Bone regeneration: current concepts and future directions

<p>Abstract</p> <p>Bone regeneration is a complex, well-orchestrated physiological process of bone formation, which can be seen during normal fracture healing, and is involved in continuous remodelling throughout adult life. However, there are complex clinical conditions in which b...

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Main Authors: McGonagle Dennis, Jones Elena, Dimitriou Rozalia, Giannoudis Peter V
Format: Article
Language:English
Published: BMC 2011-05-01
Series:BMC Medicine
Online Access:http://www.biomedcentral.com/1741-7015/9/66
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author McGonagle Dennis
Jones Elena
Dimitriou Rozalia
Giannoudis Peter V
author_facet McGonagle Dennis
Jones Elena
Dimitriou Rozalia
Giannoudis Peter V
author_sort McGonagle Dennis
collection DOAJ
description <p>Abstract</p> <p>Bone regeneration is a complex, well-orchestrated physiological process of bone formation, which can be seen during normal fracture healing, and is involved in continuous remodelling throughout adult life. However, there are complex clinical conditions in which bone regeneration is required in large quantity, such as for skeletal reconstruction of large bone defects created by trauma, infection, tumour resection and skeletal abnormalities, or cases in which the regenerative process is compromised, including avascular necrosis, atrophic non-unions and osteoporosis. Currently, there is a plethora of different strategies to augment the impaired or 'insufficient' bone-regeneration process, including the 'gold standard' autologous bone graft, free fibula vascularised graft, allograft implantation, and use of growth factors, osteoconductive scaffolds, osteoprogenitor cells and distraction osteogenesis. Improved 'local' strategies in terms of tissue engineering and gene therapy, or even 'systemic' enhancement of bone repair, are under intense investigation, in an effort to overcome the limitations of the current methods, to produce bone-graft substitutes with biomechanical properties that are as identical to normal bone as possible, to accelerate the overall regeneration process, or even to address systemic conditions, such as skeletal disorders and osteoporosis.</p>
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spelling doaj.art-98fa3c3a8f794e6d8759b00d3cdd3ae82022-12-21T20:46:13ZengBMCBMC Medicine1741-70152011-05-01916610.1186/1741-7015-9-66Bone regeneration: current concepts and future directionsMcGonagle DennisJones ElenaDimitriou RozaliaGiannoudis Peter V<p>Abstract</p> <p>Bone regeneration is a complex, well-orchestrated physiological process of bone formation, which can be seen during normal fracture healing, and is involved in continuous remodelling throughout adult life. However, there are complex clinical conditions in which bone regeneration is required in large quantity, such as for skeletal reconstruction of large bone defects created by trauma, infection, tumour resection and skeletal abnormalities, or cases in which the regenerative process is compromised, including avascular necrosis, atrophic non-unions and osteoporosis. Currently, there is a plethora of different strategies to augment the impaired or 'insufficient' bone-regeneration process, including the 'gold standard' autologous bone graft, free fibula vascularised graft, allograft implantation, and use of growth factors, osteoconductive scaffolds, osteoprogenitor cells and distraction osteogenesis. Improved 'local' strategies in terms of tissue engineering and gene therapy, or even 'systemic' enhancement of bone repair, are under intense investigation, in an effort to overcome the limitations of the current methods, to produce bone-graft substitutes with biomechanical properties that are as identical to normal bone as possible, to accelerate the overall regeneration process, or even to address systemic conditions, such as skeletal disorders and osteoporosis.</p>http://www.biomedcentral.com/1741-7015/9/66
spellingShingle McGonagle Dennis
Jones Elena
Dimitriou Rozalia
Giannoudis Peter V
Bone regeneration: current concepts and future directions
BMC Medicine
title Bone regeneration: current concepts and future directions
title_full Bone regeneration: current concepts and future directions
title_fullStr Bone regeneration: current concepts and future directions
title_full_unstemmed Bone regeneration: current concepts and future directions
title_short Bone regeneration: current concepts and future directions
title_sort bone regeneration current concepts and future directions
url http://www.biomedcentral.com/1741-7015/9/66
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AT joneselena boneregenerationcurrentconceptsandfuturedirections
AT dimitriourozalia boneregenerationcurrentconceptsandfuturedirections
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