Cartilage Repair: Synthetics and Scaffolds Basic Science, Surgical Techniques, and Clinical Outcomes

被引:54
作者
Kerker, Jordan T. [1 ]
Leo, Andrew J. [1 ]
Sgaglione, Nicholas A. [1 ]
机构
[1] Long Isl Jewish Med Ctr, Dept Orthopaed, New Hyde Pk, NY 11042 USA
关键词
cartilage repair; synthetics; scaffolds; tissue engineering;
D O I
10.1097/JSA.0b013e31818cdbaa
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Symptomatic articular cartilage lesions have gained attention and clinical interest in recent years and can be difficult to treat. Historically, various biologic surgical treatment options have yielded inconsistent results because of the inferior biomechanical properties associated with a variable healing response. Improving technology and surgical advances has generated considerable research in cartilage resurfacing and optimizing hyaline tissue restoration. Biologic innovation and tissue engineering in cartilage repair have used matrix scaffolds, autologous and allogenic chondrocytes, cartilage grafts, growth factors, stem cells, and genetic engineering. Numerous evolving technologies and surgical approaches have been introduced into the clinical setting. This review will discuss the basic science, surgical techniques, and clinical outcomes of novel synthetic materials and scaffolds for articular cartilage repair.
引用
收藏
页码:208 / 216
页数:9
相关论文
共 32 条
[1]   Arthroscopic Technique for Matrix-Induced Autologous Chondrocyte Implantation for the Treatment of Large Chondral Defects in the Knee and Ankle [J].
Abelow, Stephen P. ;
Guillen, Pedro ;
Ramos, Tomas .
OPERATIVE TECHNIQUES IN ORTHOPAEDICS, 2006, 16 (04) :257-261
[2]   Cartilage restoration, part 1 - Basic science, historical perspective, patient evaluation, and treatment options [J].
Alford, JW ;
Cole, BJ .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2005, 33 (02) :295-306
[3]   Clinical applications of bioactive factors in sports medicine - Current concepts and future trends [J].
Angel, Michael J. ;
Sgaglione, Nicholas A. ;
Grande, Daniel A. .
SPORTS MEDICINE AND ARTHROSCOPY REVIEW, 2006, 14 (03) :138-145
[4]   Autologous chondrocyte implantation versus matrix-induced autologous chondrocyte implantation for osteochondral defects of the knee [J].
Bartlett, W ;
Skinner, JA ;
Gooding, CR ;
Carrington, RWJ ;
Flanagan, AM ;
Briggs, TWR ;
Bentley, G .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2005, 87B (05) :640-645
[5]   Novel injectable neutral solutions of chitosan form biodegradable gels in situ [J].
Chenite, A ;
Chaput, C ;
Wang, D ;
Combes, C ;
Buschmann, MD ;
Hoemann, CD ;
Leroux, JC ;
Atkinson, BL ;
Binette, F ;
Selmani, A .
BIOMATERIALS, 2000, 21 (21) :2155-2161
[6]   Chitosan-glycerol phosphate/blood implants increase cell recruitment, transient vascularization and subchondral bone remodeling in drilled cartilage defects [J].
Chevrier, A. ;
Hoemann, C. D. ;
Sun, J. ;
Buschmann, M. D. .
OSTEOARTHRITIS AND CARTILAGE, 2007, 15 (03) :316-327
[7]   Cartilage injuries: A review of 31,516 knee arthroscopies [J].
Curl, WW ;
Krome, J ;
Gordon, ES ;
Rushing, J ;
Smith, BP ;
Poehling, GG .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 1997, 13 (04) :456-460
[8]   Transforming growth factor beta superfamily members: Role in cartilage modeling [J].
Frenkel, SR ;
Saadeh, PB ;
Mehrara, BJ ;
Chin, GS ;
Steinbrech, DS ;
Brent, B ;
Gittes, GK ;
Longker, MT .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2000, 105 (03) :980-990
[9]   Scaffolds for articular cartilage repair [J].
Frenkel, SR ;
Di Cesare, PE .
ANNALS OF BIOMEDICAL ENGINEERING, 2004, 32 (01) :26-34
[10]   Matrix-Induced Autologous Chondrocyte Implantation [J].
Gibson, A. J. ;
McDonnell, S. M. ;
Price, A. J. .
OPERATIVE TECHNIQUES IN ORTHOPAEDICS, 2006, 16 (04) :262-265