2021
DOI: 10.1002/adhm.202100215
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Periosteal Tissue Engineering: Current Developments and Perspectives

Abstract: Periosteum, a highly vascularized bilayer connective tissue membrane plays an indispensable role in the repair and regeneration of bone defects. It is involved in blood supply and delivery of progenitor cells and bioactive molecules in the defect area. However, sources of natural periosteum are limited, therefore, there is a need to develop tissue‐engineered periosteum (TEP) mimicking the composition, structure, and function of natural periosteum. This review explores TEP construction strategies from the follo… Show more

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Cited by 34 publications
(33 citation statements)
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References 192 publications
(226 reference statements)
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“…The periosteum mainly plays an osteogenic role through periosteum stem cells (Debnath et al, 2018), whereas the extracellular matrix of the periosteum plays a synergistic role in osteogenesis (Sun et al, 2019). In addition, the blood supply to the periosteum is rich (Lou et al, 2021), which is of great significance for the formation of new bone. Bone powder is widely used to guide bone regeneration.…”
Section: Traditional Method: Periosteum and Bone Powdermentioning
confidence: 99%
“…The periosteum mainly plays an osteogenic role through periosteum stem cells (Debnath et al, 2018), whereas the extracellular matrix of the periosteum plays a synergistic role in osteogenesis (Sun et al, 2019). In addition, the blood supply to the periosteum is rich (Lou et al, 2021), which is of great significance for the formation of new bone. Bone powder is widely used to guide bone regeneration.…”
Section: Traditional Method: Periosteum and Bone Powdermentioning
confidence: 99%
“…The most widely studied natural polymer materials are polysaccharide polymers and polypeptide polymers, such as chitosan and collagen membranes which are widely used as bone-healing materials [15][16][17]. However, natural biopolymers lack mechanical properties and do not meet the requirements for temporary mechanical substitution of periosteum tissue.…”
Section: Introductionmentioning
confidence: 99%
“…Via 3D printing, the graft can be formed to match defect geometry and patient anatomy using patient imaging data. Guided by the importance of the periosteum in native bone, a connective tissue layer surrounding native bone as a vascular source for native bone repair ( Bahney et al, 2019 ; Lou et al, 2021 ), a simple tissue shell, derived from MSCs and isolated, human adipose microvessels (haMVs), is formed around the printed DBM structure and serves to stabilize and pre-vascularize the graft prior to implantation. HaMVs are fragments of intact adipose microvasculature that retain full tissue vascularization potential and can be harvested from the patient ( Shepherd et al, 2004 ), alleviating issues of tissue incompatibility.…”
Section: Introductionmentioning
confidence: 99%