TWI765500B - Tissue scaffold for use in tendon and/or ligament - Google Patents
Tissue scaffold for use in tendon and/or ligament Download PDFInfo
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本揭露係關於一種應用於組織工程的支架,尤其係關於一種用於肌腱及/或韌帶傷害之組織支架。The present disclosure relates to a scaffold for tissue engineering, and more particularly, to a tissue scaffold for tendon and/or ligament injury.
肌腱或韌帶方面之撕裂或斷裂傷害係為臨床上常見的運動傷害,特別是,當傷害發生於膝關節內的交叉韌帶上時,由於其生物學環境及血液供應受限,使韌帶組織於斷裂後無自然癒合的能力,而需透過手術進行重建工程。Tendon or ligament tear or rupture injury is a common clinical sports injury, especially when the injury occurs on the cruciate ligament in the knee joint, due to its biological environment and limited blood supply, the ligament tissue is There is no natural healing ability after fracture, and reconstruction works are required through surgery.
關於肌腱或韌帶的重建,依修復材料類型可區分為自體移植物、異體移植物和人工移植物。自體移植物雖具有良好的重建效果,且無免疫排斥反應產生,但有供區併發症等問題;而異體移植物不僅成本高,且存在有免疫排斥反應及疾病傳播等風險;相較之下,人工移植物因取材方便、無疾病傳播風險且機械強度高,近來已逐漸引起醫界關注,惟人工移植物僅具力學承重作用,而不具有生物活性及組織誘導性,係不利於腱骨界面癒合,且人工韌帶表面之細胞和組織亦難以正常生長形成正常肌腱或韌帶組織。經長期使用後,該人工移植物易有疲勞、磨損及斷裂等問題,從而導致膝關節不穩定,且其磨損之碎片亦易造成如關節腔內積水等醫源性的疾病。Regarding the reconstruction of tendon or ligament, it can be divided into autograft, allograft and artificial graft according to the type of repair material. Although autografts have good reconstruction effects and no immune rejection, they have problems such as complications in the donor area; while allografts are not only expensive, but also have risks of immune rejection and disease transmission. Recently, artificial grafts have gradually attracted the attention of the medical community due to their convenient materials, no risk of disease transmission, and high mechanical strength. However, artificial grafts only have mechanical load-bearing effects, not biological activity and tissue induction, which are not conducive to tendons. The bone interface heals, and the cells and tissues on the surface of the artificial ligament cannot grow normally to form normal tendon or ligament tissue. After long-term use, the artificial graft is prone to problems such as fatigue, wear and tear, which leads to instability of the knee joint, and the worn fragments are also likely to cause iatrogenic diseases such as hydrops in the joint cavity.
有鑑於此,有必要提出一種具有生物活性及組織誘導性的組織支架,以解決現有人工移植物於長期使用後之疲勞、磨損、斷裂及穩定性差等問題。In view of this, it is necessary to propose a biologically active and tissue-inducing tissue scaffold to solve the problems of fatigue, wear, fracture and poor stability of existing artificial grafts after long-term use.
本揭露提供一種用於肌腱及/或韌帶之組織支架,係包括由經紗和緯紗交錯編織而成之織體,其中,該經紗係包含具有異型斷面結構之複數纖維,且該織體係包括:一主體區,且其主體區纖維表面上具有一生物活性物質,該生物活性物質可進一步含浸入該主體區的孔隙中;以及一固定區,其中該固定區形成於該主體區二側,且緯紗包含生物陶瓷材料。The present disclosure provides a tissue scaffold for tendons and/or ligaments, comprising a fabric body interlaced by warp yarns and weft yarns, wherein the warp yarns include a plurality of fibers with a special-shaped cross-sectional structure, and the weave system includes: a main body area with a bioactive substance on the fiber surface of the main body area, the bioactive substance can be further impregnated into the pores of the main body area; and a fixed area, wherein the fixed area is formed on both sides of the main body area, and The weft yarn contains bioceramic material.
根據本揭露,透過獨特的織體結構之設計,並依組織支架區段各別結合對應的生物活性材料,提供細胞更多的貼附面積及良好的增生環境,有效提升組織細胞及骨質的活性及增殖能力,而利於肌腱及/或韌帶組織的重建行為,實具有應用前景。According to the present disclosure, through the unique design of the texture structure, and the corresponding bioactive materials are combined according to the tissue scaffold segments, more cell attachment areas and a good proliferation environment are provided, and the activity of tissue cells and bone is effectively improved. and proliferative ability, and it is beneficial to the reconstruction behavior of tendon and/or ligament tissue, and it has practical application prospects.
以下係藉由特定的具體實施例說明本揭露之實施方式,熟習此技藝之人士可由本說明書所揭示之內容輕易地瞭解本揭露之優點及功效。本揭露亦可藉由其它不同之實施方式加以施行或應用,本說明書中的各項細節亦可基於不同觀點與應用,在不悖離本揭露所揭示之精神下賦予不同之修飾與變更。此外,本文所有範圍和值都係包含及可合併的。落在本文中所述的範圍內之任何數值或點,例如任何整數都可以作為最小值或最大值以導出下位範圍等。The following describes the implementation of the present disclosure through specific embodiments, and those skilled in the art can easily understand the advantages and effects of the present disclosure from the content disclosed in this specification. The present disclosure can also be implemented or applied by other different embodiments, and various details in this specification can also be given different modifications and changes based on different viewpoints and applications without departing from the spirit disclosed in the present disclosure. Furthermore, all ranges and values herein are inclusive and combinable. Any value or point falling within a range described herein, eg, any integer, can be taken as a minimum or maximum value to derive a lower range, etc.
依據本揭露,係提供一種用於肌腱及/或韌帶之組織支架,如圖1所示,所述之組織支架1係為由經紗101和緯紗110、120交錯編織而成之織體所構成者。該經紗101係包含具有異型斷面結構之複數纖維,該複數纖維構成該經紗,且該織體係包括:一主體區11,且其纖維表面上具有一生物活性物質,且該生物活性物質可並進一步含浸入該主體區11的孔隙中;以及形成該主體區二側且包含有生物陶瓷材料緯紗120之固定區121、122。According to the present disclosure, a tissue scaffold for tendons and/or ligaments is provided. As shown in FIG. 1 , the
於本文中,所述之「經紗」係指於織造時沿織機長度方向延伸成型,於織體中作為主要支撐結構的紗線,且在執行肌腱及/或韌帶之伸縮動作時係與張力方向相同;再而,如圖1所示,本揭露之組織支架的主體區11及固定區121、122的經紗101係為一體成型;另一方面,所述之「緯紗」係指與經紗交錯或相互垂直的紗線。As used herein, the "warp" refers to the yarn that extends along the length of the loom during weaving, serves as the main support structure in the fabric, and is tied to the direction of tension when performing the stretching action of tendons and/or ligaments. Again, as shown in FIG. 1 , the
所述之經紗、緯紗係經多根纖維透過加撚、牽拉而成,於一具體實施態樣中,本揭露之組織支架中的經紗經加撚後達200至800丹尼(Denier),緯紗經加撚後達50至100丹尼(Denier)。The warp yarns and weft yarns are formed by twisting and pulling a plurality of fibers. In a specific embodiment, the warp yarns in the tissue scaffold of the present disclosure are twisted and reach 200 to 800 Denier. The weft yarn is twisted to 50 to 100 Denier.
於本文中,所述之「織體」係由經紗和緯紗以交錯及或相互垂直方式編織而成,且由此形成的交織點係可為連續或不連續排列,並可週期性選擇或不規則變化其交織點位置。In this article, the "texture" is woven by warp and weft in an interlaced and or mutually perpendicular manner, and the interlaced points formed therefrom can be arranged continuously or discontinuously, and can be selected periodically or not. The rules change the position of its interweaving point.
於一具體實施態樣中,本揭露之組織支架的織體網孔尺寸係為0.1至1毫米,由該織體網孔提供細胞足夠的生長空間,提供細胞生長所需的氣體交換及養分、代謝等輸送之空間。In a specific embodiment, the size of the tissue mesh of the tissue scaffold of the present disclosure is 0.1 to 1 mm, and the tissue mesh provides sufficient growth space for cells, and provides gas exchange and nutrients required for cell growth. Metabolism and other transport space.
另一方面,本揭露之織體係不限於單層編織結構,亦包含有多層上下交織結構。於一具體實施態樣中,該織體的厚度或直徑為1.0至10毫米。On the other hand, the weaving system of the present disclosure is not limited to a single-layer weave structure, but also includes a multi-layer upper and lower weave structure. In a specific embodiment, the thickness or diameter of the fabric is 1.0 to 10 mm.
於本揭露之組織支架中,所述之織體材料係可為高分子材料或高分子複合材料,其中,該高分子複合材料係除高分子材料外,復包括其他填料,如碳纖維,該高分子材料係考量其應用的機械性質、穩定性、耐磨性及生物相容性而選擇,但不限其種類。In the tissue scaffold of the present disclosure, the texture material can be a polymer material or a polymer composite material, wherein the polymer composite material includes other fillers, such as carbon fiber, in addition to the polymer material. Molecular materials are selected in consideration of mechanical properties, stability, wear resistance and biocompatibility of their applications, but are not limited to their types.
於一具體實施態樣中,該高分子材料可為聚對苯二甲酸乙二酯、聚乙烯、聚四氟乙烯、聚胺基甲酸酯、聚己內酯、聚乳酸、聚乙醇酸、聚醚醚酮、聚醚酮酮等材料其中之一,或其混合物或共聚物。其中,該聚乙烯係可包含超高分子量聚乙烯。In a specific embodiment, the polymer material can be polyethylene terephthalate, polyethylene, polytetrafluoroethylene, polyurethane, polycaprolactone, polylactic acid, polyglycolic acid, One of polyetheretherketone, polyetherketoneketone and other materials, or a mixture or copolymer thereof. Among them, the polyethylene system may include ultra-high molecular weight polyethylene.
於另一具體實施態樣中,所述之織體材料係為聚對苯二甲酸乙二酯。In another embodiment, the fabric material is polyethylene terephthalate.
於本文中,所述之「異形斷面結構」係指非圓形斷面的纖維結構,具備較高的纖維表面積,有提升組織細胞之貼附性的效果。於一具體實施態樣中,本揭露之經紗纖維的異形斷面結構可包括H形斷面、S形斷面、W形斷面、Y形斷面或十字形斷面。In this article, the "special-shaped cross-sectional structure" refers to a fibrous structure with a non-circular cross-section, which has a high fiber surface area and has the effect of improving the adhesion of tissue cells. In a specific embodiment, the warp fibers of the present disclosure may have an H-shaped cross-section, an S-shaped cross-section, a W-shaped cross-section, a Y-shaped cross-section, or a cross-shaped cross-section.
於本揭露之組織支架中,織體纖維的粗細程度即對應其整體的表面積,進而影響其織體的表面性能及其機械性質。於一具體實施態樣中,該經紗包含之具有異型斷面結構之纖維的長軸直徑為15至50微米,且構成該織體之緯紗之纖維的直徑為20至50微米;於另一具體實施態樣中,該經紗包含之具有異型斷面結構之纖維的細度為1.5至50丹尼,且構成該織體之緯紗之纖維的細度為40至100丹尼。如圖2所示,其係說明本揭露之組織支架的實際實施方式。所述之「主體區」11係指裸露於骨骼之外的織體部分,且所述之「固定區」121、122係指植入骨骼,例如用以與原肌腱及/或韌帶組織連接之骨骼的織體部分。In the tissue scaffold of the present disclosure, the thickness of the fibers of the fabric corresponds to the overall surface area thereof, thereby affecting the surface properties and mechanical properties of the fabric. In a specific embodiment, the long axis diameter of the fibers with a special-shaped cross-sectional structure contained in the warp yarn is 15 to 50 microns, and the diameter of the fibers constituting the weft yarns of the fabric is 20 to 50 microns; in another specific embodiment In an embodiment, the warp yarns contain fibers with a profiled cross-sectional structure with a fineness of 1.5 to 50 denier, and the weft fibers constituting the fabric have a fineness of 40 to 100 denier. 2, which illustrates a practical embodiment of the tissue scaffold of the present disclosure. The "main body area" 11 refers to the part of the body that is exposed outside the bone, and the "fixation area" 121, 122 refers to implanted bone, such as for connection with proto-tendon and/or ligament tissue. The textured part of the bone.
為能進一步誘導肌腱及/或韌帶組織進行修復,係於該主體區纖維表面上具有一生物活性物質,該生物活性物質可進一步含浸入該主體區的孔隙中,以增加細胞的增生能力。其中,所述之生物活性物質係為膠原蛋白。In order to further induce tendon and/or ligament tissue repair, there is a bioactive substance on the fiber surface of the main body area. Wherein, the biologically active substance is collagen.
於一具體實施態樣中,對於本揭露組織支架之含生物活性物質的改質,係以下列步驟製備而得: 提供一反應溶液,其含有生物活性物質;以及 使該主體區與該反應溶液接觸。 In a specific embodiment, the modification of the tissue scaffold containing biologically active substances of the present disclosure is prepared by the following steps: providing a reaction solution containing biologically active substances; and The bulk region is contacted with the reaction solution.
所述之「反應溶液」除包含有生物活性物質外,復包括溶劑及pH調節劑。In addition to containing biologically active substances, the "reaction solution" includes a solvent and a pH adjuster.
上述之生物活性物質例如膠原蛋白、明膠、蠶絲蛋白等。The above-mentioned biologically active substances are, for example, collagen, gelatin, fibroin and the like.
於另一具體實施態樣中,該生物活性物質係含有膠原蛋白,且該膠原蛋白係占該主體區總重的0.5至5重量%。In another embodiment, the bioactive substance contains collagen, and the collagen accounts for 0.5 to 5 wt % of the total weight of the main body region.
於其他實施態樣中,該膠原蛋白占該主體區總重的重量比例可為0.6、0.7、0.8、0.9、1.0、1.5、2.0、2.5、3.0、3.5、4.0或4.5重量%,且不以此為限。In other embodiments, the weight ratio of the collagen to the total weight of the main body region may be 0.6, 0.7, 0.8, 0.9, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0 or 4.5 wt %, and not limited to This is limited.
於一具體實施態樣中,於所述之反應溶液中,該生物活性物質為膠原蛋白,該溶劑係為pH≦3.0 之醋酸水溶液,該pH調節劑係為磷酸緩衝生理食鹽水及氫氧化鈉,其具體製法係包括:使該膠原蛋白粉末0.1 克溶解於60毫升醋酸水溶液中,將1克的織體的主體區加入,再加入40毫升磷酸緩衝生理食鹽水並以氫氧化鈉調整pH值為7.5,使該膠原蛋白形成於該主體區纖維表面上。In a specific embodiment, in the reaction solution, the biologically active substance is collagen, the solvent is an aqueous acetic acid solution with pH≤3.0, and the pH adjuster is phosphate buffered saline and sodium hydroxide , the specific preparation method includes: dissolving 0.1 g of the collagen powder in 60 ml of acetic acid aqueous solution, adding 1 g of the main body area of the texture, then adding 40 ml of phosphate buffered saline and adjusting the pH value with sodium hydroxide 7.5, allowing the collagen to form on the surface of the fibers in the bulk region.
於另一具體實施態樣中,該膠原蛋白溶解在該醋酸中的固含量為0.01至0.1重量%,且該主體區與該反應溶液之反應溫度為20至40 oC,反應時間為24至48小時。 In another embodiment, the solid content of the collagen dissolved in the acetic acid is 0.01 to 0.1 wt %, and the reaction temperature of the main body region and the reaction solution is 20 to 40 ° C, and the reaction time is 24 to 24 °C. 48 hours.
除此之外,本揭露之主體區經改質後可復包含其他刺激細胞增生物質,如明膠、蠶絲蛋白、角質蛋白等。Besides, the modified main body region of the present disclosure can further contain other substances that stimulate cell proliferation, such as gelatin, silk protein, keratin and the like.
關於上述之固定區緯紗,為能有效提升骨界面之癒合能力,係添加生物陶瓷材料於其中。於一具體實施態樣中,該生物陶瓷材料例如磷酸鈣、硫酸鈣、生物玻璃或上述之組合;於一實施例中,該磷酸鈣係可為羥基磷灰石或磷酸三鈣。Regarding the above-mentioned fixed area weft yarns, in order to effectively improve the healing ability of the bone interface, bioceramic materials are added therein. In one embodiment, the bioceramic material is calcium phosphate, calcium sulfate, bioglass or a combination thereof; in one embodiment, the calcium phosphate can be hydroxyapatite or tricalcium phosphate.
於另一具體實施態樣中,該生物陶瓷材料係為羥基磷灰石,且其平均粒徑為10至200奈米。In another embodiment, the bioceramic material is hydroxyapatite, and the average particle size thereof is 10 to 200 nanometers.
於一具體實施態樣中,該生物陶瓷材料係存在於該固定區之緯紗中,且該生物陶瓷材料係占該固定區緯紗總重的1至4重量%。於另一具體實施態樣中,該生物陶瓷材料係占該固定區緯紗總重的大於1重量%至4重量%。當生物陶瓷材料之重量比例過低,無法提升骨生長。若該生物陶瓷材料之重量比例過高,紡纖維時容易斷裂。In an embodiment, the bioceramic material is present in the weft yarns of the fixed area, and the bioceramic material accounts for 1 to 4 wt % of the total weight of the weft yarns of the fixed area. In another embodiment, the bioceramic material accounts for more than 1 wt % to 4 wt % of the total weight of the fixed area weft yarns. When the weight ratio of the bioceramic material is too low, the bone growth cannot be improved. If the weight ratio of the bioceramic material is too high, the fibers are easily broken during spinning.
於其他實施態樣中,該生物陶瓷材料係占該固定區緯紗總重的重量比例可為1.5、2.0、2.5、3.0或3.5重量%,且不以此為限。In other embodiments, the weight ratio of the bioceramic material to the total weight of the weft yarns in the fixed area may be 1.5, 2.0, 2.5, 3.0 or 3.5 wt %, but not limited thereto.
另一方面,本揭露之固定區中可同時選用含該生物陶瓷材料之緯紗及不含該生物陶瓷材料之緯紗,或者於每股緯紗中皆包含有該生物陶瓷材料。於一具體實施態樣中,含該生物陶瓷材料之緯紗與不含該生物陶瓷材料之緯紗的數量比為1:9至10:0;於另一具體實施態樣中,本揭露之固定區中可單一使用該含該生物陶瓷材料之緯紗。On the other hand, the weft yarn containing the bioceramic material and the weft yarn not containing the bioceramic material can be selected in the fixed area of the present disclosure at the same time, or each weft yarn contains the bioceramic material. In an embodiment, the number ratio of the weft yarns containing the bioceramic material to the weft yarns not containing the bioceramic material is 1:9 to 10:0; in another embodiment, the fixed area of the present disclosure The weft yarn containing the bioceramic material can be used alone.
對於本揭露組織支架之含生物陶瓷材料的固定區緯紗纖維,係以下列步驟製備而得: 提供一摻有生物陶瓷材料之母粒;以及 以該母粒進行紡絲。 The weft fibers in the fixed region containing the bioceramic material of the tissue scaffold of the present disclosure are prepared by the following steps: providing a masterbatch incorporating a bioceramic material; and Spinning is performed with this master batch.
於一具體實施態樣中,所述之母粒係包含上述織體材料及生物陶瓷材料,且該生物陶瓷材料之含量係占該母粒的重量比例為1至4重量%。In a specific embodiment, the master batch comprises the above-mentioned texture material and bioceramic material, and the content of the bioceramic material accounts for 1 to 4 wt % of the master batch.
所述之母粒係除上述織體材料及生物陶瓷材料外,復包括一分散劑。該分散劑係可為聚酯型的高分子材料,且該分散劑之含量係占該母粒的重量比例為0.1至2重量%。In addition to the above-mentioned texture material and bio-ceramic material, the master batch includes a dispersant. The dispersant can be a polyester polymer material, and the content of the dispersant is 0.1 to 2 wt % of the master batch.
於一具體實施態樣中,該母粒之具體製法係包括:使聚對苯二甲酸乙二酯、羥基磷灰石及聚酯型分散劑經混煉及造粒方式形成母粒。In a specific embodiment, the specific preparation method of the master batch includes: kneading and granulating polyethylene terephthalate, hydroxyapatite and polyester dispersant to form the master batch.
以下透過具體實施例對本揭露做進一步詳細說明,但不因實施例說明限制本揭露之範疇。The present disclosure is further described in detail below through specific embodiments, but the scope of the present disclosure is not limited by the description of the embodiments.
實施例Example 11 :組織支架之製備: Preparation of tissue scaffolds
經紗之製備:聚對苯二甲酸乙二酯使用熱熔融紡絲在270℃以上通過異形斷面紡嘴得半延伸絲,再以100到200℃溫度進行延伸,得到全延伸絲。Preparation of warp yarn: Polyethylene terephthalate is hot melt spinning at above 270°C through a special-shaped cross-section spinning nozzle to obtain semi-stretched yarns, and then stretched at a temperature of 100 to 200 °C to obtain fully-stretched yarns.
緯紗之製備:緯紗製備方式同上述經紗之製備方法,惟將異形斷面紡嘴調整為圓形紡嘴。Preparation of weft yarn: The preparation method of weft yarn is the same as the preparation method of warp yarn above, but the special-shaped section spinning nozzle is adjusted to a circular one.
當製備含生物陶瓷緯紗時,改用摻有生物陶瓷之母粒,其中,該摻有生物陶瓷之母粒之製法係以下列步驟製備而得:將聚對苯二甲酸乙二酯、平均粒徑60奈米之羥基磷灰石及聚酯型分散劑透過混煉及造粒方式,形成摻有2重量%生物陶瓷材料之母粒。When preparing weft yarns containing bioceramics, use masterbatches mixed with bioceramics instead, wherein, the preparation method of masterbatches mixed with bioceramics is prepared by the following steps: mixing polyethylene terephthalate, average particle size The hydroxyapatite with a diameter of 60 nm and the polyester dispersant are mixed and granulated to form a masterbatch mixed with 2% by weight of the bioceramic material.
織體之製備:依圖1所示之織體的主體區及固定區,選用上述經、緯紗進行交錯編織,並使該主體區與含有生物活性物質之反應溶液接觸。Fabric preparation: According to the main body area and fixed area of the fabric body shown in Figure 1, the warp and weft yarns are selected for interlaced weaving, and the main body area is brought into contact with the reaction solution containing biologically active substances.
關於上述之反應溶液,係取膠原蛋白作為生物活性物質,除包含有生物活性物質外,該反應溶液復包括溶劑及pH調節劑,其中,該溶劑係為pH≦3.0 之醋酸水溶液,該pH調節劑係為磷酸緩衝生理食鹽水及氫氧化鈉,其具體的改質方法係以下列步驟進行製備:使該膠原蛋白粉末0.1 克溶解於60毫升醋酸水溶液中,將1克之織體的主體區加入,再加入40毫升磷酸緩衝生理食鹽水並以氫氧化鈉調整pH值為7.5,在反應溫度20至40 oC下經48小時反應後,於該主體區纖維表面上形成該膠原蛋白。 Regarding the above-mentioned reaction solution, collagen is used as the biologically active substance. In addition to containing the biologically active substance, the reaction solution also includes a solvent and a pH adjuster, wherein the solvent is an aqueous acetic acid solution with pH≦3.0, and the pH adjustor The ingredients are phosphate buffered saline and sodium hydroxide, and the specific modification method is prepared by the following steps: dissolve 0.1 g of the collagen powder in 60 ml of acetic acid aqueous solution, add 1 g of the main body area of the texture to the , and then add 40 ml of phosphate buffered saline and adjust the pH to 7.5 with sodium hydroxide. After 48 hours of reaction at a reaction temperature of 20 to 40 ° C, the collagen is formed on the surface of the fiber in the main body region.
最後,將上述製得之組織支架的織體剪裁成適當尺寸,進行後述細胞試驗及分析: (1) 細胞增生數量及細胞貼附率測定:先取本實施例之主體區的織體(面積1cm 2)置於48孔盤中,在其表面滴上微量細胞懸浮液(20μl),於37 oC溫度的培養箱中靜置2小時後,加入0.8 ml骨髓間質幹細胞培養基,而未貼覆的細胞此時將會被培養液帶離織體纖維表面;經隔夜培養後,將有細胞貼附的織體移至新的48孔盤中,加入0.3 ml PrestoBlue並在37 oC溫度的培養箱進行,其中,該PrestoBlue在經過粒線體中的菸鹼醯胺腺嘌呤二核苷酸(NADH)去氫酶作用後還原成為粉紅色,可透過螢光 (Ex/Em: 560 nm/590 nm)偵測反應細胞數量;經反應1小時後,取出100 ul反應物移至96孔盤進行分析,偵測其螢光讀值(Ex/Em: 560 nm/590 nm),並依據標準曲線,以內插法定量貼附於纖維表面的細胞數量,並將細胞增生數量及細胞貼附率結果分別記錄於圖3及圖4。由圖3及圖4結果可知,顯見本實施例之組織支架因具異形斷面結構的經紗纖維及織體之主體區的表面改質而有顯著提升細胞增生能力及細胞之貼附的效果。 (2) 骨質生成酵素ALP活性測定:使用間質幹細胞(MSC)進行骨質生成酵素ALP活性測定,其中,細胞種植密度為 5x10 4/cm 2,骨分化培養基為α-MEM,含 10% 胎牛血清(FBS)、抗壞血酸 (50 μ g/ml)、地塞米松(dexamethasone,0.1μM)、β-糖磷酸 (10 mM);而對照組培養基為α-MEM,含10% FBS,收集第7和第14天樣品進行分析,以pNPP鹼性磷酸酶檢測試劑盒(SensoLyte ® )及Microplate reader (Biotek,Synergy™ H1)測量骨質生成酵素ALP活性,將結果記錄於圖5,並以細胞培養盤(dish)之骨質生成酵素ALP活性結果作為對照,顯見本實施例之組織支架因含有生物陶瓷材料,進而提升骨質生成酵素ALP活性的效果,顯示本揭露組織支架可有效促進骨質新生。 (3) 骨分化能力測定:使用間質幹細胞(MSC)進行鈣沉積分析,其中,細胞種植密度為 5x10 4/cm 2,骨分化培養基為α-MEM,含 10% 胎牛血清(FBS)、抗壞血酸 (50 μ g/ml)、地塞米松(dexamethasone,0.1μM)、β-糖磷酸 (10 mM);而對照組培養基為α-MEM,含10% FBS,收集第7、14和21天樣品進行分析,將細胞樣品經培養基處理後,使用茜素紅(alizarin red)染色,以評估第7、14及21天之鈣沉積並記錄於圖6。由圖6結果得知,本實施例之組織支架因含有生物陶瓷材料,其鈣沉積明顯增加,顯示本揭露組織支架具有促進間質幹細胞骨分化的能力。 Finally, the tissue body of the tissue scaffold prepared above was cut into an appropriate size, and the following cell tests and analysis were performed: (1) Determination of the number of cell proliferation and cell attachment rate: First, the tissue body of the main body area of this example (with an area of 1 cm) was taken. 2 ) Put it in a 48-well dish, drop a small amount of cell suspension (20 μl) on its surface, let it stand for 2 hours in a 37 o C temperature incubator, add 0.8 ml of bone marrow mesenchymal stem cell culture medium, without sticking At this point, the cells will be taken away from the surface of the tissue fibers by the culture medium; after overnight culture, the tissue with attached cells is transferred to a new 48-well dish, added with 0.3 ml PrestoBlue and incubated at 37 o C temperature. In this case, the PrestoBlue is reduced to pink after the action of nicotinamide adenine dinucleotide (NADH) dehydrogenase in the mitochondria, which can transmit fluorescence (Ex/Em: 560 nm/590 nm) to detect the number of reacting cells; after 1 hour of reaction, remove 100 ul of the reactant and move it to a 96-well plate for analysis, and detect its fluorescence reading (Ex/Em: 560 nm/590 nm), and according to the standard curve , the number of cells attached to the fiber surface was quantified by interpolation, and the results of the number of cell proliferation and the rate of cell attachment were recorded in Figure 3 and Figure 4, respectively. 3 and 4, it can be seen that the tissue scaffold of this embodiment has the effect of significantly enhancing the cell proliferation ability and cell adhesion due to the warp fibers with a special-shaped cross-sectional structure and the surface modification of the main body region of the texture. (2) Determination of ALP activity of osteogenic enzymes: The ALP activity of osteogenic enzymes was determined by using mesenchymal stem cells (MSCs), wherein the cell seeding density was 5× 10 4 /cm 2 , and the bone differentiation medium was α-MEM containing 10% fetal bovine Serum (FBS), ascorbic acid (50 μg/ml), dexamethasone (0.1 μM), β-sugar phosphate (10 mM); while the control medium was α-MEM, containing 10% FBS, collected on the seventh and day 14 samples were analyzed, and the osteogenic enzyme ALP activity was measured with the pNPP alkaline phosphatase assay kit (SensoLyte ® ) and Microplate reader (Biotek, Synergy™ H1). (dish) The results of the ALP activity of the osteogenic enzyme were used as a control. It is obvious that the tissue scaffold of this example contains bioceramic materials, thereby enhancing the effect of the ALP activity of the osteogenic enzyme, indicating that the tissue scaffold of the present disclosure can effectively promote bone regeneration. (3) Determination of bone differentiation ability: calcium deposition analysis was performed using mesenchymal stem cells (MSC), wherein the cell seeding density was 5× 10 4 /cm 2 , and the bone differentiation medium was α-MEM, containing 10% fetal bovine serum (FBS), Ascorbic acid (50 μg/ml), dexamethasone (0.1 μM), β-sugar phosphate (10 mM); while the control medium was α-MEM with 10% FBS, collected on days 7, 14 and 21 Samples were analyzed and cell samples were treated with culture medium and stained with alizarin red to assess calcium deposition on days 7, 14 and 21 and recorded in FIG. 6 . It can be seen from the results in FIG. 6 that the tissue scaffold of this example contains bioceramic materials, and its calcium deposition is significantly increased, indicating that the tissue scaffold of the present disclosure has the ability to promote the bone differentiation of mesenchymal stem cells.
接著,將上述製得之組織支架進行後續的動物試驗。Next, the tissue scaffolds prepared above were subjected to subsequent animal experiments.
韌帶重建手術之動物試驗: 以紐西蘭白兔做為內側副韌帶(Medial Collateral Ligament, MCL) 重建手術之動物模式,術前先以麻醉藥(舒泰50:若朋20=1:1,0.5 ml/kg)進行麻醉,以手術刀將後肢膝關節打開,分別在股骨和脛骨鑽出一條骨隧道,再把組織支架由脛骨端骨隧道穿入,再穿入股骨端骨隧道,脛骨端以金屬釦(button)固定,股骨端則以金屬骨釘固定,最後再將撥開的各層組織及皮膚縫合即完成手術。Animal experiment of ligament reconstruction surgery: New Zealand white rabbits were used as the animal model of Medial Collateral Ligament (MCL) reconstruction surgery. 0.5 ml/kg) for anesthesia, open the knee joint of the hind limb with a scalpel, drill a bone tunnel in the femur and tibia respectively, and then pass the tissue scaffold through the bone tunnel at the tibial end, and then penetrate into the bone tunnel at the femoral end and the tibial end. The femur is fixed with a metal button, and the femoral end is fixed with a metal bone nail. Finally, the removed layers of tissue and skin are sutured to complete the operation.
最後,將上述經動物試驗植入1個月或3個月之後進行組織支架之下述分析: (1) 掃描式電子顯微鏡觀察:以掃描式電子顯微鏡(QUANTA 400F/Thermo Scientific™)觀察其組織支架在動物試驗植入3個月之截面及表面的組織生長情況。由圖7A可見,在本實施例之組織支架的纖維表面有觀察到纖維母細胞;於圖7B及圖7C可見,膠原纖維軟組織係分布於組織支架之內部及表面,形成繩狀結構的組織網絡並緊密地包覆本實施例之組織支架,顯示本實施例之組織支架具有優異的生物相容性與生物活性,並可誘導肌腱韌帶組織(纖維母細胞及膠原纖維)之再生。 (2) 組織切片觀察:以石蠟包埋之組織切片,再以蘇木精-伊紅染色及馬森三色染色,觀察其組織支架在動物試驗植入3個月的組織生長情況,於蘇木精-伊紅染色(圖8A)及馬森三色染色(圖8B)中,皆可見本實施例之組織支架的周邊及內部間隙係充滿新生的細胞和膠原纖維組織,顯見本實施例之組織支架具有促進肌腱韌帶組織(細胞及膠原纖維)再生之效果(意即組織支架韌帶化)。 (3) 微電腦斷層掃描分析(micro-CT):以微電腦斷層掃描(Bruker micro-CT, Kontich, Belgium)分析其組織支架在動物試驗植入3個月後固定於骨隧道內之情況,由圖9A及9B可見,本實施例固定於骨隧道之組織支架已有新生骨形成,顯見本實施例之組織支架具有植體和骨骼間界面癒合的能力(意即骨整合能力)。 (4) 生物力學測試:以拉伸試驗機(INSTRON 3400)量測其組織支架固定於骨隧道的機械強度,先將檢體固定於脛骨之金屬扣剪除,再將檢體移至測試載台並固定,測試其組織支架在動物試驗植入1個月及3個月後,最後拉出脛骨或最終斷裂之力,由圖10可見,由於本實施例之組織支架因有獨特的織體結構設計並具備優異的骨整合能力,故能承受較大的拉伸張力,因而提升其組織支架之機械性能。 Finally, the following analyses of the tissue scaffolds were performed 1 or 3 months after implantation in animals as described above: (1) Scanning electron microscope observation: Scanning electron microscope (QUANTA 400F/Thermo Scientific™) was used to observe the tissue growth on the cross-section and surface of the tissue scaffold implanted in the animal experiment for 3 months. It can be seen from Fig. 7A that fibroblasts are observed on the fiber surface of the tissue scaffold of the present embodiment; as can be seen from Fig. 7B and Fig. 7C, collagen fibers and soft tissue are distributed inside and on the surface of the tissue scaffold, forming a tissue network with a rope-like structure. The tissue scaffolds of this embodiment are tightly wrapped, showing that the tissue scaffolds of this embodiment have excellent biocompatibility and biological activity, and can induce the regeneration of tendon and ligament tissues (fibroblasts and collagen fibers). (2) Observation of tissue sections: paraffin-embedded tissue sections were then stained with hematoxylin-eosin and Masson's trichrome to observe the tissue growth of the tissue scaffolds implanted in animal experiments for 3 months. In both the xylin-eosin staining (Fig. 8A) and Masson's trichrome staining (Fig. 8B), it can be seen that the periphery and the inner space of the tissue scaffold of this embodiment are filled with new cells and collagen fibers. The tissue scaffold has the effect of promoting the regeneration of tendon and ligament tissue (cells and collagen fibers) (that is, ligamentation of the tissue scaffold). (3) Micro-computed tomography (micro-CT): Micro-computed tomography (Bruker micro-CT, Kontich, Belgium) was used to analyze the fixation of the tissue scaffolds in the bone tunnel 3 months after implantation in animal experiments. It can be seen from 9A and 9B that the tissue scaffold fixed in the bone tunnel of this embodiment has formed new bone, and it is obvious that the tissue scaffold of this embodiment has the ability to heal the interface between the implant and the bone (that is, the ability of osseointegration). (4) Biomechanical test: use a tensile testing machine (INSTRON 3400) to measure the mechanical strength of the tissue scaffold fixed to the bone tunnel, first cut off the metal buckle that fixes the specimen on the tibia, and then move the specimen to the test stage And fix, test its tissue scaffold after implantation in animal experiments for 1 month and 3 months, and finally pull out the tibia or the final fracture force, as can be seen from Figure 10, because the tissue scaffold of this example has a unique texture structure It is designed and has excellent osseointegration ability, so it can withstand large tensile tension, thereby improving the mechanical properties of its tissue scaffold.
實施例Example 22 至to 55 :經紗纖維的斷面結構不同: Different cross-sectional structures of warp fibers
其組織支架之製備方法同實施例1,惟分別異動其經紗纖維的斷面結構為H形斷面、S形斷面、W形斷面及十字形斷面;而後,將製成之組織支架進行細胞增生數量測定及細胞貼附率分析,並記錄於圖3及圖4。The preparation method of the tissue scaffold is the same as that in Example 1, except that the cross-sectional structures of the warp fibers are changed to be H-shaped, S-shaped, W-shaped and cross-shaped; then, the prepared tissue scaffolds are Cell proliferation number determination and cell attachment rate analysis were performed and recorded in Figures 3 and 4 .
實施例Example 66 :生物陶瓷材料濃度不同: Different concentrations of bioceramic materials
其組織支架之製備方法同實施例1,惟異動其生物陶瓷材料的含量為4%;而後,將製成之組織支架進行骨質生成酵素活性分析,並記錄於圖5。The preparation method of the tissue scaffold was the same as that in Example 1, except that the content of bioceramic material was changed to 4%; then, the prepared tissue scaffold was subjected to osteogenesis enzyme activity analysis, and recorded in FIG. 5 .
比較例Comparative example 11
其組織支架之製備方法同實施例1,惟分別異動其經紗纖維的斷面結構為圓形斷面;而後,將製成之組織支架進行細胞增生數量測定及細胞貼附率分析,並記錄於圖3及圖4。The preparation method of the tissue scaffold is the same as that of Example 1, except that the cross-sectional structure of the warp fibers is changed to a circular cross-section; then, the tissue scaffolds prepared are subjected to cell proliferation quantity determination and cell adhesion rate analysis, and recorded in 3 and 4.
比較例Comparative example 22
其組織支架之製備方法同實施例1,惟未於主體區織體表面進行改質處理;而後,將製成之組織支架進行細胞增生數量測定及細胞貼附率分析,並記錄於圖3及圖4。The preparation method of the tissue scaffold is the same as that in Example 1, except that the surface of the tissue body in the main body area is not modified; then, the tissue scaffolds prepared are subjected to the determination of the number of cells proliferating and the analysis of the cell adhesion rate, and recorded in Figure 3 and Figure 4.
比較例Comparative example 33 至to 77
其組織支架之製備方法同比較例2,惟分別改變其經紗纖維的斷面結構為圓形斷面、H形斷面、S形斷面、W形斷面及十字形斷面;而後,將製成之組織支架進行細胞增生數量測定及細胞貼附率分析,並記錄於圖3及圖4。The preparation method of the tissue scaffold is the same as that of Comparative Example 2, except that the cross-sectional structure of the warp fibers is changed into a circular cross-section, an H-shaped cross-section, an S-shaped cross-section, a W-shaped cross-section and a cross-shaped cross-section. The prepared tissue scaffolds were subjected to the determination of the number of cells proliferating and the analysis of the cell attachment rate, which were recorded in Fig. 3 and Fig. 4 .
比較例Comparative example 88
其組織支架之製備方法同實施例1,惟不添加其生物陶瓷材料;而後,將製成之組織支架進行骨質生成酵素活性分析,並記錄於圖5。The preparation method of the tissue scaffold was the same as that of Example 1, except that the bioceramic material was not added; then, the prepared tissue scaffold was subjected to osteogenesis enzyme activity analysis, which was recorded in FIG. 5 .
比較例Comparative example 99
其組織支架之製備方法同實施例1,惟調整其生物陶瓷材料的含量為1%;而後,將製成之組織支架進行骨質生成酵素活性分析,並記錄於圖5。The preparation method of the tissue scaffold was the same as that of Example 1, except that the content of the bioceramic material was adjusted to 1%; then, the prepared tissue scaffold was subjected to osteogenesis enzyme activity analysis, which was recorded in FIG. 5 .
比較例Comparative example 1010
以市售的組織支架(Orthomed,LCA60NEF)進行上述實施例1的韌帶重建手術之動物試驗,而後,將上述組織支架進行表面觀測、組織切片、微米級電腦斷層掃描及生物力學測試等分析,並記錄於圖7D至7E、圖8C至8D、圖9C至9D及圖10。Carry out the animal test of the ligament reconstruction surgery of above-mentioned
綜上所述,本揭露係依組織支架不同區段各別結合對應的生物活性材料,誘導其肌腱或韌帶組織之再生並同時改善骨整合能力,進而逐漸形成類似自體的肌腱或韌帶組織,解決現有人工移植物於長期使用後之疲勞、磨損、斷裂及穩定性差等問題。To sum up, the present disclosure is to combine the corresponding bioactive materials according to different sections of the tissue scaffold to induce the regeneration of the tendon or ligament tissue and improve the osseointegration ability, and then gradually form the tendon or ligament tissue similar to autologous, The problems of fatigue, wear, fracture and poor stability of the existing artificial graft after long-term use are solved.
上述實施例僅為例示性說明,而非用於限制本揭露。任何熟習此項技藝之人士均可在不違背本揭露之精神及範疇下,對上述實施例進行修飾與改變。因此,本揭露之權利保護範圍係由本揭露所附之申請專利範圍所定義,只要不影響本揭露之效果及實施目的,應涵蓋於此公開技術內容中。The above-mentioned embodiments are only illustrative, and are not intended to limit the present disclosure. Any person skilled in the art can modify and change the above embodiments without departing from the spirit and scope of the present disclosure. Therefore, the protection scope of the right of the present disclosure is defined by the scope of the patent application attached to the present disclosure, and shall be included in the technical content of this disclosure as long as the effect and implementation purpose of the present disclosure are not affected.
1:組織支架
11:主體區
101:經紗
110、120:緯紗
121、122:固定區
1: Tissue scaffold
11: Main body area
101:
透過例示性之參考附圖說明本揭露的實施方式: 圖1係本揭露組織支架之結構示意圖; 圖2係本揭露組織支架之實際使用狀態示意圖; 圖3係為本揭露實施例和比較例之組織支架的細胞增生數量比較圖,其中,各組實施例和比較例由左至右分別為D1、D3及D7,且D1、D3及D7分別表示在織體纖維表面培養第1、3及7天後的細胞數量; 圖4係為本揭露實施例和比較例之組織支架的細胞貼附率比較圖; 圖5係為本揭露實施例和比較例之組織支架在細胞培養第7天及第14天的骨質生成酵素ALP活性比較圖,其中,第7天及第14天各組由左至右分別為0%、1%、2%、4%及dish,且0%表示不添加其生物陶瓷材料的織體纖維表面培養比較例8;1%表示生物陶瓷材料的含量為1重量%的織體纖維表面培養比較例9;2%表示生物陶瓷材料的含量為2重量%的織體纖維表面培養實施例1;4%表示生物陶瓷材料的含量為4重量%的織體纖維表面培養實施例6;dish表示不在織體纖維表面培養,僅在細胞培養盤上培養的骨質生成酵素ALP活性結果作為對照; 圖6係為本揭露實施例和比較例之組織支架在細胞培養第7天、第14天及第21天的鈣沉積染色比較圖; 圖7A至7C係為本揭露實施例之組織支架促進肌腱韌帶組織再生之掃描式電子顯微鏡圖; 圖7D至7E係為市售之組織支架之掃描式電子顯微鏡圖; 圖8A至8B係分別為本揭露實施例之組織支架之蘇木精-伊紅染色及馬森三色染色的組織切片圖; 圖8C至8D係分別為市售之組織支架之蘇木精-伊紅染色及馬森三色染色的組織切片圖; 圖9A至9B係為本揭露實施例之組織支架促進骨整合能力之微電腦斷層掃描影像圖; 圖9C至9D係為市售之組織支架微電腦斷層掃描影像圖;以及 圖10係為本揭露實施例和比較例之第1個月及第3個月的組織支架於骨隧道中的機械強度比較圖。 Embodiments of the present disclosure are described by way of illustrative reference to the accompanying drawings: 1 is a schematic structural diagram of the tissue scaffold of the present disclosure; 2 is a schematic diagram of the actual use state of the tissue scaffold of the present disclosure; 3 is a graph comparing the number of cells proliferating in the tissue scaffolds of the disclosed examples and comparative examples, wherein, from left to right, each group of examples and comparative examples are D1, D3, and D7, respectively, and D1, D3, and D7 represent respectively The number of cells after 1, 3 and 7 days of culture on the surface of tissue fibers; FIG. 4 is a graph comparing the cell attachment rates of the tissue scaffolds of the disclosed embodiment and the comparative example; FIG. 5 is a graph showing the comparison of the ALP activities of the osteogenic enzyme on the 7th and 14th days of cell culture of the tissue scaffolds of the disclosed examples and the comparative examples, wherein the groups on the 7th day and the 14th day are respectively from left to right: 0%, 1%, 2%, 4% and dish, and 0% means that the surface of the fabric fiber without adding its bioceramic material is cultured in Comparative Example 8; 1% means that the content of the bioceramic material is 1% by weight of the fabric fiber Surface culture comparative example 9; 2% means that the content of bioceramic material is 2 wt% of the texture fiber surface culture Example 1; 4% means that the content of bioceramic material is 4 wt% of the texture fiber surface culture Example 6; dish means not cultured on the surface of the tissue fibers, but only the ALP activity results of the osteogenic enzyme cultured on the cell culture plate are used as a control; 6 is a graph showing the comparison of calcium deposition staining of the tissue scaffolds of the disclosed embodiment and the comparative example on the 7th day, the 14th day and the 21st day of cell culture; 7A to 7C are scanning electron microscope images of the tissue scaffolds according to the disclosed embodiments promoting tendon and ligament tissue regeneration; 7D to 7E are scanning electron microscope images of commercially available tissue scaffolds; 8A to 8B are histological sections of the tissue scaffolds stained with hematoxylin-eosin and Masson's trichrome staining, respectively; Figures 8C to 8D are respectively histological sections of commercially available tissue scaffolds stained with hematoxylin-eosin and Masson's trichrome; FIGS. 9A-9B are micro-computed tomography images of the tissue scaffolds according to the disclosed embodiments of the invention; 9C to 9D are micro-computed tomography images of commercially available tissue scaffolds; and FIG. 10 is a comparison diagram of the mechanical strength of the tissue scaffold in the bone tunnel in the first month and the third month of the disclosed embodiment and the comparative example.
1:組織支架 1: Tissue scaffold
11:主體區 11: Main body area
101:經紗 101: Warp
110、120:緯紗 110, 120: weft yarn
121、122:固定區 121, 122: Fixed area
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