Enhancing the biological integration of massive bone allograft by a tissue engineering approach : from perfusion-decellularization to recellularization
In reconstructive orthopedic surgery, massive bone allografts are essential tool in our therapeutic arsenal for compensating significant bone tissue loss. However, they are associated with a high rate of postoperative complications, which can compromise patient quality of life and, in some cases, prognosis. This doctoral thesis proposes a novel treatment method aimed at enhancing the osseous integration of these allografts. By considering bone as a complete organ, we leverage its intrinsic vascular network to maximize biological capabilities. Through extensive in vitro studies, preclinical tests on porcine models, and cell therapy-based recellularization trials, this work seeks to comprehensively characterize this new generation of bone allografts and their potential future benefits.
Evrard, R. (2024). Enhancing the biological integration of massive bone allograft by a tissue engineering approach : from perfusion-decellularization to recellularization. https://hdl.handle.net/2078.5/235072