Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating room

Abstract Orthopaedic disorders are very frequent, globally found and often partially unresolved despite the substantial advances in science and medicine. Their surgical intervention is multifarious and the most favourable treatment is chosen by the orthopaedic surgeon on a case-by-case basis dependi...

Full description

Bibliographic Details
Main Authors: Ibrahim Fatih Cengiz, Hélder Pereira, Laura de Girolamo, Magali Cucchiarini, João Espregueira-Mendes, Rui L. Reis, Joaquim Miguel Oliveira
Format: Article
Language:English
Published: Wiley 2018-05-01
Series:Journal of Experimental Orthopaedics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40634-018-0133-9
_version_ 1797225239451533312
author Ibrahim Fatih Cengiz
Hélder Pereira
Laura de Girolamo
Magali Cucchiarini
João Espregueira-Mendes
Rui L. Reis
Joaquim Miguel Oliveira
author_facet Ibrahim Fatih Cengiz
Hélder Pereira
Laura de Girolamo
Magali Cucchiarini
João Espregueira-Mendes
Rui L. Reis
Joaquim Miguel Oliveira
author_sort Ibrahim Fatih Cengiz
collection DOAJ
description Abstract Orthopaedic disorders are very frequent, globally found and often partially unresolved despite the substantial advances in science and medicine. Their surgical intervention is multifarious and the most favourable treatment is chosen by the orthopaedic surgeon on a case-by-case basis depending on a number of factors related with the patient and the lesion. Numerous regenerative tissue engineering strategies have been developed and studied extensively in laboratory through in vitro experiments and preclinical in vivo trials with various established animal models, while a small proportion of them reached the operating room. However, based on the available literature, the current strategies have not yet achieved to fully solve the clinical problems. Thus, the gold standards, if existing, remain unchanged in the clinics, notwithstanding the known limitations and drawbacks. Herein, the involvement of regenerative tissue engineering in the clinical orthopaedics is reviewed. The current challenges are indicated and discussed in order to describe the current disequilibrium between the needs and solutions made available in the operating room. Regenerative tissue engineering is a very dynamic field that has a high growth rate and a great openness and ability to incorporate new technologies with passion to edge towards the Holy Grail that is functional tissue regeneration. Thus, the future of clinical solutions making use of regenerative tissue engineering principles for the management of orthopaedic disorders is firmly supported by the clinical need.
first_indexed 2024-03-08T07:17:53Z
format Article
id doaj.art-d47cb42343934462b249a3aab798ae73
institution Directory Open Access Journal
issn 2197-1153
language English
last_indexed 2024-04-24T14:05:51Z
publishDate 2018-05-01
publisher Wiley
record_format Article
series Journal of Experimental Orthopaedics
spelling doaj.art-d47cb42343934462b249a3aab798ae732024-04-03T10:36:24ZengWileyJournal of Experimental Orthopaedics2197-11532018-05-015111410.1186/s40634-018-0133-9Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating roomIbrahim Fatih Cengiz0Hélder Pereira1Laura de Girolamo2Magali Cucchiarini3João Espregueira-Mendes4Rui L. Reis5Joaquim Miguel Oliveira63B’s Research Group, I3Bs – Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine3B’s Research Group, I3Bs – Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative MedicineOrthopaedic Biotechnology Laboratory, IRCCS Galeazzi Orthopaedic InstituteCenter of Experimental Orthopaedics, Saarland University Medical Center3B’s Research Group, I3Bs – Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine3B’s Research Group, I3Bs – Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine3B’s Research Group, I3Bs – Research Institute on Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative MedicineAbstract Orthopaedic disorders are very frequent, globally found and often partially unresolved despite the substantial advances in science and medicine. Their surgical intervention is multifarious and the most favourable treatment is chosen by the orthopaedic surgeon on a case-by-case basis depending on a number of factors related with the patient and the lesion. Numerous regenerative tissue engineering strategies have been developed and studied extensively in laboratory through in vitro experiments and preclinical in vivo trials with various established animal models, while a small proportion of them reached the operating room. However, based on the available literature, the current strategies have not yet achieved to fully solve the clinical problems. Thus, the gold standards, if existing, remain unchanged in the clinics, notwithstanding the known limitations and drawbacks. Herein, the involvement of regenerative tissue engineering in the clinical orthopaedics is reviewed. The current challenges are indicated and discussed in order to describe the current disequilibrium between the needs and solutions made available in the operating room. Regenerative tissue engineering is a very dynamic field that has a high growth rate and a great openness and ability to incorporate new technologies with passion to edge towards the Holy Grail that is functional tissue regeneration. Thus, the future of clinical solutions making use of regenerative tissue engineering principles for the management of orthopaedic disorders is firmly supported by the clinical need.http://link.springer.com/article/10.1186/s40634-018-0133-9ClinicalTranslationScaffoldStem cellsBoneCartilage
spellingShingle Ibrahim Fatih Cengiz
Hélder Pereira
Laura de Girolamo
Magali Cucchiarini
João Espregueira-Mendes
Rui L. Reis
Joaquim Miguel Oliveira
Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating room
Journal of Experimental Orthopaedics
Clinical
Translation
Scaffold
Stem cells
Bone
Cartilage
title Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating room
title_full Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating room
title_fullStr Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating room
title_full_unstemmed Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating room
title_short Orthopaedic regenerative tissue engineering en route to the holy grail: disequilibrium between the demand and the supply in the operating room
title_sort orthopaedic regenerative tissue engineering en route to the holy grail disequilibrium between the demand and the supply in the operating room
topic Clinical
Translation
Scaffold
Stem cells
Bone
Cartilage
url http://link.springer.com/article/10.1186/s40634-018-0133-9
work_keys_str_mv AT ibrahimfatihcengiz orthopaedicregenerativetissueengineeringenroutetotheholygraildisequilibriumbetweenthedemandandthesupplyintheoperatingroom
AT helderpereira orthopaedicregenerativetissueengineeringenroutetotheholygraildisequilibriumbetweenthedemandandthesupplyintheoperatingroom
AT lauradegirolamo orthopaedicregenerativetissueengineeringenroutetotheholygraildisequilibriumbetweenthedemandandthesupplyintheoperatingroom
AT magalicucchiarini orthopaedicregenerativetissueengineeringenroutetotheholygraildisequilibriumbetweenthedemandandthesupplyintheoperatingroom
AT joaoespregueiramendes orthopaedicregenerativetissueengineeringenroutetotheholygraildisequilibriumbetweenthedemandandthesupplyintheoperatingroom
AT ruilreis orthopaedicregenerativetissueengineeringenroutetotheholygraildisequilibriumbetweenthedemandandthesupplyintheoperatingroom
AT joaquimmigueloliveira orthopaedicregenerativetissueengineeringenroutetotheholygraildisequilibriumbetweenthedemandandthesupplyintheoperatingroom