Ringrose Nathalie S, Balk Ricardo W J, Gibbs Susan, van Zuijlen Paul P M, Korkmaz H Ibrahim
Department of Plastic Reconstructive and Hand Surgery, Amsterdam UMC, Location VUmc, 1081 HZ Amsterdam, The Netherlands.
Department of Molecular Cell Biology and Immunology, Amsterdam UMC, Location VUmc, 1081 HZ Amsterdam, The Netherlands.
Gels. 2025 Jul 31;11(8):595. doi: 10.3390/gels11080595.
Burn injuries are complex and require effective wound management strategies. Traditional treatments, such as dermal templates, are limited by simplified extracellular matrix (ECM) composition (e.g., collagen-elastin or collagen-glycosaminoglycan), sheet-based formats, and frequent use of animal-derived materials. These limitations can reduce wound conformity, biocompatibility, and integration with host tissue. Functional hydrogels are being explored as alternatives due to properties such as high water content, biodegradability, adhesiveness, antimicrobial activity, and support for angiogenesis. Unlike standard templates, hydrogels can adapt to irregular wound shapes as in burn wounds and reach deeper tissue layers, supporting moisture retention, cell migration, and controlled drug delivery. These features may improve the wound environment and support healing in burns of varying severity. This review outlines recent developments in functional hydrogel technologies and compares them to current clinical treatments for burn care. Emphasis is placed on the structural and biological features that influence performance, including material composition, bioactivity, and integration capacity. Through an exploration of key mechanisms of action and clinical applications, this review highlights the benefits and challenges associated with hydrogel technology, providing insights into its future role in burn care.
烧伤创面情况复杂,需要有效的创面处理策略。传统治疗方法,如真皮模板,受到简化的细胞外基质(ECM)组成(如胶原蛋白-弹性蛋白或胶原蛋白-糖胺聚糖)、片状形式以及频繁使用动物源材料的限制。这些局限性会降低创面贴合度、生物相容性以及与宿主组织的整合性。由于具有高含水量、可生物降解性、粘附性、抗菌活性以及对血管生成的支持等特性,功能性水凝胶正被探索作为替代方案。与标准模板不同,水凝胶能够适应烧伤创面这种不规则的创面形状,并深入到更深的组织层,支持水分保留、细胞迁移以及可控药物递送。这些特性可能会改善创面环境,并支持不同严重程度烧伤的愈合。本综述概述了功能性水凝胶技术的最新进展,并将其与当前烧伤护理的临床治疗方法进行比较。重点关注影响性能的结构和生物学特性,包括材料组成、生物活性和整合能力。通过探索关键作用机制和临床应用,本综述突出了水凝胶技术的益处和挑战,为其在烧伤护理中的未来作用提供了见解。