2009
DOI: 10.1177/1938640009342272
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Cartilage Repair

Abstract: Currently, there are many options in cartilage repair. These cartilage repair techniques can generally be categorized into 3 groups: marrow stimulation-based techniques, osteochondral transfer techniques, and cell-based cartilage repair techniques. This review article presents an overview of these techniques, indications for usage, advantages and disadvantages of each, and a current review of applications in foot and ankle surgery.

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Cited by 54 publications
(18 citation statements)
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“…The current treatments for cartilage loss include autologous chondrocyte transplantation procedure, arthroscopic lavage and debridement, the subchondral bone microfracture technique, and osteochondral allograft [23][25]. These procedures may relieve the symptoms temporarily, but are often associated with problems such as donor site morbidity, loss of chondrocyte phenotype during in vitro expansion, fibrocartilage formation, and cartilage degeneration [26][28].…”
Section: Discussionmentioning
confidence: 99%
“…The current treatments for cartilage loss include autologous chondrocyte transplantation procedure, arthroscopic lavage and debridement, the subchondral bone microfracture technique, and osteochondral allograft [23][25]. These procedures may relieve the symptoms temporarily, but are often associated with problems such as donor site morbidity, loss of chondrocyte phenotype during in vitro expansion, fibrocartilage formation, and cartilage degeneration [26][28].…”
Section: Discussionmentioning
confidence: 99%
“…[173] Other clinical procedures are also available, including arthroscopic lavage and debridement, microfracture techniques, and osteochondral transplantation. [174] While there have been some promising results, most cartilage repair techniques lead to fibrocartilage formation and cartilage degeneration after a temporary relief of symptoms. As such, the most effective procedure utilizes surgical replacement with an autograft.…”
Section: Engineering Stem Cells For Tissue Regenerationmentioning
confidence: 99%
“…1 Since then, various techniques including debridement and lavage, marrow stimulation, autologous chondrocyte implantation (ACI), the osteochondral autograft transfer system (OATS), tissue engineering and other techniques have been explored to improve cartilage regeneration, some of which have found their way to the clinic. 2, 3 However, to date, no technique has reliably regenerated the biological composition and biomechanical properties of native cartilage, leaving unresolved pain and loss of joint function for millions of patients with defective cartilage from aging, injury, or disease.…”
Section: Introductionmentioning
confidence: 99%
“…Since the range of potential cell sources for cartilage regeneration is so extensive, the following criteria may help identify the best candidate cartilage regeneration cell sources: 1) easy to isolate and collect, 2) easy to expand in vitro to yield a large number of cells, 3) capable of expressing and synthesizing cartilage-specific molecules, 4) capable of producing neocartilage with comparable mechanical properties to native cartilage, 5) capable of integrating into the surrounding recipient site, and 6) immunocompatible. 2, 7, 8 With regard to these design goals, we have reviewed the cell sources used for cartilage lesion treatment and the trajectory of the field. We have compared potential cell sources, discussed their function in cartilage regeneration and assessed their success in in vitro models and clinical experiences.…”
Section: Introductionmentioning
confidence: 99%