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The role of stem cells in fracture healing and nonunion
Open accessAbstract
Nonunion and large bone defects present a therapeutic challenge to the surgeon and are often associated with significant morbidity. These defects are expensive to both the health care system and society. However, several surgical procedures have been developed to maximise patient satisfaction and minimise health-care-associated and socioeconomic costs. Integrating recent evidence into the diamond concept leads to one simple conclusion that not only provides us with answers to the "open questions" but also simplifies our entire understanding of bone healing. It has been shown that a combination of neo-osteogenesis and neovascularisation will restore tissue deficits, and that the optimal approach includes a biomaterial scaffold, cell biology techniques, a growth factor and optimisation of the mechanical environment. Further prospective, controlled, randomised clinical studies will determine the effectiveness and economic benefits of treatment with mesenchymal stem cells, not in comparison to other conventional surgical approaches but in direct conjunction with them.
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Bone marrow aspirate concentrate (BMAC), containing BM-MSCs, demonstrated efficacy in bone healing of non-unions, outperforming grafts, and minimizing complications in various studies.
“Bone marrow aspirate concentrate (BMAC), containing BM-MSCs, also demonstrated efficacy in bone healing of non-unions, outperforming grafts, and minimizing complications in various studies [39,94,95].”
From Mesenchymal Stem/Stromal Cells: Immunomodulatory and Bone Regeneration Potential after Tumor Excision in Osteosarcoma Patients (2023) · cites this paper as [94]
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Metadata
- Authors
- Fayaz, H. C., Giannoudis, P. V., Vrahas, M. S., Smith, R. M., Moran, C., Pape, H. C., Krettek, C., & Jupiter, J. B.
- Affiliations
- Harvard University (US)
- University of Leeds (GB)
- Queen's Medical Centre (GB)
- Universitätsklinikum Aachen (DE)
- Medizinische Hochschule Hannover (DE)
- Corresponding author
- Giannoudis, Peter V.
- ORCID
- Venue
- International Orthopaedics
- Published
- 2011-08-24
- Volume
- 35
- Issue
- 11
- Pages
- 1587-1597
- ISSN
- 0341-2695 (ISSN-L)
- 1432-5195
- PMC
- PMC3193959
- OpenAlex
- W2109937981
- Cited by
- 160
- References
- 2
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 5 · 2023: 16 · 2022: 8 · 2021: 15 · 2020: 15 · 2019: 13 · 2018: 9 · 2017: 11 · 2016: 17 · 2015: 11 · 2014: 11 · 2013: 10 · 2012: 5
- FWCI
- 1.01
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Orthopaedics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RWTH Publications (RWTH Aachen) (submittedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone fractures and treatments
- Physical Sciences › Engineering › Biomedical Engineering › Bone Tissue Engineering Materials
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Mesenchymal stem cell research
- Keywords
- stem cells, fracture healing, nonunion, bone defects, mesenchymal stem cells, neovascularization, biomaterial scaffolds, growth factors, mechanical environment, bone regeneration, economic costs
- MeSH terms
- Bone Marrow Cells, Bone Regeneration, Fractures, Ununited, Humans, Osteogenesis, Fracture Healing, Cell Transplantation, Neovascularization, Physiologic, Tissue Engineering, Tissue Scaffolds, Mesenchymal Stem Cells
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