Cells, soluble factors and matrix harmonically play the concert of allograft integration.

de Girolamo, Laura; Ragni, Enrico; Cucchiarini, Magali; van Bergen, Christian J A; Hunziker, Ernst Bruno; Chubinskaya, Susanna (2019). Cells, soluble factors and matrix harmonically play the concert of allograft integration. Knee surgery, sports traumatology, arthroscopy, 27(6), pp. 1717-1725. Springer-Verlag 10.1007/s00167-018-5182-1

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Implantation of allograft tissues has massively grown over the last years, especially in the fields related to sports medicine. Beside the fact that often no autograft option exists, autograft related disadvantages as donor-site morbidity and prolonged operative time are drastically reduced with allograft tissues. Despite the well documented clinical success for bone allograft procedures, advances in tissue engineering raised the interest in meniscus, osteochondral and ligament/tendon allografts. Notably, their overall success rates are constantly higher than 80%, making them a valuable treatment option in orthopaedics, especially in knee surgery. Complications reported for allografting procedures are a small risk of disease transmission, immunologic rejection, and decreased biologic incorporation together with nonunion at the graft-host juncture and, rarely, massive allograft resorption. Although allografting is a successful procedure, improved techniques and biological knowledge to limit these pitfalls and maximize graft incorporation are needed. A basic understanding of the biologic processes that affect the donor-host interactions and eventual incorporation and remodelling of various allograft tissues is a fundamental prerequisite for their successful clinical use. Further, the importance of the interaction of immunologic factors with the biologic processes involved in allograft incorporation has yet to be fully dissected. Finally, new tissue engineering techniques and use of adjunctive growth factors, cell based and focused gene therapies may improve the quality and uniformity of clinical outcomes. The aim of this review is to shed light on the biology of meniscus, osteochondral and ligament/tendon allograft incorporation and how collection and storage techniques may affect graft stability and embodiment.Level of evidence V.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Osteoporosis

UniBE Contributor:

Hunziker, Ernst Bruno

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0942-2056

Publisher:

Springer-Verlag

Language:

English

Submitter:

Romain Perrelet

Date Deposited:

27 Dec 2018 16:07

Last Modified:

22 Oct 2019 18:07

Publisher DOI:

10.1007/s00167-018-5182-1

PubMed ID:

30291395

Uncontrolled Keywords:

Allograft Cartilage Cytokines Deep-freezing Inflammation Integration Irradiation Meniscus Scaffold Tendon

BORIS DOI:

10.7892/boris.122241

URI:

https://boris.unibe.ch/id/eprint/122241

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