Bioscaffolds and the reconstruction of ligaments and tendons in the foot and ankle.
Biologic scaffolds have become an integral part of surgical soft tissue reconstruction in recent years. The increased use of these materials can be partially attributed to poor long-term outcomes with synthetic products as well as the cost and morbidity associated with allografts and autografts. Bioscaffolds can augment natural healing processes of tendons and ligaments while providing additional structural support. Although these implants lack the mechanical strength of synthetics and other transplants, proper preparation can optimize their load-sharing capacity. This article presents methods that can improve these characteristics of bioscaffolds. Available studies in foot and ankle applications have shown minimal complications in a variety of techniques.
Division of Podiatric Surgery, Department of Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, One Deaconess Road, Boston, MA 02215, USA. jcook2@bidmc.harvard.edu
Jeremy J
JJ
Cook
Emily A
EA
Cook
D000818:Animals; D001672:Biocompatible Materials; D005528:Foot / Q000601:surgery*; D048091:Guided Tissue Regeneration; D006801:Humans; D008022:Ligaments / Q000293:injuries / Q000601:surgery*; D019736:Prostheses and Implants; D017768:Skin, Artificial; D013708:Tendon Injuries / Q000601:surgery*; D054457:Tissue Scaffolds; D014945:Wound Healing
D001672:Biocompatible Materials