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关节软骨修复:手术方法与产品

Articular cartilage repair: procedures versus products.

作者信息

Willers Craig, Partsalis Theo, Zheng Ming-Hao

机构信息

Department of Orthopaedics, School of Pathology and Surgery, University of Western Australia, 2nd Floor, M-block, QEII Medical Centre, Nedlands, Perth, WA 6009, Australia.

出版信息

Expert Rev Med Devices. 2007 May;4(3):373-92. doi: 10.1586/17434440.4.3.373.

DOI:10.1586/17434440.4.3.373
PMID:17488231
Abstract

This review discusses the current perspectives and practices regarding the treatment of articular cartilage injury. Specifically, the authors have delineated and examined articular cartilage repair techniques as either surgical procedures or manufactured products. Although both methodologies are used to treat articular cartilage injury, there are obvious advantages and disadvantages to the application of both, with the literature providing few recommendations on the most suitable regimen for the patient and surgeon. In recent times, cell-based tissue engineering products, predominantly autologous chondrocyte implantation, have been the subject of much research and have become clinically popular. Herein, we review the most used procedures and products in cartilage repair, compare and contrast their outcomes, and evaluate the issues that must be overcome in order to improve patient efficacy in the future.

摘要

本综述讨论了目前关于关节软骨损伤治疗的观点和实践。具体而言,作者已将关节软骨修复技术划分为外科手术或制成品并进行了研究。尽管这两种方法都用于治疗关节软骨损伤,但两者的应用都有明显的优缺点,而文献中很少有关于最适合患者和外科医生的治疗方案的建议。近年来,基于细胞的组织工程产品,主要是自体软骨细胞植入,一直是大量研究的主题,并在临床上受到欢迎。在此,我们回顾了软骨修复中最常用的手术和产品,比较和对比它们的结果,并评估为了在未来提高患者疗效而必须克服的问题。

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1
Articular cartilage repair: procedures versus products.关节软骨修复:手术方法与产品
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2
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Cell transplantation for articular cartilage defects: principles of past, present, and future practice.细胞移植治疗关节软骨缺损:过去、现在和未来实践的原则。
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引用本文的文献

1
Dielectrophoretic Micro-Organization of Chondrocytes to Regenerate Mechanically Anisotropic Cartilaginous Tissue.软骨细胞的介电泳微组织以再生机械各向异性软骨组织。
Micromachines (Basel). 2021 Sep 11;12(9):1098. doi: 10.3390/mi12091098.
2
Autologous costal chondral transplantation and costa-derived chondrocyte implantation: emerging surgical techniques.自体肋软骨移植和肋源软骨细胞植入:新兴的外科技术。
Ther Adv Musculoskelet Dis. 2019 Sep 23;11:1759720X19877131. doi: 10.1177/1759720X19877131. eCollection 2019.
3
Repair of articular cartilage defects in rabbits through tissue-engineered cartilage constructed with chitosan hydrogel and chondrocytes.
通过壳聚糖水凝胶与软骨细胞构建组织工程软骨修复兔关节软骨缺损
J Zhejiang Univ Sci B. 2015 Nov;16(11):914-23. doi: 10.1631/jzus.B1500036.
4
Novel chitosan hydrogel formed by ethylene glycol chitosan, 1,6-diisocyanatohexan and polyethylene glycol-400 for tissue engineering scaffold: in vitro and in vivo evaluation.由乙二醇壳聚糖、1,6 - 二异氰酸己酯和聚乙二醇 - 400形成的新型壳聚糖水凝胶用于组织工程支架:体外和体内评价
J Mater Sci Mater Med. 2014 Aug;25(8):1903-13. doi: 10.1007/s10856-014-5223-3. Epub 2014 May 8.