Department of Traumatic Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Int J Artif Organs. 2024 Feb;47(2):75-84. doi: 10.1177/03913988231218884. Epub 2024 Jan 2.
Bone defects or bone discontinuities caused by trauma, infection, tumours and other diseases have led to an increasing demand for bone grafts and biomaterials. Autologous bone grafts, bone grafts with vascular tips, anastomosed vascular bone grafts and autologous bone marrow components are all commonly used in clinical practice, while oversized bone defects require the use of bone tissue engineering-related biomaterials to repair bone defects and promote bone regeneration. Currently, inorganic components such as polysaccharides and bioceramics, as well as a variety of bioactive proteins, metal ions and stem cells can be loaded into hydrogels or 3D printed scaffold materials to achieve better therapeutic results. In this review, we provide an overview of the types of materials, applications, potential mechanisms and current developments in the repair of bone defects.
由于创伤、感染、肿瘤和其他疾病导致的骨缺损或骨不连,使得对骨移植物和生物材料的需求不断增加。自体骨移植物、带血管蒂骨移植物、吻合血管骨移植物和自体骨髓成分都在临床实践中得到广泛应用,而超大骨缺损则需要使用骨组织工程相关的生物材料来修复骨缺损并促进骨再生。目前,多糖和生物陶瓷等无机成分以及各种生物活性蛋白、金属离子和干细胞可以负载到水凝胶或 3D 打印支架材料中,以实现更好的治疗效果。在本文综述中,我们概述了骨缺损修复中材料的类型、应用、潜在机制和最新进展。