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Meniscus Scaffolds: Past, Present, and Future

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Bio-orthopaedics

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Abstract

Failure in maintaining the integrity of meniscus results in increased stresses on the cartilage, leading to cartilage degeneration, irreversible joint damage and osteoarthiritis. This finding led to increased tendency towards meniscus preserving surgery over partial or total meniscectomy. Meniscus scaffolds are developed to overcome devastating outcomes of partial meniscectomies. In order to establish the ideal scaffold, numerous biomaterials have been studied so far. Currently, meniscal scaffolds represent a rather good treatment option for patients with painful knees after partial meniscectomy. With correct indications and appropriate technical implantation, relief of symptoms along with improvement in functional status can be expected in majority of patients. Implantation of meniscal scaffolds does not preclude accompanying surgical procedures in most cases and combined surgical procedures are rather common. Still there is space for further improvements in the scaffold technology as current implants in use still have inferior mechanical properties when compared to the native meniscus.

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Authors and Affiliations

  1. Baltalimani Bone and Joint Diseases Education and Research Hospital, Istanbul, Turkey

    Sarper Gursu

  2. Department of Orthopaedics and Trauma Surgery, Acıbadem University School of Medicine, Istanbul, Turkey

    Mustafa Karahan

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  1. Sarper Gursu
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  2. Mustafa Karahan
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Correspondence to Sarper Gursu .

Editor information

Editors and Affiliations

  1. O.A.S.I. Bioresearch Foundation NPO, Milan, Italy

    Alberto Gobbi

  2. Clínica do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal

    João Espregueira-Mendes

  3. Musculoskeletal and Joint Research Foundation, San Diego, California, USA

    John G. Lane

  4. Department of Orthopedics, Acibadem University, Istanbul, Turkey

    Mustafa Karahan

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Gursu, S., Karahan, M. (2017). Meniscus Scaffolds: Past, Present, and Future. In: Gobbi, A., Espregueira-Mendes, J., Lane, J., Karahan, M. (eds) Bio-orthopaedics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54181-4_27

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  • DOI: https://doi.org/10.1007/978-3-662-54181-4_27

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54180-7

  • Online ISBN: 978-3-662-54181-4

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