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Accession Number:
ADA620381
Title:
An Autologous Muscle Tissue Expansion Approach for the Treatment of Volumetric Muscle Loss
Descriptive Note:
Journal article
Corporate Author:
ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
Report Date:
2015-07-01
Pagination or Media Count:
12.0
Abstract:
Volumetric muscle loss VML is a hallmark of orthopedic trauma with no current standard of care. As a potential therapy for some VML indications, autologous minced muscle grafts 1mm 3 pieces of muscle are effective in promoting remarkable denovo fiber regeneration. But they require ample donor muscle tissue and therefore may be limited in their application for large clinical VML. Here, we tested the hypothesis that autologous minced grafts may be volume expanded in a collagen hydrogel, allowing for the use of lesser autologous muscle while maintaining regenerative and functional efficacy. The results of the study indicate that 50 but not 75 less minced graft tissue suspended in a collagen hydrogel promoted a functional improvement similar to that of a 100 minced graft repair. However, approximately half of the number of fibers regenerated denovo with 50 graft repair. Moreover, the fibers that regenerated had a smaller cross-sectional area. These findings support the concept of using autologous minced grafts for the regeneration of muscle tissue after VML, but indicate the need to identify optimal carrier materials for expansion.
Distribution Statement:
APPROVED FOR PUBLIC RELEASE
