Application of 3D printing in the treatment of diabetic foot ulcers: current status and new insights.

IF 4.3 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY
Frontiers in Bioengineering and Biotechnology Pub Date : 2024-11-13 eCollection Date: 2024-01-01 DOI:10.3389/fbioe.2024.1475885
Xinrui Li, Xin Ai, Bo Wang, Mengqian Luo, Akira Miyamoto, Mohammad Shafi Kuchay, Dechao Feng, Chi Zhang
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Abstract

Background and aims: Diabetic foot ulcers (DFUs) are a serious complication of diabetes mellitus (DM), affecting around 25% of individuals with DM. Primary treatment of a DFU involves wound off-loading, surgical debridement, dressings to provide a moist wound environment, vascular assessment, and appropriate antibiotics through a multidisciplinary approach. Three-dimensional (3D) printing technology is considered an innovative tool for the management of DFUs. The utilization of 3D printing technology in the treatment of DFU involves the modernization of traditional methods and the exploration of new techniques. This review discusses recent advancements in 3D printing technology for the application of DFU care, and the development of personalized interventions for the treatment of DFUs.

Methods: We searched the electronic database for the years 2019-2024. Studies related to the use of 3D printing technology in Diabetic foot were included.

Results: A total of 25 identified articles based on database search and citation network analysis. After removing duplicates, 18 articles remained, and three articles that did not meet the inclusion criteria were removed after reading the title/abstract. A total of 97 relevant articles were included during the reading of references. In total, 112 articles were included.

Conclusion: 3D printing technology offers unparalleled advantages, particularly in the realm of personalized treatment. The amalgamation of traditional treatment methods with 3D printing has yielded favorable outcomes in decelerating the progression of DFUs and facilitating wound healing. However, there is a limited body of research regarding the utilization of 3D printing technology in the domain of DFUs.

三维打印在糖尿病足溃疡治疗中的应用:现状与新见解。
背景和目的:糖尿病足溃疡(DFU)是糖尿病(DM)的一种严重并发症,约有 25% 的糖尿病患者会受到影响。糖尿病足溃疡的初级治疗包括伤口卸载、手术清创、敷料以提供湿润的伤口环境、血管评估以及通过多学科方法使用适当的抗生素。三维(3D)打印技术被认为是治疗 DFU 的创新工具。利用三维打印技术治疗 DFU 涉及传统方法的现代化和新技术的探索。本综述讨论了 3D 打印技术在 DFU 护理应用中的最新进展,以及治疗 DFU 的个性化干预措施的开发情况:我们检索了 2019-2024 年的电子数据库。方法:我们检索了2019-2024年的电子数据库,纳入了与3D打印技术在糖尿病足中的应用相关的研究:根据数据库搜索和引文网络分析,共确定了 25 篇文章。去除重复文章后,剩下 18 篇文章,阅读标题/摘要后,删除了 3 篇不符合纳入标准的文章。在阅读参考文献时,共纳入了 97 篇相关文章。结论:3D 打印技术具有无可比拟的优势,尤其是在个性化治疗领域。将传统治疗方法与 3D 打印技术相结合,在减缓 DFU 病程进展和促进伤口愈合方面取得了良好的效果。然而,有关 3D 打印技术在 DFU 领域应用的研究还很有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Bioengineering and Biotechnology
Frontiers in Bioengineering and Biotechnology Chemical Engineering-Bioengineering
CiteScore
8.30
自引率
5.30%
发文量
2270
审稿时长
12 weeks
期刊介绍: The translation of new discoveries in medicine to clinical routine has never been easy. During the second half of the last century, thanks to the progress in chemistry, biochemistry and pharmacology, we have seen the development and the application of a large number of drugs and devices aimed at the treatment of symptoms, blocking unwanted pathways and, in the case of infectious diseases, fighting the micro-organisms responsible. However, we are facing, today, a dramatic change in the therapeutic approach to pathologies and diseases. Indeed, the challenge of the present and the next decade is to fully restore the physiological status of the diseased organism and to completely regenerate tissue and organs when they are so seriously affected that treatments cannot be limited to the repression of symptoms or to the repair of damage. This is being made possible thanks to the major developments made in basic cell and molecular biology, including stem cell science, growth factor delivery, gene isolation and transfection, the advances in bioengineering and nanotechnology, including development of new biomaterials, biofabrication technologies and use of bioreactors, and the big improvements in diagnostic tools and imaging of cells, tissues and organs. In today`s world, an enhancement of communication between multidisciplinary experts, together with the promotion of joint projects and close collaborations among scientists, engineers, industry people, regulatory agencies and physicians are absolute requirements for the success of any attempt to develop and clinically apply a new biological therapy or an innovative device involving the collective use of biomaterials, cells and/or bioactive molecules. “Frontiers in Bioengineering and Biotechnology” aspires to be a forum for all people involved in the process by bridging the gap too often existing between a discovery in the basic sciences and its clinical application.
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