Biomedical

Hydrogel Use in Osteonecrosis of the Femoral Head



  Peer Reviewed

Abstract

Osteonecrosis of the femoral head (ONFH) is a vascular disease of unknown etiology and can be categorized mainly into two types: non-traumatic and traumatic ONFH. Thus, understanding osteogenic–angiogenic coupling is of prime importance in finding a solution for the treatment of ONFH. Hydrogels are biomaterials that are similar to the extracellular matrix (ECM). As they are able to mimic real tissue, they meet one of the most important rules in tissue engineering. In ONFH studies, hydrogels have recently become popular because of their ability to retain water and their adjustable properties, injectability, and mimicry of natural ECM. Because bone regeneration and graft materials are very broad areas of research and ONFH is a complex situation including bone and vascular systems, and there is no settled treatment strategy for ONFH worldwide, in this review paper, we followed a top-down approach by reviewing (1) bone and bone grafting, (2) hydrogels, (3) vascular systems, and (4) ONFH and hydrogel use in ONFH with studies in the literature which show promising results in limited clinical studies. The aim of this review paper is to provide the reader with general information on every aspect of ONFH and to focus on the hydrogel used in ONFH.

Key Questions about Hydrogel Use in Osteonecrosis of the Femoral Head

The article "Hydrogel Use in Osteonecrosis of the Femoral Head" examines the application of hydrogels in treating osteonecrosis of the femoral head (ONFH), a condition characterized by the death of bone tissue due to insufficient blood supply. Hydrogels, with their extracellular matrix-like properties, have gained attention for their potential in bone tissue engineering. The review discusses how hydrogels can promote vascularization, a crucial factor for bone regeneration, and their ability to mimic natural tissue environments, facilitating cell adhesion, migration, and proliferation. The authors highlight the importance of understanding osteogenic-angiogenic coupling in developing effective treatments for ONFH.

1. What is osteonecrosis of the femoral head (ONFH), and what are its primary causes?

ONFH is a vascular disease characterized by the death of bone tissue in the femoral head due to insufficient blood supply. Primary causes include trauma (e.g., hip fractures), corticosteroid use, alcohol abuse, and underlying conditions like sickle cell anemia or lupus.

2. How do hydrogels contribute to the treatment of ONFH?

Hydrogels, due to their extracellular matrix-like properties, can promote vascularization, which is essential for bone regeneration. They mimic natural tissue environments, facilitating cell adhesion, migration, and proliferation, thereby supporting the healing process in ONFH.

3. What is the significance of understanding osteogenic-angiogenic coupling in ONFH treatment?

Understanding osteogenic-angiogenic coupling is crucial for developing effective treatments for ONFH, as it involves the interplay between bone formation and blood vessel development, both of which are essential for bone healing and regeneration.