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The past, present and future in scaffold-based tendon treatments

  • A. J. Lomas
  • , C. N. M. Ryan
  • , A. Sorushanova
  • , Naledi Shologu
  • , A. I. Sideri
  • , V. Tsioli
  • , G. C. Fthenakis
  • , Athina Tzora
  • , Ioannis Skoufos
  • , Leo R. Quinlan
  • , Gearóid Ó Laighin
  • , A. M. Mullen
  • , A. M. Kelly
  • , J. L. Kearns
  • , S. Biggs
  • , Abhay S. Pandit
  • , Dimitrios I. Zeugolis
  • University of Galway
  • University of Thessaly
  • TEI of Epirus
  • Teagasc Research Centre

Research output: Contribution to a Journal (Peer & Non Peer) › Article › peer-review

204 Citations (Scopus)
11 Downloads (Pure)

Abstract

Tendon injuries represent a significant clinical burden on healthcare systems worldwide. As the human population ages and the life expectancy increases, tendon injuries will become more prevalent, especially among young individuals with long life ahead of them. Advancements in engineering, chemistry and biology have made available an array of three-dimensional scaffold-based intervention strategies, natural or synthetic in origin. Further, functionalisation strategies, based on biophysical, biochemical and biological cues, offer control over cellular functions; localisation and sustained release of therapeutics biologics; and the ability to positively interact with the host to promote repair and regeneration. Herein, we critically discuss current therapies and emerging technologies that aim to transform tendon treatments in the years to come.Tendon injuries represent a significant clinical burden on healthcare systems worldwide. As the human population ages and the life expectancy increases, tendon injuries will become more prevalent, especially among young individuals with long life ahead of them. Advancements in engineering, chemistry and biology have made available an array of three-dimensional scaffold-based intervention strategies, natural or synthetic in origin. Further, functionalisation strategies, based on biophysical, biochemical and biological cues, offer control over cellular functions; localisation and sustained release of therapeutics biologics; and the ability to positively interact with the host to promote repair and regeneration. Herein, we critically discuss current therapies and emerging technologies that aim to transform tendon treatments in the years to come.
Original languageEnglish (Ireland)
Pages (from-to)257-277
Number of pages21
JournalAdvanced Drug Delivery Reviews
Volume84
DOIs
Publication statusPublished - 1 Apr 2015

Keywords

  • ANTERIOR CRUCIATE-LIGAMENT
  • Biomaterials
  • DIGITAL FLEXOR TENDON
  • GROWTH-FACTOR SUPPLEMENTATION
  • HUMAN ACHILLES-TENDON
  • Human and equine tendon injury
  • MARROW STROMAL CELLS
  • MESENCHYMAL STEM-CELLS
  • PLATELET-RICH PLASMA
  • PROXIMAL SUSPENSORY DESMITIS
  • ROTATOR CUFF REPAIR
  • Sustained and localised delivery of therapeutics/biologics
  • Tendon cellular and extracellular composition
  • Tendon healing
  • TISSUE ENGINEERING APPLICATIONS
  • Tissue grafts

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