive survey of recent research in nanomedicine for cartilage
repair, with a primary focus on biomaterial design considerations
and recent advances. The review commences with an introductory overview
of the intricate cartilage microenvironment and further delves into
key biomaterial design parameters crucial for treating cartilage damage,
including microstructure, surface charge, and active targeting. The
focal point of this review lies in recent advances in nano drug delivery
systems and nanotechnology-enabled 3D matrices for cartilage repair.
We discuss the compositions and properties of these nanomaterials
and elucidate how these materials impact the regeneration of damaged
cartilage. This review underscores the pivotal role of nanotechnology
in improving the efficacy of biomaterials utilized for the treatment
of cartilage damage.