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| 1 | Opportunities and challenges for the biodegradable magnesium alloys as next-generation biomaterials显示文摘In recent years,biodegradable magnesium alloys emerge as a new class of biomaterials for tissue engineering and medical devices.Deploying biodegradable magnesium-based materials not only avoids a second surgical intervention for implant removal but also circumvents the long-term foreign body effect of permanent implants.However,these materials are often subjected to an uncontrolled and fast degradation,acute toxic responses and rapid structural failure presumably due to a localized,too rapid corrosion process.The patented Mg-Nd-Zn-based alloys(JiaoDa BioMg[JDBM])have been developed in Shanghai Jiao Tong University in recent years.The alloy series exhibit lower biodegradation rate and homogeneous nanophasic degradation patterns as compared with other biodegradable Mg alloys.The in vitro cytotoxicity tests using various types of cells indicate excellent biocompatibility of JDBM.Finally,bone implants using JDBM-1 alloy and cardiovascular stents using JDBM-2 alloy have been successfully fabricated and in vivo long-term assessment via implantation in animal model have been performed.The results confirmed the reduced degradation rate in vivo,excellent tissue compatibility and long-term structural and mechanical durability.Thus,this novel Mg-alloy series with highly uniform nanophasic biodegradation represent a major breakthrough in the field and a promising candidate for manufacturing the next generation biodegradable implants. | Wenjiang Ding | 2016 | Regenerative Biomaterials2016，3，2： | 33 |
| 2 | Clinical evaluations of mineralized collagen in the extraction sites preservation显示文摘The purpose of this study was to explore the different effects between biomimetic mineralized collagen(MC)and ordinary physically blended hydroxyapatite/collagen(HA/Col)composite in evaluating new bone formation and regenerated bone height in human extraction sockets.Thirty-four patients who cannot retain teeth caused by trauma or decay were randomly selected from Department of Stomatology of Dongzhimen Hospital from December 2013 to December 2014.The patients were randomly divided into two groups.After the operation of tooth extraction,17 patients were implanted with biomimetic MC(MC group),and other 17 patients were implanted with ordinary physically blended nHA/Col composite(nHA/Col group).X-ray positioning projection by auto-photographing was taken to test the distance between the lowest position and the neighboring CEJm-CEJd immediately,1 month and 3 months after the operation.The height of new bone formation of the MC group was significantly higher than the nHA/Col group.Biomimetic MC showed better clinical outcomes in the bone formation for extraction site preservation and would have broad application prospect in the field of oral and maxillofacial surgeries. | Lu Feng Liang Zhang Yun Cui Tian-Xi Song Zhi-Ye Qiu Xiu-Mei Wang Bao-Sheng Tan | 2016 | Regenerative Biomaterials2016，3，1： | 26 |
| 3 | Osteoimmunomodulatory effects of biomaterial modification strategies on macrophage polarization and bone regeneration显示文摘Biomaterials as bone substitutes are always considered as foreign bodies that can trigger host immune responses.Traditional designing principles have been always aimed at minimizing the immune reactions by fabricating inert biomaterials.However,clinical evidence revealed that those methods still have limitations and many of which were only feasible in the laboratory.Currently,osteoimmunology,the very pioneering concept is drawing more and more attention-it does not simply regard the immune response as an obstacle during bone healing but emphasizes the intimate relationship of the immune and skeletal system,which includes diverse cells,cytokines,and signaling pathways.Properties of biomaterials like topography,wettability,surface charge,the release of cytokines,mediators,ions and other bioactive molecules can impose effects on immune responses to interfere with the skeletal system.Based on the bone formation mechanisms,the designing methods of the biomaterials change from immune evasive to immune reprogramming.Here,we discuss the osteoimmunomodulatory effects of the new modification strategies—adjusting properties of bone biomaterials to induce a favorable osteoimmune environment.Such strategies showed potential to benefit the development of bone materials and lay a solid foundation for the future clinical application. | Yajuan Xie Cheng Hu Yi Feng Danfeng Li Tingting Ai Yulei Huang Xiaodan Chen Lijia Huang Jiali Tan | 2020 | Regenerative Biomaterials2020，7，3： | 22 |
| 4 | Surface modification of biodegradable magnesium and its alloys for biomedical applications显示文摘Magnesium and its alloys are being paid much attention recently as temporary implants,such as orthopedic implants and cardiovascular stents.However,the rapid degradation of them in physiological environment is a major obstacle preventing their wide applications to date,which will result in rapid mechanical integrity loss or even collapse of magnesium-based implants before injured tissues heal.Moreover,rapid degradation of the magnesium-based implants will also cause some adverse effects to their surrounding environment,such as local gas cavity around the implant,local alkalization and magnesium ion enrichment,which will reduce the integration between implant and tissue.So,in order to obtain better performance of magnesium-based implants in clinical trials,special alloy designs and surface modifications are prerequisite.Actually,when a magnesium-based implant is inserted in vivo,corrosion firstly happens at the implant-tissue interface and the biological response to implant is also determined by the interaction at this interface.So the surface properties,such as corrosion resistance,hemocompatibility and cytocompatibility of the implant,are critical for their in vivo performance.Compared with alloy designs,surface modification is less costly,flexible to construct multi-functional surface and can prevent addition of toxic alloying elements.In this review,we would like to summarize the current investigations of surface modifications of magnesium and its alloys for biomedical application.The advantages/disadvantages of different surface modification methods are also discussed as a suggestion for their utilization. | Peng Tian Xuanyong Liu | 2015 | Regenerative Biomaterials2015，2，2： | 22 |
| 5 | Effect of porosities of bilayered porous scaffolds on spontaneous osteochondral repair in cartilage tissue engineering显示文摘Poly(lactide-co-glycolide)-bilayered scaffolds with the same porosity or different ones on the two layers were fabricated,and the porosity effect on in vivo repairing of the osteochondral defect was examined in a comparative way for the first time.The constructs of scaffolds and bone marrow-derived mesenchymal stem cells were implanted into pre-created osteochondral defects in the femoral condyle of New Zealand white rabbits.After 12 weeks,all experimental groups exhibited good cartilage repairing according to macroscopic appearance,cross-section view,haematoxylin and eosin staining,toluidine blue staining,immunohistochemical staining and real-time polymerase chain reaction of characteristic genes.The group of 92%porosity in the cartilage layer and 77%porosity in the bone layer resulted in the best efficacy,which was understood by more biomechanical mimicking of the natural cartilage and subchondral bone.This study illustrates unambiguously that cartilage tissue engineering allows for a wide range of scaffold porosity,yet some porosity group is optimal.It is also revealed that the biomechanical matching with the natural composite tissue should be taken into consideration in the design of practical biomaterials,which is especially important for porosities of a multi-compartment scaffold concerning connected tissues. | Zhen Pan Pingguo Duan Xiangnan Liu Huiren Wang Lu Cao Yao He Jian Dong Jiandong Ding | 2015 | Regenerative Biomaterials2015，2，1： | 20 |
| 6 | The material and biological characteristics of osteoinductive calcium phosphate ceramics显示文摘The discovery of osteoinductivity of calcium phosphate(Ca-P)ceramics has set an enduring paradigm of conferring biological regenerative activity to materials with carefully designed structural characteristics.The unique phase composition and porous structural features of osteoinductive Ca-P ceramics allow it to interact with signaling molecules and extracellular matrices in the host system,creating a local environment conducive to new bone formation.Mounting evidence now indicate that the osteoinductive activity of Ca-P ceramics is linked to their physicochemical and three-dimensional structural properties.Inspired by this conceptual breakthrough,many laboratories have shown that other materials can be also enticed to join the rank of tissue-inducing biomaterials,and besides the bones,other tissues such as cartilage,nerves and blood vessels were also regenerated with the assistance of biomaterials.Here,we give a brief historical recount about the discovery of the osteoinductivity of Ca-P ceramics,summarize the underlying material factors and biological characteristics,and discuss the mechanism of osteoinduction concerning protein adsorption,and the interaction with different types of cells,and the involvement of the vascular and immune systems. | Zhurong Tang Xiangfeng Li Yanfei Tan Hongsong Fan Xingdong Zhang | 2018 | Regenerative Biomaterials2018，5，1： | 20 |
| 7 | Preparation and Properties of Cellulose Nanomaterials显示文摘Cellulose is the most abundant biomass material in nature and it is mainly extracted from natural or lignocellulosic fibers.After purification,cellulose fibers exhibit two interesting features for their further transformation into nanomaterials:a hierarchical and multi-level strcture,and a semicrystalline microstructure.Different forms of cellulose nanomaterials,resulting from a top-down deconstructing strategy(cellulose nanocrystals(CNCs),cellulose nanofibrils(CNFs))or bottom-up strategy(bacterial cellulose(BC))can be prepared.Multiple mechanical shearing actions applied to cellulosic fibers release more or less the nanofibrils individually.A controlled strong acid hydrolysis treatment can be applied to cellulosic fibers allowing dissolution of non-crystalline domains.Such cellulose nanomaterials have been the focus of an exponentially increasing number of works or reviews devoted to understand such materials and their applications.They have a high potential for an emerging industry.In the nanoscale,cellulose exhibits specific properties broadening the applications of this naturally occurring polymer.An overview of existing methods for the preparation of cellulose nanomaterials and their specific properties that outperform and contrast with cellulose in the microscale is proposed. | Alain Dufresne | 2020 | Paper And Biomaterials2020，5，3： | 19 |
| 8 | Progress in Nanocellulose Preparation and Application显示文摘Nanocellulose is a biodegradable, renewable, nonmeltable polymeric material that is insoluble in most solvents due to hydrogen bonding and crystallinity. Nanocellulose has attracted considerable attention in recent decades owing to its environmental friendliness, wide availability, good biocompatibility, high crystallinity, and high Young's modulus. This review presents the recent achievements in preparation and applications of nanocellulose, including a discussion of the advantages and disadvantages of various preparation methods and a summary of the applications of nanocellulose in composite materials research. Finally, we examine the mounting evidence of more widespread potential applications of nanocellulose. | HaiQuan Mao YongYang Gong YuanLi Liu ShiQi Wang LinLin Du Chun Wei | 2017 | Paper And Biomaterials2017，2，4： | 19 |
| 9 | Nanocellulose Composites—Properties and Applications显示文摘Nanocellulose composites combine the advantages of nanocellulose and composites. Recently, nanocellulose composites have been received more attentions due to their improved properties and promising broad applications. In the past, rapid progress has been made in the synthesis, properties, and mechanism of nanocellulose composites and potential applications were reported. There are a few reports on the increasing applications of nanocellulose composites with focus on the biomedical field, environmental field, electrode and sensor applications. In this article, the recent development of nanocellulose composites was reviewed via some typical examples. In addition to the synthesis methods, improved properties and potential applications were discussed. The problems and future applications of nanocellulose composites were also suggested. | Chang Ma MingGuo Ma ZhiWen Li Bin Wang | 2018 | Paper And Biomaterials2018，3，2： | 19 |
| 10 | Application of PMMA bone cement composited with bone-mineralized collagen in percutaneous kyphoplasty显示文摘We investigated the feasibility of applying polymethylmethacrylate bone cement composited with biomimetic bone-mineralizsed collagen to percutaneous kyphoplasty(PKP).We performed PKP in 95 patients diagnosed with osteoporotic vertebral compression fracture.All patients had fractures of a single vertebral body,and they were divided randomly into control(group A,47 patients)and experimental(group B,48 patients)groups.Patients in group A were treated with acrylic cement,and those in group B were treated with acrylic cement composited with the bone graft material.All patients were evaluated by a visual analogue scale(VAS),Oswestry disability index(ODI),Cobb angle and anterior vertebral body height preoperatively,and 3 days and 3 months postoperatively.All patients successfully completed surgery and were followed up thereafter.The VAS score,ODI index,Cobb angle and anterior vertebral body height compression rate in both groups had significant changes(P<0.05)preoperatively,and at 3 days and 3 months postoperatively.There was no significant difference between the two groups at different times(P>0.05).The analgesic effects of bone cement composited with bone-mineralized collagen are similar to those of bone cement only.Mineralized collagen has excellent promotion prospects by inducing new bone formation and reducing the incidence of adverse reactions caused by bone cement. | Ming Bai Heping Yin Jian Zhao Yang Li Yongdong Yang Yimin Wu | 2017 | Regenerative Biomaterials2017，4，4： | 17 |
| 11 | Strategies for regeneration of components of nervous system: scaffolds, cells and biomolecules显示文摘Nerve diseases including acute injury such as peripheral nerve injury(PNI),spinal cord injury(SCI)and traumatic brain injury(TBI),and chronic disease like neurodegeneration disease can cause various function disorders of nervous system,such as those relating to memory and voluntary movement.These nerve diseases produce great burden for individual families and the society,for which a lot of efforts have been made.Axonal pathways represent a unidirectional and aligned architecture allowing systematic axonal development within the tissue.Following a traumatic injury,the intricate architecture suffers disruption leading to inhibition of growth and loss of guidance.Due to limited capacity of the body to regenerate axonal pathways,it is desirable to have biomimetic approach that has the capacity to graft a bridge across the lesion while providing optimal mechanical and biochemical cues for tissue regeneration.And for central nervous system injury,one more extra precondition is compulsory:creating a less inhibitory surrounding for axonal growth.Electrospinning is a cost-effective and straightforward technique to fabricate extracellular matrix(ECM)-like nanofibrous structures,with various fibrous forms such as random fibers,aligned fibers,3D fibrous scaffold and core-shell fibers from a variety of polymers.The diversity and versatility of electrospinning technique,together with functionalizing cues such as neurotrophins,ECM-based proteins and conductive polymers,have gained considerable success for the nerve tissue applications.We are convinced that in the future the stem cell therapy with the support of functionalized electrospun nerve scaffolds could be a promising therapy to cure nerve diseases. | Lingling Tian Molamma P.Prabhakaran Seeram Ramakrishna | 2015 | Regenerative Biomaterials2015，2，1： | 17 |
| 12 | Ectopic osteogenesis and angiogenesis regulated by porous architecture of hydroxyapatite scaffolds with similar interconnecting structure in vivo显示文摘The macro-pore sizes of porous scaffold play a key role for regulating ectopic osteogenesis and angiogenesis but many researches ignored the influence of interconnection between macro-pores with different sizes.In order to accurately reveal the relationship between ectopic osteogenesis and macro-pore sizes in dorsal muscle and abdominal cavities of dogs,hydroxyapatite(HA)scaffolds with three different macro-pore sizes of 500–650,750–900 and 1100–1250 mm were prepared via sugar spheres-leaching process,which also had similar interconnecting structure determined by keeping the d/s ratio of interconnecting window diameter to macro-pore size constant.The permeability test showed that the seepage flow of fluid through the porous scaffolds increased with the increase of macro-pore sizes.The cell growth in three scaffolds was not affected by the macro-pore sizes.The in vivo ectopic implantation results indicated that the macro-pore sizes of HA scaffolds with the similar interconnecting structure have impact not only the speed of osteogenesis and angiogenesis but also the space distribution of newly formed bone.The scaffold with macro-pore sizes of 750–900 mm exhibited much faster angiogenesis and osteogenesis,and much more uniformly distribution of new bone than those with othermacro-pore sizes.This work illustrates the importance of a suitable macro-pore sizes in HA scaffolds with the similar interconnecting structure which provides the environment for ectopic osteogenesis and angiogenesis. | Jinyu Li Wei Zhi Taotao Xu Feng Shi Ke Duan JianxinWang Yandong Mu Jie Weng | 2016 | Regenerative Biomaterials2016，3，5： | 16 |
| 13 | Effect of microporosity on scaffolds for bone tissue engineering显示文摘Microporosity has a critical role in improving the osteogenesis of scaffolds for bone tissue engineering.Although the exact mechanism,by which it promotes new bone formation,is not well recognized yet,the related hypothesis can be found in many previous studies.This review presents those possible mechanisms about how the microporosity enhances the osteogenic-related functions of cells in vitro and the osteogenic activity of scaffolds in vivo.In summary,the increased specific surface areas by microporosity can offer more protein adsorption sites and accelerate the release of degradation products,which facilitate the interactions between scaffolds and cells.Meanwhile,the unique surface properties of microporous scaffolds have a considerable effect on the protein adsorption.Moreover,capillary force generated by the microporosity can improve the attachment of bone-related cells on the scaffolds surface,and even make the cells achieve penetration into the micropores smaller than them.This review also pays attention to the relationship between the biological and mechanical properties of microporous scaffolds.Although lots of achievements have been obtained,there is still a lot of work to do,some of which has been proposed in the conclusions and perspectives part. | Ke Zhang Yubo Fan Nicholas Dunne Xiaoming Li | 2018 | Regenerative Biomaterials2018，5，2： | 15 |
| 14 | An overview of the role of neutrophils in innate immunity,inflammation and host-biomaterial integration显示文摘Despite considerable recent progress in defining neutrophil functions and behaviors in tissue repair,much remains to be determined with regards to its overall role in the tissue integration of biomaterials.This article provides an overview of the neutrophil’s numerous,important roles in both inflammation and resolution,and subsequently,their role in biomaterial integration.Neutrophils function in three primary capacities:generation of oxidative bursts,release of granules and formation of neutrophil extracellular traps(NETs);these combined functions enable neutrophil involvement in inflammation,macrophage recruitment,M2 macrophage differentiation,resolution of inflammation,angiogenesis,tumor formation and immune system activation.Neutrophils exhibit great flexibility to adjust to the prevalent microenvironmental conditions in the tissue;thus,the biomaterial composition and fabrication will potentially influence neutrophil behavior following confrontation.This review serves to highlight the neutrophil’s plasticity,reiterating that neutrophils are not just simple suicidal killers,but the true maestros of resolution and regeneration. | Gretchen S.Selders Allison E.Fetz Marko Z.Radic Gary L.Bowlin | 2017 | Regenerative Biomaterials2017，4，1： | 14 |
| 15 | Efficacy of concentrated growth factors combined with mineralized collagen on quality of life and bone reconstruction of guided bone regeneration显示文摘To evaluate the clinical efficacy of concentrated growth factors(CGFs)combined with mineralized collagen(MC)in guided bone regeneration(GBR).A retrospective study involving 29 patients treated with GBR technique,which was performed either CGF and MC complexes or MC alone.Implants were inserted simultaneously and cone-beam computed tomography was taken immediately,at 3 and 6 months postoperation.Questionnaires were completed by all patients so as to evaluate the main symptoms and daily activities during the first week after surgery.The outcomes of the two groups were statistically compared.All implants healed uneventfully.Patients in both groups suffered from different levels of discomfort for the reason of swelling,pain and chewing impairment on 1-2 days.Meanwhile,swelling of the Trial group was weaker than the Control group.When compared with the Control group,pain levels in Trial group were more rapidly reduced and patients took fewer analgesics from Day 3.Furthermore,the reconstitution mean value of the graft was thicker at 3 and 6 months in Trial group.CGFs complex with MC were beneficial to relieve the clinical symptoms,promote the peri-implant bone regeneration and shorten the healing time. | Yan Dai Xiao-Hui Han Li-Hua Hu Hai-Wei Wu Sheng-Yun Huang Yu-Peng Lu | 2020 | Regenerative Biomaterials2020，7，3： | 13 |
| 16 | Endovascular stent-induced alterations in host artery mechanical environments and their roles in stent restenosis and late thrombosis显示文摘Cardiovascular stent restenosis remains a major challenge in interventional treatment of cardiovascular occlusive disease.Although the changes in arterial mechanical environment due to stent implantation are the main causes of the initiation of restenosis and thrombosis,the mechanisms that cause this initiation are still not fully understood.In this article,we reviewed the studies on the issue of stent-induced alterations in arterial mechanical environment and discussed their roles in stent restenosis and late thrombosis from three aspects:(i)the interaction of the stent with host blood vessel,involve the response of vascular wall,the mechanism of mechanical signal transmission,the process of re-endothelialization and late thrombosis;(ii)the changes of hemodynamics in the lumen of the vascular segment and(iii)the changes of mechanical microenvironment within the vascular segment wall due to stent implantation.This review has summarized and analyzed current work in order to better solve the two main problems after stent implantation,namely in stent restenosis and late thrombosis,meanwhile propose the deficiencies of current work for future reference. | Jinxuan Wang Xuepu Jin Yuhua Huang Xiaolin Ran Desha Luo Dongchuan Yang Dongyu Jia Kang Zhang Jianhua Tong Xiaoyan Deng Guixue Wang | 2018 | Regenerative Biomaterials2018，5，3： | 13 |
| 17 | Advances in the surface modification techniques of bone-related implants for last 10 years显示文摘At the time of implanting bone-related implants into human body,a variety of biological responses to the material surface occur with respect to surface chemistry and physical state.The commonly used biomaterials(e.g.titanium and its alloy,Co–Cr alloy,stainless steel,polyetheretherketone,ultra-high molecular weight polyethylene and various calcium phosphates)have many drawbacks such as lack of biocompatibility and improper mechanical properties.As surface modification is very promising technology to overcome such problems,a variety of surface modification techniques have been being investigated.This review paper covers recent advances in surface modification techniques of bone-related materials including physicochemical coating,radiation grafting,plasma surface engineering,ion beam processing and surface patterning techniques.The contents are organized with different types of techniques to applicable materials,and typical examples are also described. | Zhi-Ye Qiu Cen Chen Xiu-Mei Wang In-Seop Lee | 2014 | Regenerative Biomaterials2014，1，1： | 13 |
| 18 | Lignin Interaction with Cellulase during Enzymatic Hydrolysis显示文摘The conversion of lignocellulosic biomass into biofuels or biochemicals typically involves a pretreatment process followed by the enzyme-catalyzed hydrolysis of cellulose and hemicellulose components to fermentable sugars.Many factors can contribute to the recalcitrance of biomass,e.g.,the lignin content and structure,crystallinity of cellulose,degree of fiber polymerization,and hemicellulose content,among others.However,nonproductive binding between cellulase and lignin is the factor with the greatest impact on enzymatic hydrolysis.To reduce the nonproductive adsorption of enzymes on lignin and improve the efficiency of enzymatic hydrolysis,this review comprehensively summarized the progress that has been made in understanding the interactions between lignin and enzymes.Firstly,the effects of pretreatment techniques on lignin content and enzymatic hydrolysis were reviewed.The effects of lignin content and functional groups on enzymatic hydrolysis were then summarized.Methods for the preparation and characterization of lignin films were assessed.Finally,the methods applied to characterize the interactions between lignin and cellulase were reviewed,and methods for decreasing the nonproductive binding of enzymes to lignin were discussed.This review provides an overview of the current understanding of how lignin hinders the enzymatic hydrolysis of lignocellulosic biomass,and provides a theoretical basis for the development of more economical and effective methods and additives to reduce the interaction of lignin and enzymes to improve the efficiency of enzymatic hydrolysis. | Mingfu Li Qingtong Zhang Changzhou Chen Shuangfei Wang Douyong Min | 2019 | Paper And Biomaterials2019，4，4： | 12 |
| 19 | Effect of intraplaque angiogenesis to atherosclerotic rupture-prone plaque induced by high shear stress in rabbit model显示文摘Atherosclerotic prone-rupture plaque is mainly localized in the region of the entrance to the stenosiswith high shear stress and the reasons are largely unknown. Our hypothesis is that such a distributionof cells in atherosclerotic plaque may depend on the angiogenesis. Silastic collars inducedregions of high shear stress (20.6865.27 dynes/cm2) in the upstream flow and low shear stress(12.2561.28 dynes/cm2) in the downstream flow in carotid arteries. Compared with the low shearstress region, plaques in the high shear stress region showed more intraplaque haemorrhaging,less collagen and higher apoptotic rates of vascular smooth muscle cells;endothelial cells (ECs) inthe high shear stress region were characterized with integrity and high endothelial nitric oxidesynthase (eNOS) expression (1570.36345.5% vs 172.9649.9%). The number of intraplaque microvesselsis very high in the high shear stress region (1561.8 n/mm2 vs 3.560.4 n/mm2), and themicrovessels in the plaque show ECs were abnormal, with membrane blebs, intracytoplasmic vacuolesand leukocyte infiltration. Our current study reveals that the integrity of the endothelium andthe vulnerability of atherosclerotic plaques are simultaneously localized in high shear stress regions,and we provide evidence for the first time that microvessels in the intraplaque maybe responsiblefor rupture-prone plaque formation in the high shear stress region. | Juhui Qiu Daoxi Lei Jianjun Hu Tieying Yin Kang Zhang Donghong Yu Guixue Wang | 2017 | Regenerative Biomaterials2017，4，4： | 12 |
| 20 | Clinical evaluation following the use of mineralized collagen graft for bone defects in revision total hip arthroplasty显示文摘Revision total hip arthroplasty(THA)with massive bone loss has been a real challenge for orthopaedic surgeons.Here we describe an approach using mineralized collagen(MC)graft to reconstruct acetabulum and femur with massive bone defects.We identified 89 patients suffering acetabular or femoral bone defects after primary THA,who required revision THA for this study.During the surgery,MC was applied to reconstruct both the acetabular and femoral defects.Harris hip score was used to evaluate hip function while radiographs were taken to estimate bone formation in the defect regions.The average follow-up period was 33.662.4 months.None of the components needed re-revised.Mean Harris hip scores were 42.563.5 before operation,75.264.0 at 10th month and 95.063.6 at the final follow-up.There were no instances of deep infection,severe venous thrombosis or nerve palsy.The present study demonstrated that MC graft can serve as a promising option for revision THA with massive bone deficiency.Meanwhile,extended follow-up is needed to further prove its long-term performance. | Cheng Huang Liwu Qin Wei Yan Xisheng Weng Xiangjie Huang | 2015 | Regenerative Biomaterials2015，2，4： | 12 |
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