Abstract
Skeletal defects resulting from tumor resection, congenital abnormalities, or trauma often require surgical intervention to restore function. Current options for bone replacement include autografts, allografts, metals, ceramics, and polymeric bone cements. However, all of these materials have drawbacks, and their selection usually requires some degree of compromise. Autografts represent the ideal repair material, but are limited by availability and donor site morbidity. Allografts may be potential transmitters of disease, and also solicit immune response if not sufficiently pretreated. Ceramics suffer from slow integration and remodeling, and wear-debris from nondegradable polymeric implants may evoke chronic inflammation. Finally, metallic implants may cause atrophy of surrounding tissue through stress shielding, requiring corrective procedures.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Langer, R. and Vacanti, J. P. (1993) Tissue engineering. Science 260, 920–926.
Hollinger, J. O. and Battistone, G. C. (1986) Biodegradable bone repair materials: synthetic polymers and ceramics. Clin. Orthop. Rel. Res. 207, 290–305.
Suggs, L. J. and Mikos, A. G. (1996) Synthetic biodegradable polymers for medical applications, in Physical Properties of Polymers Handbook (Mark, J. E., ed.), AIP, Woodbury, NY, pp. 615–624.
Gazdag, A. R., Lane, J. M., Glaser, D., and Forster, R. A. (1995) Alternatives to autogenous bone graft: efficacy and indications. J. Am. Acad. Orthop. Surg. 3, 1–8.
Crane, G. M., Ishaug, S. L., and Mikos, A. G. (1995) Bone tissue engineering. Nature Med. 1, 1322–1324.
Ishaug, S. L., Payne, R. G., Yaszemski, M. J., Aufdemorte, T. B., Bizios, R., and Mikos, A. G. (1996) Osteoblast migration on poly(α-hydroxy esters). Biotechnol. Bioeng. 50, 443–451.
Ishaug, S. L., Yaszemski, M. J., Bizios, R., and Mikos, A. G. (1994) Osteoblast function on synthetic biodegradable polymers. J. Biomed. Mater. Res. 28, 1445–1453.
Ishaug, S. L., Crane, G. M., Miller, M. J., Yasko, A. W., Yaszemski, M. J., and Mikos, A. G. (1997) Bone Formation by three-dimensional stromal osteoblast culture in biodegradable polymer scaffolds. J. Biomed. Mater. Res., 36, 17–28.
Ishaug-Riley, S. L., Crane, G. M., Gurlek, A., Miller, M. J., Yasko, A. W., Yaszemski, M. J., and Mikos, A. G. (1997) Ectopic bone formation by marrow stromal osteoblast transplantation using poly(DL-lactic-co-clycolic acid) foams implanted into the rat mesentery. J. Biomed. Mater. Res., 36, 1–8.
Smith, M. L., Miller, M. J., Crane, E., Khoo, A. K. M., Gulek, A., and Mikos, A. G. (1997) Cranial defect repair with osteoblast transplantation. Abstracts of Plastic Surgery Research Council, Galveston, TX, p. 45.
Lu, L. and Mikos, A. G. Poly(lactic acid), in Polymer Data Handbook (Mark, J. E., ed.), Oxford University Press, New York, in press.
Lu, L. and Mikos, A. G. Poly(glycolic acid), in Polymer Data Handbook (Mark, J. E., ed.), Oxford University Press, New York, in press.
Mikos, A. G., Thorsen, A. J., Czerwonka, L. A., Bao, Y., and Langer, R. (1994) Preparation and characterization of poly(l-lactic acid) foams. Polymer 35, 1068–1077.
Thomson, R. C., Yaszemski, M. J., Powers, J. M., and Mikos, A. G. (1995) Fabrication of biodegradable polymer scaffolds to engineer trabecular bone. J. Biomater. Sci.—Polym. Ed. 7, 23–38.
Mikos, A. G., Sarakinos, G., Lyman, M. D., Ingber, D. E., Vacanti, J. P., and Langer, R. (1993) Prevascularization of porous biodegradable polymers. Biotechnol. Bioeng. 42, 716–723.
Wake, M. C., Patrick, C. W., and Mikos, A. G. (1994) Pore morphology effects on the fibrovascular tissue growth in porous polymer substrates. Cell Transplant. 3, 1–5.
Mikos, A. G., Lyman, M. D., Freed, L. E., and Langer, R. (1994) Wetting of poly(l-lactic acid) and poly(dl-lactic-co-glycolic acid) foams for tissue culture. Biomaterials 15, 55–58.
Thomson, R. C., Yaszemski, M. J., and Mikos, A. G. (1997) Polymer scaffold processing, in Principles of Tissue Engineering (Lanza, R. P., Langer, R., and Chick, W. L., eds.), R. G. Landes, Austin, TX, pp. 263–272.
Lu, L. and Mikos, A. G. (1996) The importance of new processing techniques in tissue engineering. Mater. Res. Soc. Bull. 21, 28–32.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Humana Press Inc., Totowa, NJ
About this protocol
Cite this protocol
Jen, A.C., Peter, S.J., Mikos, A.G. (1999). Preparation and Use of Porous Poly(α-Hydroxyester) Scaffolds for Bone Tissue Engineering. In: Morgan, J.R., Yarmush, M.L. (eds) Tissue Engineering Methods and Protocols. Methods in Molecular Medicine™, vol 18. Humana Press. https://doi.org/10.1385/0-89603-516-6:133
Download citation
DOI: https://doi.org/10.1385/0-89603-516-6:133
Publisher Name: Humana Press
Print ISBN: 978-0-89603-516-4
Online ISBN: 978-1-59259-602-7
eBook Packages: Springer Protocols