Provided are dual-affinity fusion proteins including an affibody domain specific for a
therapeutic protein, and including a localization domain specific for a structural bone component. The
therapeutic protein can include
bone morphogenetic protein 2 (BMP-2),
vascular endothelial growth factor (VEGF),
fibroblast growth factor 2 (FGF-2),
platelet-derived
growth factor (PDGF),
granulocyte-macrophage colony-stimulating factor (GM-CSF),
interleukin-4 (IL-4), or glial derived neurotrophic factor (GDNF). Also provided are compositions that include the dual-affinity fusion proteins, affibodies and the corresponding therapeutic proteins, and / or a medical material used to treat a wound, or a bone or
cartilage injury or
disease. Also provided are methods of using the compositions, for example to treat bone injuries, bone diseases,
cartilage injuries,
cartilage diseases, and wounds. In some examples, the composition includes at least two different dual-affinity fusion proteins specific for the same
therapeutic protein, but have different disassociation constants (KD).