BACKGROUND: Stem cells are immature cells that can proliferate and differentiate into multi-lineage adult cells under certain conditions in vitro. Stem cells for treating osteochondral defect, femoral head necrosis and spinal nerve injury have obtained many achievements in clinic.
OBJECTIVE: To summarize the new progress of stem cells and its applications in orthopedics in recent years.
METHODS: A compute-based online search of Pubmed database from January 2000 to January 2010 and China National Knowledge Infrastructure from January 2000 to January 2010 was performed using the key words of “stem cells, differentiation, bone formation, cytokine, bone fracture, cartilage defect, tissue engineering” in English and “stem cells, cytokine, bone fracture, bone defect, tendon injury, skin destruction, tissue engineering” in Chinese. The experimental studies about stem cells and clinical applications in orthopedics were included. Repeated or out-of-date studies were excluded. Totally, 190 articles were collected and finally 24 were included according to inclusion and exclusion criteria.
RESULTS AND CONCLUSION: As seed cells for tissue engineering, stem cells have extensive usage in vitro, which involves many domains along medical science. Amounts of experiments of stem cells for orthopaedic diseases have succeeded in vitro. Stem cells with multiple-directional differentiation potential can differentiate into osteoblasts, chondroblasts, myoblasts and adipocytes. Combined with corresponding biomaterials, stem cells can repair bone, cartilage, tendon and muscle. Many not only limited in experimental study, but also fit for clinical treatment and obtained satisfactory outcomes.