在关节软骨修复当前和新兴的技术
Bulletin of the Hospital for Joint Disease (2013)
|March 3, 2024
概括
由于软骨愈合不良,膝关节的骨质粒线病变 (OCL) 往往会发展为骨关节炎. 目前的治疗方法有局限性,但新兴的组织工程和基因疗法为软骨修复提供了未来的解决方案.
科学领域:
- 整形外科和再生医学
- 生物材料科学 生物材料科学
- 细胞生物学 细胞生物学
背景情况:
- 膝盖的骨质粒线病变 (OCL) 是常见的,在成年人中不会自然愈合,经常导致骨关节炎.
- 目前的治疗方法,如微骨折,自体移植,全体移植和自身状细胞植入,都有局限性,不能恢复本地质软骨.
- 软骨修复的目标是实现持久的恢复,模仿本地组织的特性,这仍然是一个重大挑战.
结论:
- 在实现真正的质软骨修复骨髓损伤方面,仍然存在重大挑战.
- 新兴技术为改善软骨再生和骨关节炎管理提供了有希望的途径.
- 在组织工程和基因治疗领域的持续研究对于推进OCL治疗至关重要.
更多相关视频
11:22Treatment of Osteochondral Defects in the Rabbit's Knee Joint by Implantation of Allogeneic Mesenchymal Stem Cells in Fibrin Clots
Published on: May 21, 2013
17.5K
07:24Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
10.3K
相关概念视频
Growth of Cartilage and Bone Tissue
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
Development of the Limb Synovial Joints
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
