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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Pediatric Traumatology, Orthopaedics and Reconstructive Surgery</journal-id><journal-title-group><journal-title xml:lang="en">Pediatric Traumatology, Orthopaedics and Reconstructive Surgery</journal-title><trans-title-group xml:lang="ru"><trans-title>Ортопедия, травматология и восстановительная хирургия детского возраста</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title>Pediatric Traumatology, Orthopaedics and Reconstructive Surgery</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2309-3994</issn><issn publication-format="electronic">2410-8731</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">622772</article-id><article-id pub-id-type="doi">10.17816/PTORS622772</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Scientific reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Научные обзоры</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="zh"><subject>Scientific reviews</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en"><italic>In vivo</italic> application of prevascularized bone scaffolds: A literature review</article-title><trans-title-group xml:lang="ru"><trans-title>Применение преваскуляризированных костных скаффолдов <italic>in vivo</italic> (обзор литературы)</trans-title></trans-title-group><trans-title-group xml:lang="zh"><trans-title/></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6150-374X</contrib-id><contrib-id contrib-id-type="spin">3001-1467</contrib-id><name-alternatives><name xml:lang="en"><surname>Novosad</surname><given-names>Yury A.</given-names></name><name xml:lang="ru"><surname>Новосад</surname><given-names>Юрий Алексеевич</given-names></name><name xml:lang="zh"><surname></surname><given-names></given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD student</p></bio><bio xml:lang="ru"><p>аспирант</p></bio><email>yurynovosad@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5665-3009</contrib-id><name-alternatives><name xml:lang="en"><surname>Pershina</surname><given-names>Polina А.</given-names></name><name xml:lang="ru"><surname>Першина</surname><given-names>Полина Андреевна</given-names></name><name xml:lang="zh"><surname></surname><given-names></given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>resident</p></bio><bio xml:lang="ru"><p>клинический ординатор</p></bio><email>polinaiva2772@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8883-0580</contrib-id><contrib-id contrib-id-type="spin">1260-5644</contrib-id><name-alternatives><name xml:lang="en"><surname>Shabunin</surname><given-names>Anton S.</given-names></name><name xml:lang="ru"><surname>Шабунин</surname><given-names>Антон Сергеевич</given-names></name><name xml:lang="zh"><surname></surname><given-names></given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Research Associate</p></bio><bio xml:lang="ru"><p>научный сотрудник</p></bio><email>anton-shab@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1768-2402</contrib-id><contrib-id contrib-id-type="spin">3336-8996</contrib-id><name-alternatives><name xml:lang="en"><surname>Asadulaev</surname><given-names>Marat S.</given-names></name><name xml:lang="ru"><surname>Асадулаев</surname><given-names>Марат Сергеевич</given-names></name><name xml:lang="zh"><surname></surname><given-names></given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD student</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><email>marat.asadulaev@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9590-703X</contrib-id><contrib-id contrib-id-type="spin">7823-8519</contrib-id><name-alternatives><name xml:lang="en"><surname>Vlasova</surname><given-names>Olga L.</given-names></name><name xml:lang="ru"><surname>Власова</surname><given-names>Ольга Леонардовна</given-names></name><name xml:lang="zh"><surname></surname><given-names></given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD, Dr. Sc. (Phys. and Math.), Assistant Professor</p></bio><bio xml:lang="ru"><p>д-р физ.-мат. наук, доцент</p></bio><email>vlasova.ol@spbstu.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4235-5048</contrib-id><contrib-id contrib-id-type="spin">7125-4930</contrib-id><name-alternatives><name xml:lang="en"><surname>Vissarionov</surname><given-names>Sergei V.</given-names></name><name xml:lang="ru"><surname>Виссарионов</surname><given-names>Сергей Валентинович</given-names></name><name xml:lang="zh"><surname></surname><given-names></given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Dr. Sci. (Med.), Professor, Corresponding Member of RAS</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор, чл.-корр. РАН</p></bio><email>vissarionovs@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery</institution></aff><aff><institution xml:lang="ru">Национальный медицинский исследовательский центр детской травматологии и ортопедии имени Г.И. Турнера</institution></aff><aff><institution xml:lang="zh"></institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Peter the Great St. Petersburg Polytechnic University</institution></aff><aff><institution xml:lang="ru">Санкт-Петербургский политехнический университет Петра Великого</institution></aff><aff><institution xml:lang="zh"></institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2024-03-29" publication-format="electronic"><day>29</day><month>03</month><year>2024</year></pub-date><volume>12</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><issue-title xml:lang="zh"/><fpage>77</fpage><lpage>87</lpage><history><date date-type="received" iso-8601-date="2023-10-27"><day>27</day><month>10</month><year>2023</year></date><date date-type="accepted" iso-8601-date="2024-01-30"><day>30</day><month>01</month><year>2024</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2024,</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2024, Эко-Вектор</copyright-statement><copyright-statement xml:lang="zh">Copyright ©; 2024,</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0/</ali:license_ref></license></permissions><self-uri xlink:href="https://journals.eco-vector.com/turner/article/view/622772">https://journals.eco-vector.com/turner/article/view/622772</self-uri><abstract xml:lang="en"><p><bold>BACKGROUND:</bold> Despite expanding research, the development of materials for replacing bone defects remains an urgent problem in orthopedics and traumatology. Thus, one of the most important tasks is to create conditions for proper trophicity of the bone implant.</p> <p><bold>AIM:</bold> To analyze modern approaches to bone scaffold vascularization and evaluate their adequacy in <italic>in vivo</italic> models.</p> <p><bold>MATERIALS AND METHODS:</bold> The article presents a literature review dedicated to the methods of vascularization of bone scaffolds. A literature search was performed in PubMed, ScienceDirect, eLibrary, and Google Scholar databases from 2013 to 2023 using keywords, and 271 sources were identified. After exclusion, 95 articles were analyzed, and the results of 38 original studies and one literature review were presented.</p> <p><bold>RESULTS:</bold> Regardless of the initial vascularization method of scaffolds, bone implants show distinct osteoinductive features and promote advanced bone tissue regeneration. Constructs based on solid polymers and calcium–phosphate compositions also perform osteoconductive functions. Mesenchymal stem cells are used as the main cell type, as well as vessel-type cells, which in cooperation also have a positive effect on bone-defect remodeling. Bone morphogenetic proteins are used for directed differentiation in the osteogenic direction, and vascular endothelial growth factor is used for differentiation in the vascular pathway.</p> <p><bold>CONCLUSIONS:</bold> At present, no method for vascularization of scaffolds has been approved universally. In addition, no evidence supported the comparative effectiveness of vascularization methods, whereas animal model studies have demonstrated a positive effect of prevascularized patterns on the recovery rate of minor and critical defects.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Обоснование.</bold> Создание материалов, замещающих костные дефекты, несмотря на множество работ, остается актуальной проблемой в ортопедии и травматологии. Одна из наиболее важных задач — создание условий для адекватной трофики костного имплантата.</p> <p><bold>Цель</bold> — проанализировать современные подходы к васкуляризации костных скаффолдов и оценить их адекватность в моделях <italic>in vivo</italic>.</p> <p><bold>Материалы и методы.</bold> Представлен обзор литературных данных, посвященный методам васкуляризации костных скаффолдов. Поиск литературы осуществляли в базах данных PubMed, ScienceDirect, eLibrary, Google Scholar в период с 2013 по 2023 г. по ключевым словам. Выявлен 271 источник. После исключения проанализированы 95 статей, результаты 38 оригинальных исследований и одного обзора литературы.</p> <p><bold>Результаты.</bold> Вне зависимости от метода предварительной васкуляризации скаффолдов костные имплантаты проявляют выраженные остеоиндуктивные свойства и способствуют ускоренному восстановлению костной ткани. Конструкции на основе твердых полимеров и кальций-фосфатных соединений также выполняют остеокондуктивную функцию. В качестве основного типа клеток используют мезенхимные стволовые клетки, а также клетки сосудистого типа, которые в синергии оказывают положительный эффект на ремоделирование костного дефекта. Для направленной дифференцировки в остеогенном направлении применяют костный морфогенетический белок, а для дифференцировки в сосудистом направлении — фактор роста эндотелия сосудов.</p> <p><bold>Заключение.</bold> В настоящее время не существует общепринятого метода васкуляризации скаффолдов, отсутствуют и данные о сравнительной эффективности методов васкуляризации, при этом в исследованиях на животных моделях продемонстрировано положительное влияние преваскуляризованных образцов на скорость восстановления как незначительных, так и критических дефектов.</p></trans-abstract><trans-abstract xml:lang="zh"><p/></trans-abstract><kwd-group xml:lang="en"><kwd>prevascularized bone scaffolds</kwd><kwd>arteriovenous loops</kwd><kwd>3D bioprinting</kwd><kwd>cell sheets</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>преваскуляризованные костные скаффолды</kwd><kwd>артериовенозные петли</kwd><kwd>3D-биопечать</kwd><kwd>клеточные листы</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Kneser U, Kaufmann PM, Fiegel HC, et al. 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