Orthobiologics: Optimizing the Joint for Restoration or Delaying Arthroplasty

IF 0.4 4区 医学 Q4 SPORT SCIENCES
Bert Mandelbaum , Eric Chen
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引用次数: 0

Abstract

New medical interventions have helped people live longer and healthier lives, which has been accompanied by the expectation of patients remaining active even into their eighth decade and beyond. Unfortunately, advances in the orthopaedic literature for joint preservation have lagged behind. Research into techniques for joint preservation with the goal of delaying arthroplasty have risen to the forefront due to the tremendous physical and economic burden associated with osteoarthritis. One component has been the field of orthobiologics, the class of therapies that utilize biological products to enhance the body's natural healing process. Several potential candidates have emerged and entered the public consciousness, which portends increasing interest into these therapeutics. Among these possibilities include hyaluronic acid, platelet-rich plasma, bone marrow aspirate concentrate, and mesenchymal stem cells (MSC's). Despite concerns regarding the efficacy and cost-benefit ratio, both the basic science and the clinical data have supported their use to varying degrees. Further research remains to provide concrete guidelines for clinicians to provide optimal care for their patients.

骨科:优化关节修复或延迟关节置换术
新的医疗干预措施帮助人们活得更久、更健康,与之相伴的是,人们期望病人在八十岁甚至八十岁以后还能保持活跃。不幸的是,关节保护的骨科文献进展滞后。由于与骨关节炎相关的巨大的身体和经济负担,以延迟关节置换术为目标的关节保存技术的研究已经上升到最前沿。其中一个组成部分是骨科领域,这是一类利用生物制品来增强人体自然愈合过程的疗法。一些潜在的候选药物已经出现并进入了公众的意识,这预示着人们对这些治疗方法的兴趣越来越大。这些可能包括透明质酸、富血小板血浆、骨髓浓缩液和间充质干细胞(MSC)。尽管存在疗效和成本效益比方面的担忧,但基础科学和临床数据都在不同程度上支持它们的使用。进一步的研究仍需为临床医生提供具体的指导方针,为患者提供最佳的护理。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
93 days
期刊介绍: Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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