Enlightenment of Growth Plate Regeneration Based on Cartilage Repair Theory: A Review

The growth plate (GP) is a cartilaginous region situated between the epiphysis and metaphysis at the end of the immature long bone, which is susceptible to mechanical damage because of its vulnerable structure. Due to the limited regeneration ability of the GP, current clinical treatment strategies...

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Main Authors: Xianggang Wang, Zuhao Li, Chenyu Wang, Haotian Bai, Zhonghan Wang, Yuzhe Liu, Yirui Bao, Ming Ren, He Liu, Jincheng Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-06-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2021.654087/full
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author Xianggang Wang
Xianggang Wang
Zuhao Li
Zuhao Li
Chenyu Wang
Haotian Bai
Haotian Bai
Zhonghan Wang
Zhonghan Wang
Yuzhe Liu
Yuzhe Liu
Yirui Bao
Ming Ren
Ming Ren
He Liu
He Liu
Jincheng Wang
Jincheng Wang
author_facet Xianggang Wang
Xianggang Wang
Zuhao Li
Zuhao Li
Chenyu Wang
Haotian Bai
Haotian Bai
Zhonghan Wang
Zhonghan Wang
Yuzhe Liu
Yuzhe Liu
Yirui Bao
Ming Ren
Ming Ren
He Liu
He Liu
Jincheng Wang
Jincheng Wang
author_sort Xianggang Wang
collection DOAJ
description The growth plate (GP) is a cartilaginous region situated between the epiphysis and metaphysis at the end of the immature long bone, which is susceptible to mechanical damage because of its vulnerable structure. Due to the limited regeneration ability of the GP, current clinical treatment strategies (e.g., bone bridge resection and fat engraftment) always result in bone bridge formation, which will cause length discrepancy and angular deformity, thus making satisfactory outcomes difficult to achieve. The introduction of cartilage repair theory and cartilage tissue engineering technology may encourage novel therapeutic approaches for GP repair using tissue engineered GPs, including biocompatible scaffolds incorporated with appropriate seed cells and growth factors. In this review, we summarize the physiological structure of GPs, the pathological process, and repair phases of GP injuries, placing greater emphasis on advanced tissue engineering strategies for GP repair. Furthermore, we also propose that three-dimensional printing technology will play a significant role in this field in the future given its advantage of bionic replication of complex structures. We predict that tissue engineering strategies will offer a significant alternative to the management of GP injuries.
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spelling doaj.art-01c21db3f80e443da7b471ac3ad6f2832022-12-21T22:07:55ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852021-06-01910.3389/fbioe.2021.654087654087Enlightenment of Growth Plate Regeneration Based on Cartilage Repair Theory: A ReviewXianggang Wang0Xianggang Wang1Zuhao Li2Zuhao Li3Chenyu Wang4Haotian Bai5Haotian Bai6Zhonghan Wang7Zhonghan Wang8Yuzhe Liu9Yuzhe Liu10Yirui Bao11Ming Ren12Ming Ren13He Liu14He Liu15Jincheng Wang16Jincheng Wang17Orthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, ChinaOrthopaedic Research Institute of Jilin Province, Changchun, ChinaOrthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, ChinaOrthopaedic Research Institute of Jilin Province, Changchun, ChinaDepartment of Plastic and Reconstructive Surgery, The First Hospital of Jilin University, Changchun, ChinaOrthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, ChinaOrthopaedic Research Institute of Jilin Province, Changchun, ChinaOrthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, ChinaOrthopaedic Research Institute of Jilin Province, Changchun, ChinaOrthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, ChinaOrthopaedic Research Institute of Jilin Province, Changchun, ChinaDepartment of Orthopedics, Chinese PLA 965 Hospital, Jilin, ChinaOrthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, ChinaOrthopaedic Research Institute of Jilin Province, Changchun, ChinaOrthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, ChinaOrthopaedic Research Institute of Jilin Province, Changchun, ChinaOrthopaedic Medical Center, The Second Hospital of Jilin University, Changchun, ChinaOrthopaedic Research Institute of Jilin Province, Changchun, ChinaThe growth plate (GP) is a cartilaginous region situated between the epiphysis and metaphysis at the end of the immature long bone, which is susceptible to mechanical damage because of its vulnerable structure. Due to the limited regeneration ability of the GP, current clinical treatment strategies (e.g., bone bridge resection and fat engraftment) always result in bone bridge formation, which will cause length discrepancy and angular deformity, thus making satisfactory outcomes difficult to achieve. The introduction of cartilage repair theory and cartilage tissue engineering technology may encourage novel therapeutic approaches for GP repair using tissue engineered GPs, including biocompatible scaffolds incorporated with appropriate seed cells and growth factors. In this review, we summarize the physiological structure of GPs, the pathological process, and repair phases of GP injuries, placing greater emphasis on advanced tissue engineering strategies for GP repair. Furthermore, we also propose that three-dimensional printing technology will play a significant role in this field in the future given its advantage of bionic replication of complex structures. We predict that tissue engineering strategies will offer a significant alternative to the management of GP injuries.https://www.frontiersin.org/articles/10.3389/fbioe.2021.654087/fullgrowth platecartilage tissue engineeringscaffoldbone marrow mesenchymal stem cellsthree-dimensional printing
spellingShingle Xianggang Wang
Xianggang Wang
Zuhao Li
Zuhao Li
Chenyu Wang
Haotian Bai
Haotian Bai
Zhonghan Wang
Zhonghan Wang
Yuzhe Liu
Yuzhe Liu
Yirui Bao
Ming Ren
Ming Ren
He Liu
He Liu
Jincheng Wang
Jincheng Wang
Enlightenment of Growth Plate Regeneration Based on Cartilage Repair Theory: A Review
Frontiers in Bioengineering and Biotechnology
growth plate
cartilage tissue engineering
scaffold
bone marrow mesenchymal stem cells
three-dimensional printing
title Enlightenment of Growth Plate Regeneration Based on Cartilage Repair Theory: A Review
title_full Enlightenment of Growth Plate Regeneration Based on Cartilage Repair Theory: A Review
title_fullStr Enlightenment of Growth Plate Regeneration Based on Cartilage Repair Theory: A Review
title_full_unstemmed Enlightenment of Growth Plate Regeneration Based on Cartilage Repair Theory: A Review
title_short Enlightenment of Growth Plate Regeneration Based on Cartilage Repair Theory: A Review
title_sort enlightenment of growth plate regeneration based on cartilage repair theory a review
topic growth plate
cartilage tissue engineering
scaffold
bone marrow mesenchymal stem cells
three-dimensional printing
url https://www.frontiersin.org/articles/10.3389/fbioe.2021.654087/full
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