Optimizing outcomes of ACL surgery-Is autograft reconstruction the only reasonable option?

Optimizing outcomes of ACL surgery-Is autograft reconstruction the only reasonable option?
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优化前交叉韧带手术的结果——自体移植物重建是唯一合理的选择吗?

DOI:
10.1002/jor.25128
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发表时间:
2021-09
期刊:
Journal of orthopaedic research : official publication of the Orthopaedic Research Society
影响因子:
--
通讯作者:
Murray MM
Murray MM
中科院分区:
其他
文献类型:
--
作者:
Murray MM

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ACL损伤在美国发生的频率很高,每年大约有40万ACL重建手术。虽然前交叉韧带重建是我们目前治疗的黄金标准,但它不能恢复关节运动,也不能防止许多患者创伤后骨关节炎(PTOA)的过早发展。因此,对前交叉韧带损伤的新治疗方法是非常可取的,这种新治疗方法侵入性较小,并将患者的发病率(包括软骨损伤)降到最低。我们使用组织工程方法来刺激韧带愈合,以改进目前的治疗方案。在这篇综述中,我们描述并讨论了我们的工作,将组织工程策略从概念转移到实验室、临床前、临床试验,并最终获得FDA 510(k) de Novo批准,为临床医生和患者提供ACL重建的可行替代方案。
ACL injuries occur at a high frequency in the US with approximately 400,000 ACL reconstructions being performed each year. While ACL reconstruction is our current gold standard of treatment, it does not restore joint motion, or prevent the premature development of post-traumatic osteoarthritis (PTOA) in many patients. Thus, new treatments for an ACL injury, which are less invasive and minimize patient morbidity, including cartilage damage, are highly desirable. We have used a tissue engineered approach to stimulate ligament healing, to improve upon current treatment options. In this review, we describe and discuss our work moving a tissue engineering strategy from the concept to bench, preclinical, clinical trials and ultimately FDA 510(k) de Novo approval, providing clinicians and patients with a viable alternative to ACL reconstruction.
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