2004
DOI: 10.1111/j.1525-1594.2004.07317.x
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Articular Cartilage Repair Using Tissue Engineering Technique—Novel Approach with Minimally Invasive Procedure

Abstract: Articular cartilage has very limited potential to spontaneously heal, because it lacks vessels and is isolated from systemic regulation. Although there have been many attempts to treat articular cartilage defects, such as drilling, microfracture techniques, soft tissue grafts or osteochondral grafts, no treatment has managed to repair the defects with long-lasting hyaline cartilage. Recently, a regenerative medicine using a tissue engineering technique for cartilage repair has been given much attention in the … Show more

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Cited by 131 publications
(91 citation statements)
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“…Unfortunately, the long-term therapeutic efficacy of these methods is controversial (8). Regenerative medicine using autologous chondrocyte implantation (ACI) is currently of great interest for the treatment of cartilage damage because it is less invasive and is biocompatible in vivo for longer periods of time compared with the therapies that are currently available (9). In ACI, a biopsy of the cartilage is taken from the patient's knee by an arthroscopic surgery.…”
Section: Introductionmentioning
confidence: 99%
“…Unfortunately, the long-term therapeutic efficacy of these methods is controversial (8). Regenerative medicine using autologous chondrocyte implantation (ACI) is currently of great interest for the treatment of cartilage damage because it is less invasive and is biocompatible in vivo for longer periods of time compared with the therapies that are currently available (9). In ACI, a biopsy of the cartilage is taken from the patient's knee by an arthroscopic surgery.…”
Section: Introductionmentioning
confidence: 99%
“…Based on these qualities of MSCs, the regeneration of bone and cartilage has been studied (Ochi et al 2004;Petite et al 2000). Fibroblast growth factor-2 (FGF-2) is involved in angiogenesis and tissue repair.…”
Section: Introductionmentioning
confidence: 99%
“…The AC presents a notable matrix structure organization [6], a limited number of chondrocytes [7], and a rich water content [8]. The most important biomechanical functions of the AC include weight bearing and a smooth distribution of forces to the adjacent subchondral bone, providing nonfrictional motion of joints [4,8].…”
Section: Osteoarticular Disorders and Regeneration Physiologymentioning
confidence: 99%
“…The unique matrix structure, rich in collagen fibers, proteoglycans, and interstitial fiber, provides a viscoelastic environment that allows the AC to support its biomechanical functions [8]. It has been well established that the AC has limited self-healing capacities [3][4][5][7][8][9][10][11][12][13][14][15] due to its intrinsic characteristics, namely its avascular nature, limited number of resident stem cells, and unique matrix organization [4]. Partial defects on mature cartilage do not heal spontaneously.…”
Section: Osteoarticular Disorders and Regeneration Physiologymentioning
confidence: 99%