Skip to main content

2021 | OriginalPaper | Buchkapitel

From Autologous Flaps to Engineered Vascularized Grafts for Bone Regeneration

verfasst von : Alexander Haumer, Tarek Ismail, Alexander Lunger, Rik Osinga, Arnaud Scherberich, Dirk Johannes Schaefer, Ivan Martin

Erschienen in: Vascularization for Tissue Engineering and Regenerative Medicine

Verlag: Springer International Publishing

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Replacement of damaged or lost tissue typically relies on the availability of living, functional substitutes and the rapid development of a stable and efficient vascularization upon transplantation, in order to guarantee their survival. These requirements challenge current surgical reconstruction techniques in the clinical practice.
In the past decades, the field of tissue engineering has introduced the possibility to combine materials and living cells to generate functional substitutes, which can be tailored to specific requirements of the implantation site. At the same time, plastic and reconstructive surgery has developed a large armamentarium of grafting possibilities and flaps supporting vascularization of native tissues, especially through progress made in microsurgical techniques.
In this chapter, we describe advances in the two fields and discuss how the principles and techniques independently developed could be combined towards the prefabrication of vascularized tissues. The resulting paradigm of “regenerative surgery,” here exemplified in the specific context of bone regeneration, could represent the future standard for the reconstruction of complex body parts.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Technik"

Online-Abonnement

Mit Springer Professional "Technik" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 390 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Maschinenbau + Werkstoffe




 

Jetzt Wissensvorsprung sichern!

Literatur
Zurück zum Zitat Akita S, Tamai N, Myoui A, Nishikawa M, Kaito T, Takaoka K, Yoshikawa H (2004) Capillary vessel network integration by inserting a vascular pedicle enhances bone formation in tissue-engineered bone using interconnected porous hydroxyapatite ceramics. Tissue Eng 10(5-6):789–795. https://doi.org/10.1089/1076327041348338CrossRef Akita S, Tamai N, Myoui A, Nishikawa M, Kaito T, Takaoka K, Yoshikawa H (2004) Capillary vessel network integration by inserting a vascular pedicle enhances bone formation in tissue-engineered bone using interconnected porous hydroxyapatite ceramics. Tissue Eng 10(5-6):789–795. https://​doi.​org/​10.​1089/​1076327041348338​CrossRef
Zurück zum Zitat Arkudas A, Beier JP, Heidner K, Tjiawi J, Polykandriotis E, Srour S, … Kneser U (2007a) Axial prevascularization of porous matrices using an arteriovenous loop promotes survival and differentiation of transplanted autologous osteoblasts. Tissue Eng 13(7):1549–1560. https://doi.org/10.1089/ten.2006.0387 Arkudas A, Beier JP, Heidner K, Tjiawi J, Polykandriotis E, Srour S, … Kneser U (2007a) Axial prevascularization of porous matrices using an arteriovenous loop promotes survival and differentiation of transplanted autologous osteoblasts. Tissue Eng 13(7):1549–1560. https://​doi.​org/​10.​1089/​ten.​2006.​0387
Zurück zum Zitat Banyard DA, Borad V, Amezcua E, Wirth GA, Evans GRD, Widgerow AD (2016) Preparation, characterization, and clinical implications of human decellularized adipose tissue extracellular matrix (hDAM): a comprehensive review. Aesthet Surg J 36(3):349–357. https://doi.org/10.1093/asj/sjv170CrossRef Banyard DA, Borad V, Amezcua E, Wirth GA, Evans GRD, Widgerow AD (2016) Preparation, characterization, and clinical implications of human decellularized adipose tissue extracellular matrix (hDAM): a comprehensive review. Aesthet Surg J 36(3):349–357. https://​doi.​org/​10.​1093/​asj/​sjv170CrossRef
Zurück zum Zitat Bertassoni LE, Cecconi M, Manoharan V, Nikkhah M, Hjortnaes J, Cristino AL, … Khademhosseini A (2014b) Hydrogel bioprinted microchannel networks for vascularization of tissue engineering constructs. Lab Chip 14(13):2202–11. https://doi.org/10.1039/c4lc00030g Bertassoni LE, Cecconi M, Manoharan V, Nikkhah M, Hjortnaes J, Cristino AL, … Khademhosseini A (2014b) Hydrogel bioprinted microchannel networks for vascularization of tissue engineering constructs. Lab Chip 14(13):2202–11. https://​doi.​org/​10.​1039/​c4lc00030g
Zurück zum Zitat Black AF, Berthod F, L’heureux N, Germain L, Auger FA (1998) In vitro reconstruction of a human capillary-like network in a tissue-engineered skin equivalent. FASEB J 12(1):1331–1340. https://doi.org/0892-6638/98/0012-1331 Black AF, Berthod F, L’heureux N, Germain L, Auger FA (1998) In vitro reconstruction of a human capillary-like network in a tissue-engineered skin equivalent. FASEB J 12(1):1331–1340. https://​doi.​org/​0892-6638/​98/​0012-1331
Zurück zum Zitat Brown JS, Bekiroglu F, Shaw RJ, Woolgar JA, Rogers SN (2013) Management of the neck and regional recurrence in squamous cell carcinoma of the maxillary alveolus and hard palate compared with other sites in the oral cavity. Head Neck. https://doi.org/10.1002/hed.22957 Brown JS, Bekiroglu F, Shaw RJ, Woolgar JA, Rogers SN (2013) Management of the neck and regional recurrence in squamous cell carcinoma of the maxillary alveolus and hard palate compared with other sites in the oral cavity. Head Neck. https://​doi.​org/​10.​1002/​hed.​22957
Zurück zum Zitat Chung MT, Zimmermann AS, Paik KJ, Morrison SD, Hyun JS, Lo DD, … Wan DC (2013) Isolation of human adipose-derived stromal cells using laser-assisted liposuction and their therapeutic potential in regenerative medicine. Stem Cells Transl Med 2(10). https://doi.org/10.5966/sctm.2012-0183 Chung MT, Zimmermann AS, Paik KJ, Morrison SD, Hyun JS, Lo DD, … Wan DC (2013) Isolation of human adipose-derived stromal cells using laser-assisted liposuction and their therapeutic potential in regenerative medicine. Stem Cells Transl Med 2(10). https://​doi.​org/​10.​5966/​sctm.​2012-0183
Zurück zum Zitat Conte MS (1998) The ideal small arterial substitute: a search for the holy grail? FASEB J 12(1):43–45CrossRef Conte MS (1998) The ideal small arterial substitute: a search for the holy grail? FASEB J 12(1):43–45CrossRef
Zurück zum Zitat Deschepper M, Manassero M, Oudina K, Paquet J, Monfoulet LE, Bensidhoum M, … Petite H (2013) Proangiogenic and prosurvival functions of glucose in human mesenchymal stem cells upon transplantation. Stem Cells 31(3):526–535. https://doi.org/10.1002/stem.1299 Deschepper M, Manassero M, Oudina K, Paquet J, Monfoulet LE, Bensidhoum M, … Petite H (2013) Proangiogenic and prosurvival functions of glucose in human mesenchymal stem cells upon transplantation. Stem Cells 31(3):526–535. https://​doi.​org/​10.​1002/​stem.​1299
Zurück zum Zitat Duscher D, Atashroo D, Maan ZN, Luan A, Brett EA, Barrera J, … Gurtner GC (2016) Ultrasound-assisted liposuction does not compromise the regenerative potential of adipose-derived stem cells. Stem Cells Transl Med 5(2):248–257. https://doi.org/10.5966/sctm.2015-0064 Duscher D, Atashroo D, Maan ZN, Luan A, Brett EA, Barrera J, … Gurtner GC (2016) Ultrasound-assisted liposuction does not compromise the regenerative potential of adipose-derived stem cells. Stem Cells Transl Med 5(2):248–257. https://​doi.​org/​10.​5966/​sctm.​2015-0064
Zurück zum Zitat Haumer A, Ismail T, Osinga R, Tchang L, Todorov A Jr, Allafi N, Menzi N, Largo RD, Kaempfen A, Martin I, Schaefer DJ, Scherberich A; eCM Journal, vol 31, suppl. 1, p 139, 2016 Haumer A, Ismail T, Osinga R, Tchang L, Todorov A Jr, Allafi N, Menzi N, Largo RD, Kaempfen A, Martin I, Schaefer DJ, Scherberich A; eCM Journal, vol 31, suppl. 1, p 139, 2016
Zurück zum Zitat Kaempfen A, Todorov A, Guven S, Largo RD, Jaquiery C, Scherberich A, … Schaefer DJ (2015) Engraftment of prevascularized, tissue engineered constructs in a novel rabbit segmental bone defect model. Int J Mol Sci 16(6):12616–12630. https://doi.org/10.3390/ijms160612616 Kaempfen A, Todorov A, Guven S, Largo RD, Jaquiery C, Scherberich A, … Schaefer DJ (2015) Engraftment of prevascularized, tissue engineered constructs in a novel rabbit segmental bone defect model. Int J Mol Sci 16(6):12616–12630. https://​doi.​org/​10.​3390/​ijms160612616
Zurück zum Zitat Kloeters O, Berger I, Ryssel H, Megerle K, Leimer U, Germann G (2011) Revitalization of cortical bone allograft by application of vascularized scaffolds seeded with osteogenic induced adipose tissue derived stem cells in a rabbit model. Arch Orthop Trauma Surg 131(10):1459–1466. https://doi.org/10.1007/s00402-011-1306-5CrossRef Kloeters O, Berger I, Ryssel H, Megerle K, Leimer U, Germann G (2011) Revitalization of cortical bone allograft by application of vascularized scaffolds seeded with osteogenic induced adipose tissue derived stem cells in a rabbit model. Arch Orthop Trauma Surg 131(10):1459–1466. https://​doi.​org/​10.​1007/​s00402-011-1306-5CrossRef
Zurück zum Zitat Kumar VV, Jacob PC, Ebenezer S, Kuriakose MA, Kekatpure V, Baliarsing AS, … Wagner W (2016) Implant supported dental rehabilitation following segmental mandibular reconstruction- quality of life outcomes of a prospective randomized trial. J Craniomaxillofac Surg 44(7):800–810. https://doi.org/10.1016/j.jcms.2016.04.013 Kumar VV, Jacob PC, Ebenezer S, Kuriakose MA, Kekatpure V, Baliarsing AS, … Wagner W (2016) Implant supported dental rehabilitation following segmental mandibular reconstruction- quality of life outcomes of a prospective randomized trial. J Craniomaxillofac Surg 44(7):800–810. https://​doi.​org/​10.​1016/​j.​jcms.​2016.​04.​013
Zurück zum Zitat Lodders JN, Schulten EAJM, de Visscher JGAM, Forouzanfar T, Karagozoglu KH (2016) Complications and risk after mandibular reconstruction with fibular free flaps in patients with oral squamous cell carcinoma: a retrospective cohort study. J Reconstr Microsurg 32(6):455–463. https://doi.org/10.1055/s-0036-1571794CrossRef Lodders JN, Schulten EAJM, de Visscher JGAM, Forouzanfar T, Karagozoglu KH (2016) Complications and risk after mandibular reconstruction with fibular free flaps in patients with oral squamous cell carcinoma: a retrospective cohort study. J Reconstr Microsurg 32(6):455–463. https://​doi.​org/​10.​1055/​s-0036-1571794CrossRef
Zurück zum Zitat Markiewicz MR, Bell RB, Bui TG, Dierks EJ, Ruiz R, Gelesko S, … Fernandes R (2015) Survival of microvascular free flaps in mandibular reconstruction: a systematic review and meta-analysis. Microsurgery 35(7):576–587. https://doi.org/10.1002/micr.22471 Markiewicz MR, Bell RB, Bui TG, Dierks EJ, Ruiz R, Gelesko S, … Fernandes R (2015) Survival of microvascular free flaps in mandibular reconstruction: a systematic review and meta-analysis. Microsurgery 35(7):576–587. https://​doi.​org/​10.​1002/​micr.​22471
Zurück zum Zitat Mehrkens A, Saxer F, Güven S, Hoffmann W, Müller AM, Jakob M, … Scherberich A (2012) Intraoperative engineering of osteogenic grafts combining freshly harvested, human adipose-derived cells and physiological doses of bone morphogenetic protein-2. Eur Cells Mater 24:308–319 Mehrkens A, Saxer F, Güven S, Hoffmann W, Müller AM, Jakob M, … Scherberich A (2012) Intraoperative engineering of osteogenic grafts combining freshly harvested, human adipose-derived cells and physiological doses of bone morphogenetic protein-2. Eur Cells Mater 24:308–319
Zurück zum Zitat Onishi K, Maruyama Y (1996) Compound rib-latissimus dorsi osteomusculocutaneous flap in reconstruction of the upper arm. Ann Plast Surg 37(2):191–194. Retrieved from <Go to ISI>://A1996VD39500014 Onishi K, Maruyama Y (1996) Compound rib-latissimus dorsi osteomusculocutaneous flap in reconstruction of the upper arm. Ann Plast Surg 37(2):191–194. Retrieved from <Go to ISI>://A1996VD39500014
Zurück zum Zitat Pilia M, McDaniel JS, Guda T, Chen XK, Rhoads RP, Allen RE, … Rathbone CR (2014) Transplantation and perfusion of microvascular fragments in a rodent model of volumetric muscle loss injury. Eur Cells Mater 28:11–24 Pilia M, McDaniel JS, Guda T, Chen XK, Rhoads RP, Allen RE, … Rathbone CR (2014) Transplantation and perfusion of microvascular fragments in a rodent model of volumetric muscle loss injury. Eur Cells Mater 28:11–24
Zurück zum Zitat Pribaz JJ, Fine NA (2001) Prefabricated and prelaminated flaps for head and neck reconstruction. Clin Plast Surg 28(2):261−+. Retrieved from <Go to ISI>://000168994100003 Pribaz JJ, Fine NA (2001) Prefabricated and prelaminated flaps for head and neck reconstruction. Clin Plast Surg 28(2):261−+. Retrieved from <Go to ISI>://000168994100003
Zurück zum Zitat Rosado P, Cheng HT, Wu CM, Wei FC (2014) Influence of diabetes mellitus on postoperative complications and failure in head and neck free flap reconstruction: a systematic review and meta-analysis. Head Neck. https://doi.org/10.1002/hed.23624 Rosado P, Cheng HT, Wu CM, Wei FC (2014) Influence of diabetes mellitus on postoperative complications and failure in head and neck free flap reconstruction: a systematic review and meta-analysis. Head Neck. https://​doi.​org/​10.​1002/​hed.​23624
Zurück zum Zitat Rücker M, Laschke MW, Junker D, Carvalho C, Tavassol F, Mülhaupt R, … Menger MD (2008) Vascularization and biocompatibility of scaffolds consisting of different calcium phosphate compounds. J Biomed Mater Res A 86(4):1002–1011. https://doi.org/10.1002/jbm.a.31722 Rücker M, Laschke MW, Junker D, Carvalho C, Tavassol F, Mülhaupt R, … Menger MD (2008) Vascularization and biocompatibility of scaffolds consisting of different calcium phosphate compounds. J Biomed Mater Res A 86(4):1002–1011. https://​doi.​org/​10.​1002/​jbm.​a.​31722
Zurück zum Zitat Sawaizumi M, Onishi K, Maruyama Y (1996) Endoscope-assisted rectus abdominis muscle flap harvest for chest wall reconstruction: early experience. Ann Plast Surg 37(3):317–321. Retrieved from <Go to ISI>://A1996VJ49900014CrossRef Sawaizumi M, Onishi K, Maruyama Y (1996) Endoscope-assisted rectus abdominis muscle flap harvest for chest wall reconstruction: early experience. Ann Plast Surg 37(3):317–321. Retrieved from <Go to ISI>://A1996VJ49900014CrossRef
Zurück zum Zitat Saxer F, Scherberich A, Todorov A, Studer P, Miot S, Schreiner S, … Jakob M (2016) Implantation of stromal vascular fraction progenitors at bone fracture sites: from a rat model to a first-in-man study. Stem Cells. https://doi.org/10.1002/stem.2478 Saxer F, Scherberich A, Todorov A, Studer P, Miot S, Schreiner S, … Jakob M (2016) Implantation of stromal vascular fraction progenitors at bone fracture sites: from a rat model to a first-in-man study. Stem Cells. https://​doi.​org/​10.​1002/​stem.​2478
Zurück zum Zitat Shintomi Y, Ohura T (1982) The use of muscle vascularized pedicle flaps. Plast Reconstr Surg 70(6):725–735CrossRef Shintomi Y, Ohura T (1982) The use of muscle vascularized pedicle flaps. Plast Reconstr Surg 70(6):725–735CrossRef
Zurück zum Zitat Todorov A, Kreutz M, Haumer A, Scotti C, Barbero A, Bourgine PE, … Martin I (2016) Fat-derived stromal vascular fraction cells enhance the bone-forming capacity of devitalized engineered hypertrophic cartilage matrix. Stem Cells Transl Med. https://doi.org/10.5966/sctm.2016-0006 Todorov A, Kreutz M, Haumer A, Scotti C, Barbero A, Bourgine PE, … Martin I (2016) Fat-derived stromal vascular fraction cells enhance the bone-forming capacity of devitalized engineered hypertrophic cartilage matrix. Stem Cells Transl Med. https://​doi.​org/​10.​5966/​sctm.​2016-0006
Zurück zum Zitat Wang ZZ, Au P, Chen T, Shao Y, Daheron LM, Bai H, … Scadden DT (2007) Endothelial cells derived from human embryonic stem cells form durable blood vessels in vivo. Nat Biotechnol 25(3):317–318. https://doi.org/10.1038/nbt1287 Wang ZZ, Au P, Chen T, Shao Y, Daheron LM, Bai H, … Scadden DT (2007) Endothelial cells derived from human embryonic stem cells form durable blood vessels in vivo. Nat Biotechnol 25(3):317–318. https://​doi.​org/​10.​1038/​nbt1287
Zurück zum Zitat Weigand A, Beier JP, Arkudas A, Al-Abboodi M, Polykandriotis E, Horch RE, Boos AM (2016) The arteriovenous (AV) loop in a small animal model to study angiogenesis and vascularized tissue engineering. J Vis Exp 117. https://doi.org/10.3791/54676 Weigand A, Beier JP, Arkudas A, Al-Abboodi M, Polykandriotis E, Horch RE, Boos AM (2016) The arteriovenous (AV) loop in a small animal model to study angiogenesis and vascularized tissue engineering. J Vis Exp 117. https://​doi.​org/​10.​3791/​54676
Zurück zum Zitat Xu H, Barnes GT, Yang Q, Tan G, Yang D, Chou CJ, … Chen H (2003) Chronic inflammation in fat plays a crucial role in the development of obesity-related insulin resistance. J Clin Investig 112:1821–1830. https://doi.org/10.1172/JCI19451 Xu H, Barnes GT, Yang Q, Tan G, Yang D, Chou CJ, … Chen H (2003) Chronic inflammation in fat plays a crucial role in the development of obesity-related insulin resistance. J Clin Investig 112:1821–1830. https://​doi.​org/​10.​1172/​JCI19451
Zurück zum Zitat Yarlagadda PKDV, Chandrasekharan M, Shyan JYM (2005) Recent advances and current developments in tissue scaffolding. Biomed Mater Eng 15(3):159–177 Yarlagadda PKDV, Chandrasekharan M, Shyan JYM (2005) Recent advances and current developments in tissue scaffolding. Biomed Mater Eng 15(3):159–177
Metadaten
Titel
From Autologous Flaps to Engineered Vascularized Grafts for Bone Regeneration
verfasst von
Alexander Haumer
Tarek Ismail
Alexander Lunger
Rik Osinga
Arnaud Scherberich
Dirk Johannes Schaefer
Ivan Martin
Copyright-Jahr
2021
DOI
https://doi.org/10.1007/978-3-319-54586-8_16

Neuer Inhalt