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However, its pathogenesis remains incompletely understood, and effective treatment strategies are still lacking. Organoid technology, in which stem cells or progenitor cells self\u2010organise into miniature tissue structures under three\u2010dimensional (3D) culture conditions, provides a promising in\u00a0vitro platform for simulating the pathological microenvironment of OA. This approach can be employed to investigate disease mechanisms, carry out high\u2010throughput drug screening and facilitate personalised therapies. This review summarises joint structure, OA pathogenesis and pathological manifestations, thereby establishing the disease context for the application of organoid technology. It then examines the components of the arthrosis organoid system, specifically addressing cartilage, subchondral bone, synovium, skeletal muscle and ligament organoids. Furthermore, it details various strategies for constructing OA organoids, including considerations of cell selection, pathological classification and fabrication techniques. Notably, this review introduces the concept of intelligent manufacturing of OA organoids by incorporating emerging engineering technologies such as artificial intelligence (AI) into the organoid fabrication process, thereby forming an innovative software and hardware cluster. Lastly, this review discusses the challenges currently facing intelligent OA organoid manufacturing and highlights future directions for this rapidly evolving field. By offering a comprehensive overview of state\u2010of\u2010the\u2010art methodologies and challenges, this review anticipates that intelligent, automated fabrication of OA organoids will expedite fundamental research, drug discovery and personalised translational applications in the orthopaedic field.<\/jats:p>","DOI":"10.1111\/cpr.70043","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T06:20:02Z","timestamp":1745648402000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Intelligent Manufacturing for Osteoarthritis Organoids"],"prefix":"10.1111","volume":"58","author":[{"given":"Xukun","family":"Lyu","sequence":"first","affiliation":[{"name":"Department of Orthopedics Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  Shanghai China"},{"name":"Trauma Orthopedics Center Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine  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