Can Bone Tissue Engineering Contribute to Therapy Concepts after Resection of Musculoskeletal Sarcoma?

Resection of musculoskeletal sarcoma can result in large bone defects where regeneration is needed in a quantity far beyond the normal potential of self-healing. In many cases, these defects exhibit a limited intrinsic regenerative potential due to an adjuvant therapeutic regimen, seroma, or infecti...

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Published in:Complexity (New York, N.Y.) N.Y.), 2013, Vol.2013 (2013), p.18-27
Main Authors: Hutmacher, Dietmar Werner, Rudert, Maximilian, van Griensven, Martijn, von Eisenhart-Rothe, Ruediger, Prodinger, Peter Michael, Holzapfel, Nina Pauline, Melchels, Ferry Petrus Wilhelmus, Chhaya, Mohit Prashant, Holzapfel, Boris Michael, Schantz, Jan-Thorsten
Format: Article
Language:English
Subjects:
Care and treatment
Health aspects
Orthopedic surgery
Review
Sarcoma
Tissue engineering
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Summary:Resection of musculoskeletal sarcoma can result in large bone defects where regeneration is needed in a quantity far beyond the normal potential of self-healing. In many cases, these defects exhibit a limited intrinsic regenerative potential due to an adjuvant therapeutic regimen, seroma, or infection. Therefore, reconstruction of these defects is still one of the most demanding procedures in orthopaedic surgery. The constraints of common treatment strategies have triggered a need for new therapeutic concepts to design and engineer unparalleled structural and functioning bone grafts. To satisfy the need for long-term repair and good clinical outcome, a paradigm shift is needed from methods to replace tissues with inert medical devices to more biological approaches that focus on the repair and reconstruction of tissue structure and function. It is within this context that the field of bone tissue engineering can offer solutions to be implemented into surgical therapy concepts after resection of bone and soft tissue sarcoma. In this paper we will discuss the implementation of tissue engineering concepts into the clinical field of orthopaedic oncology.
ISSN:1357-714X
1076-2787
1099-0526
1369-1643
DOI:10.1155/2013/153640