Cited by 160Bone fractures and treatmentsBone Tissue Engineering MaterialsMesenchymal stem cell research

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The role of stem cells in fracture healing and nonunion

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Abstract

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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Crossref · 10.1007/s00264-011-1338-z

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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.
Venue
International Orthopaedics
Published
2011-08-24
Volume
35
Issue
11
Pages
1587-1597
ISSN
  • 0341-2695 (ISSN-L)
  • 1432-5195
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
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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