Biomaterials and Meniscal Lesions: Current Concepts and Future Perspective

Menisci are crucial structures for knee homeostasis. After a meniscal lesion, the golden rule, now, is to save as much meniscus as possible; only the meniscus tissue that is identified as unrepairable should be excised, and meniscal sutures find more and more indications. Several different methods h...

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Main Authors: Michele D. M. Lombardo, Laura Mangiavini, Giuseppe M. Peretti
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/13/11/1886
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author Michele D. M. Lombardo
Laura Mangiavini
Giuseppe M. Peretti
author_facet Michele D. M. Lombardo
Laura Mangiavini
Giuseppe M. Peretti
author_sort Michele D. M. Lombardo
collection DOAJ
description Menisci are crucial structures for knee homeostasis. After a meniscal lesion, the golden rule, now, is to save as much meniscus as possible; only the meniscus tissue that is identified as unrepairable should be excised, and meniscal sutures find more and more indications. Several different methods have been proposed to improve meniscal healing. They include very basic techniques, such as needling, abrasion, trephination and gluing, or more complex methods, such as synovial flaps, meniscal wrapping or the application of fibrin clots. Basic research of meniscal substitutes has also become very active in the last decades. The aim of this literature review is to analyze possible therapeutic and surgical options that go beyond traditional meniscal surgery: from scaffolds, which are made of different kind of polymers, such as natural, synthetic or hydrogel components, to new technologies, such as 3-D printing construct or hybrid biomaterials made of scaffolds and specific cells. These recent advances show that there is great interest in the development of new materials for meniscal reconstruction and that, with the development of new biomaterials, there will be the possibility of better management of meniscal injuries
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spelling doaj.art-86f1e2d7fe494e6ca34df61b9f9f64fe2023-11-23T00:59:08ZengMDPI AGPharmaceutics1999-49232021-11-011311188610.3390/pharmaceutics13111886Biomaterials and Meniscal Lesions: Current Concepts and Future PerspectiveMichele D. M. Lombardo0Laura Mangiavini1Giuseppe M. Peretti2Residency Program in Orthopedics and Traumatology, University of Milan, 20122 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, 20100 Milan, ItalyIRCCS Istituto Ortopedico Galeazzi, 20100 Milan, ItalyMenisci are crucial structures for knee homeostasis. After a meniscal lesion, the golden rule, now, is to save as much meniscus as possible; only the meniscus tissue that is identified as unrepairable should be excised, and meniscal sutures find more and more indications. Several different methods have been proposed to improve meniscal healing. They include very basic techniques, such as needling, abrasion, trephination and gluing, or more complex methods, such as synovial flaps, meniscal wrapping or the application of fibrin clots. Basic research of meniscal substitutes has also become very active in the last decades. The aim of this literature review is to analyze possible therapeutic and surgical options that go beyond traditional meniscal surgery: from scaffolds, which are made of different kind of polymers, such as natural, synthetic or hydrogel components, to new technologies, such as 3-D printing construct or hybrid biomaterials made of scaffolds and specific cells. These recent advances show that there is great interest in the development of new materials for meniscal reconstruction and that, with the development of new biomaterials, there will be the possibility of better management of meniscal injurieshttps://www.mdpi.com/1999-4923/13/11/1886meniscusbiomaterialscaffoldpolymerbioprintingstem cells
spellingShingle Michele D. M. Lombardo
Laura Mangiavini
Giuseppe M. Peretti
Biomaterials and Meniscal Lesions: Current Concepts and Future Perspective
Pharmaceutics
meniscus
biomaterial
scaffold
polymer
bioprinting
stem cells
title Biomaterials and Meniscal Lesions: Current Concepts and Future Perspective
title_full Biomaterials and Meniscal Lesions: Current Concepts and Future Perspective
title_fullStr Biomaterials and Meniscal Lesions: Current Concepts and Future Perspective
title_full_unstemmed Biomaterials and Meniscal Lesions: Current Concepts and Future Perspective
title_short Biomaterials and Meniscal Lesions: Current Concepts and Future Perspective
title_sort biomaterials and meniscal lesions current concepts and future perspective
topic meniscus
biomaterial
scaffold
polymer
bioprinting
stem cells
url https://www.mdpi.com/1999-4923/13/11/1886
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