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Abstract— The repairing of bone defects is still a challenge for researchers and clinicians. No netheless there are
many procedures that use different biomaterials such as scaffolds for bone regeneration however the results are
often still unsatisfactory. As a result, the fibrin sealant derived from the interaction between proteins participating
in the final blood coagulation cascade, is one of the most promising biopolymers in the tissue engineering field
due to its unique characteristics. The present study aimed to perform a systematic review on homologous fibrin
sealants highlighting its applicability as a three-dimensional framework in the process of bone regeneration. The
database used for search strategy was the PubMed (Medline) and followed the guidelines provided in the PRISMA
statement. From an initial 313 articles, only 12 articles between 2009 to 2019 were selected for this review after
checking all inclusion and exclusion criterias. Due to this background, it is notable that fibrin sealant is one of the
promising biopolymers used for tissue engineering and bone regeneration applications.
Keywords— Fibrin Sealant, Bone Repair, Tissue engineering, Biopolymer, Scaffold.
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International Journal of Advanced Engineering Research and Science (IJAERS) [Vol-6, Issue-7, Jul- 2019]
https://dx.doi.org/10.22161/ijaers.673 ISSN: 2349-6495(P) | 2456-1908(O)
with potential to assist in engineering of bone tissue (SHIU openly or by signatures available at the University of São
et al., 2014; SPOTNITZ, 2014; BORIE et al., 2015). Paulo (Brazil).
Although, all fibrin sealants contain fibrinogen and The titles and abstracts of the articles were evaluated
thrombin, qualitatively and quantitatively the exact and those that did not meet each inclusion criteria were
composition varies, such as the velocity of rate of removed from the review. After second analysis, only
hemostasis, clot biochemistry, viscosity, adhesive strength, articles that used fibrin sealant as a three-dimensional
durability, fibrin polymerization rate and the three- scaffold for the lodging of biologically active cells and
dimensional structure of the clot, and can directly influence molecules in the bone regeneration process were selected
its use (WOZNIAK, 2003; DIETRICH et al., 2013; for detailed review.
CUNHA et al., 2015). For this purpose, the present study
aimed to perform a systematic review on homologous Inclusion Criteria:
fibrin sealants highlighting its applicability as a three-
dimensional framework in the bone regeneration process. Periods between 2009 – 2019;
Articles types: full articles available;
II. MATERIALS AND METHODS English language;
This review followed the guidelines provided in the In vivo research model;
PRISMA statement (Preferred Reporting Items for Fibrin sealant used as a s caffold for tissue
Systematic Reviews and Meta-Analyses). Medical subject engineering applications.
heading (MeSH) terms were used in this study. The
database used for search strategy was the PubMed Exclusion Criteria:
(Medline). The search string used was following th ese
terms “fibrin sealant AND bone repair”. Any article that did not meet the inclusion criteria
It has been included all articles in English at periods listed earlier.
between 2009 and 2019, with access to the full text, either
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International Journal of Advanced Engineering Research and Science (IJAERS) [Vol-6, Issue-7, Jul- 2019]
https://dx.doi.org/10.22161/ijaers.673 ISSN: 2349-6495(P) | 2456-1908(O)
Table 1 Summarizes of the selected articles about tissue engineering applications of fibrin scaffolds.
Author (Date) Objective Component Implantation Mixture with Conclusion
origin S ite biomaterials
and/or or cells
Trade
name
McDuffee et al. ( 2012) To compare the Homologous M etacarpal Osteoprogenitor Injection of periosteal‐
efficacy of (non- bone in horses cells or fibrin derived
osteoprogenitors commercial) sealant alone osteoprogenitors in a
in fibrin glue fibrin glue carrier into
to fibrin glue alone surgically created
in bone healing of ostectomies of M C4
surgically induced does not accelerat e
ostectomies of the bone healing.
fourth metacarpal
bones in an equine
model.
Reppenhagen et al. (2012) To assess the safety Homologous Distal Biphasic The biomaterial
and efficiency of a Tissucol TM tíbia; calcaneal; calcium represents an easy-to-
bone substitute as an Duo S glenoid in phosphate handle alternative to
alternative for human granules autologous cancellous
autologous bone in bone grafts for the
the treatment of treatment of benign
benign bone bone tumours and
tumours and tumour-like lesions.
tumour-like lesions.
Zhang et al. (2012) To clarify whether it Homologous Rat alveolar Bone marrow The results suggest
could be efficient to (non- bone stem cells that the strategy of
reconstruct the commercial) combing BM SCs with
alveolar bone by the FG is effective in the
combination repair of alveolar bone
of bone marrow defects. Its clinical
stem cells (BM SCs) application is
without pre- promising.
osteoinduction in
vitro with fibrin glue
(FG).
Streckbein et al. (2013) To evaluate the Homologous M andibular Adipose- Fibrin sealant is a
efficacy of bioactive Beriplast TM defects in rats derived stem suitable biological
implants (ADSC in P cells scaffold for cell
fibrin glue) for transplantation.
repair of critical-size
mandibular defects
in athymic rats.
Xuan et al. (2014) To compare the Tisseel TM Canine sinus Demineralized The findings from this
potentials of PRF- model. bovine bone study suggest that
mixed Bio-Oss® and when platelet-
Tisseel®-mixed Bio- rich fibrin is used as an
Oss® to enhance adjunct to Bio-Oss®
bone regeneration in particles
for bone augmentation
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International Journal of Advanced Engineering Research and Science (IJAERS) [Vol-6, Issue-7, Jul- 2019]
https://dx.doi.org/10.22161/ijaers.673 ISSN: 2349-6495(P) | 2456-1908(O)
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International Journal of Advanced Engineering Research and Science (IJAERS) [Vol-6, Issue-7, Jul- 2019]
https://dx.doi.org/10.22161/ijaers.673 ISSN: 2349-6495(P) | 2456-1908(O)
Mehrabani et al. (2018) To investigate the Autologous Rabbit Adipose‐ The healing process
healing and mandible derived stem had a significant
regenerative effects cells increase in the
of fibrin glue thickness of new
associated with cortical bone when
adipose-derived fibrin glue scaffold
stem cells (ADSCs) associated with
and fibrin glue Adipose‐derived stem
scaffold alone with cells was used.
autologous bone
grafts in
experimental
mandibular defects
of the rabbit.
Pomini et al. (2019) To evaluate the Tisseel TM Rat calvaria Demineralized The support system
support system Lyo bovine bone formed by the
formed by a xenograft fibrin
xenograft fibrin sealant associated with
sealant associated the
with photobiomodulation
photobiomodulation therapy protocol had a
therapy of critical positive effect on the
defects in rat bone repair process.
calvaria.
Rezaei et al. (2019) To evaluate the Autologous Dog class II PRP, cBM - M ore studies should
effects of PRP and furcation M SCs and be done in order to
canine BM -MSCs defects alone recommend an
(marrow-derived effective therapeutic
mesenchymal stem approach that induces
cells - cBM -M SCs) endogenous
in combination with regenerative
a suitable carrier processes, such as cell
(fibrin glue) on homing.
periodontal
regeneration.
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International Journal of Advanced Engineering Research and Science (IJAERS) [Vol-6, Issue-7, Jul- 2019]
https://dx.doi.org/10.22161/ijaers.673 ISSN: 2349-6495(P) | 2456-1908(O)
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International Journal of Advanced Engineering Research and Science (IJAERS) [Vol-6, Issue-7, Jul- 2019]
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