Tissue engineering with the use of polymers

Y. Ikada
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Abstract

Summary form only received. The author presents some results by obtained by collaborative work with medical people on tissue engineering using resorbable polymers such as polylactides and collagen. The tissues studied for regeneration include bones, skin, ligaments, and fibrous cartilage. The fixation of fractured bones in joints, jaw, and the face was performed using screws, pins, and mini-plates prepared from a high-strength poly(L-lactide). Regeneration of lost mandibula with the help of a poly(L-lactide) tray containing the patient's cancellous bone is currently undergoing clinical trials. A bilayered artificial skin was fabricated from a thin silicone sheet and a thick porous collagen sheet without glycosaminoglycans. The artificial skin functioned very effectively as the scaffold for the regeneration of the dermis tissue of full skin-deficient patients. The epidermis graft of patient origin was covered on the regenerated dermis to enable regeneration of the whole skin. Regeneration of broken anterior cruciate ligaments was attempted with the use of poly(L-lactide) fibers. The results with goats and sheep were as good as those of a non-resorbable ligament assist device. The periodontic ligament also could be regenerated with the use of a glycolide-lactide copolymer membrane.
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使用聚合物的组织工程
只收到摘要表格。作者介绍了利用聚乳酸和胶原蛋白等可吸收聚合物进行组织工程的一些成果。研究再生的组织包括骨骼、皮肤、韧带和纤维软骨。使用高强度聚l -丙交酯制备的螺钉、销钉和微型钢板固定关节、下颌和面部骨折骨。用含有患者松质骨的聚l -丙交酯托盘再生失去的下颌骨目前正在进行临床试验。用不含糖胺聚糖的薄硅胶片和厚多孔胶原片制备了双层人工皮肤。该人造皮肤作为支架在全皮肤缺损患者真皮组织再生中发挥了非常有效的作用。患者的表皮移植物覆盖在再生的真皮层上,使整个皮肤再生。尝试使用聚l -丙交酯纤维再生断裂的前交叉韧带。山羊和绵羊的结果与非可吸收韧带辅助装置一样好。牙周韧带也可以用乙醇-丙交酯共聚物膜再生。
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