Wang Jian, Yang Zhiming
Department of Orthopedic Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, PR China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2007 Jul;21(7):763-6.
To sum up the experimental and clinical history as well as latest development of repair of growth plate injury.
Recent articles ab safe and effective methoout repair of growth plate injury were extensively reviewed and major reparative methods were introduced, especially including tissue engineering research on growth plate.
Repair of growth plate injury was a great difficulty in experimental study and clinical treatment of pediatric orthopediis. Transplantation of free growth plate and cartilage were unfavorably used because of lack of blood supplement. Although circulation problem was solved by transplantation of vascularized growth plate, autografts of epiphyseal cartilage were involved in limitation of donor, and allografts of epiphyseal cartilage induced immunological reaction. Noncartilaginous tissue and material could only prevent formation of bony bridge in small defect of growth plate and lacked ability of regenerative repair. Transplantation of tissue engineered cartilage and chondrocytes might be a choice for repair of growth plate injury.
Owing to lack of safe and effective methods of repairing growth plate injury, research on chondrocyte and tissue engineered cartilage should be further done.
总结生长板损伤修复的实验及临床历程以及最新进展。
广泛回顾近期有关生长板损伤安全有效修复方法的文章,并介绍主要的修复方法,尤其包括生长板的组织工程研究。
生长板损伤的修复在小儿骨科的实验研究和临床治疗中是一大难题。游离生长板和软骨移植因缺乏血供而应用不佳。尽管带血管蒂生长板移植解决了血运问题,但自体骨骺软骨移植受供体限制,异体骨骺软骨移植会引发免疫反应。非软骨组织和材料仅能在生长板小缺损时防止骨桥形成,缺乏再生修复能力。组织工程软骨和软骨细胞移植可能是生长板损伤修复的一种选择。
由于缺乏安全有效的生长板损伤修复方法,应进一步开展软骨细胞和组织工程软骨的研究。