Academic Journal

Advances in the Mechanisms Affecting Meniscal Avascular Zone Repair and Therapies

التفاصيل البيبلوغرافية
العنوان: Advances in the Mechanisms Affecting Meniscal Avascular Zone Repair and Therapies
المؤلفون: Wenqiang Yan, Wenli Dai, Jin Cheng, Yifei Fan, Tong Wu, Fengyuan Zhao, Jiahao Zhang, Xiaoqing Hu, Yingfang Ao
المصدر: Frontiers in Cell and Developmental Biology, Vol 9 (2021)
بيانات النشر: Frontiers Media S.A., 2021.
سنة النشر: 2021
المجموعة: LCC:Biology (General)
مصطلحات موضوعية: meniscus, meniscal injuries, avascular zone, biological mechanisms, biological augmentation, Biology (General), QH301-705.5
الوصف: Injuries to menisci are the most common disease among knee joint-related morbidities and cover a widespread population ranging from children and the general population to the old and athletes. Repair of the injuries in the meniscal avascular zone remains a significant challenge due to the limited intrinsic healing capacity compared to the peripheral vascularized zone. The current surgical strategies for avascular zone injuries remain insufficient to prevent the development of cartilage degeneration and the ultimate emergence of osteoarthritis (OA). Due to the drawbacks of current surgical methods, the research interest has been transferred toward facilitating meniscal avascular zone repair, where it is expected to maintain meniscal tissue integrity, prevent secondary cartilage degeneration and improve knee joint function, which is consistent with the current prevailing management idea to maintain the integrity of meniscal tissue whenever possible. Biological augmentations have emerged as an alternative to current surgical methods for meniscal avascular zone repair. However, understanding the specific biological mechanisms that affect meniscal avascular zone repair is critical for the development of novel and comprehensive biological augmentations. For this reason, this review firstly summarized the current surgical techniques, including meniscectomies and meniscal substitution. We then discuss the state-of-the-art biological mechanisms, including vascularization, inflammation, extracellular matrix degradation and cellular component that were associated with meniscal avascular zone healing and the advances in therapeutic strategies. Finally, perspectives for the future biological augmentations for meniscal avascular zone injuries will be given.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2296-634X
Relation: https://www.frontiersin.org/articles/10.3389/fcell.2021.758217/full; https://doaj.org/toc/2296-634X
DOI: 10.3389/fcell.2021.758217
URL الوصول: https://doaj.org/article/36c87e671e854579aaeb5f33dc549050
رقم الانضمام: edsdoj.36c87e671e854579aaeb5f33dc549050
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:2296634X
DOI:10.3389/fcell.2021.758217