Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating room

Journal of Experimental Orthopaedics - Tập 5 - Trang 1-14 - 2018
Ibrahim Fatih Cengiz1,2, Hélder Pereira1,2,3,4, Laura de Girolamo5, Magali Cucchiarini6, João Espregueira-Mendes1,2,7,8,9, Rui L. Reis1,10,11, Joaquim Miguel Oliveira1,10,12,11
13B’s Research Group, I3Bs – Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal
2ICVS/3B’s - PT Government Associate Laboratory, Braga/Guimarães, Portugal
3Ripoll y De Prado Sports Clinic: Murcia-Madrid FIFA Medical Centre of Excellence, Madrid, Spain
4Orthopedic Department Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal
5Orthopaedic Biotechnology Laboratory, IRCCS Galeazzi Orthopaedic Institute, Milan, Italy
6Center of Experimental Orthopaedics, Saarland University Medical Center, Homburg/Saar, Germany
7Clínica do Dragão, Espregueira-Mendes Sports Centre - FIFA Medical Centre of Excellence, Porto, Portugal
8Dom Henrique Research Centre, Porto, Portugal
9Orthopedic Department, University of Minho, Braga, Portugal
10ICVS/3B’s – PT Government Associate Laboratory, Braga/Guimarães, Portugal
11The Discoveries Centre for Regenerative and Precision Medicine, Headquarters at University of Minho, Guimarães, Portugal
12Clínica do Dragão, Espregueira-Mendes Sports Centre–FIFA Medical Centre of Excellence, Porto, Portugal

Tóm tắt

Orthopaedic disorders are very frequent, globally found and often partially unresolved despite the substantial advances in science and medicine. Their surgical intervention is multifarious and the most favourable treatment is chosen by the orthopaedic surgeon on a case-by-case basis depending on a number of factors related with the patient and the lesion. Numerous regenerative tissue engineering strategies have been developed and studied extensively in laboratory through in vitro experiments and preclinical in vivo trials with various established animal models, while a small proportion of them reached the operating room. However, based on the available literature, the current strategies have not yet achieved to fully solve the clinical problems. Thus, the gold standards, if existing, remain unchanged in the clinics, notwithstanding the known limitations and drawbacks. Herein, the involvement of regenerative tissue engineering in the clinical orthopaedics is reviewed. The current challenges are indicated and discussed in order to describe the current disequilibrium between the needs and solutions made available in the operating room. Regenerative tissue engineering is a very dynamic field that has a high growth rate and a great openness and ability to incorporate new technologies with passion to edge towards the Holy Grail that is functional tissue regeneration. Thus, the future of clinical solutions making use of regenerative tissue engineering principles for the management of orthopaedic disorders is firmly supported by the clinical need.

Tài liệu tham khảo

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