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REVIEW article

Front. Bioeng. Biotechnol.

Sec. Tissue Engineering and Regenerative Medicine

This article is part of the Research TopicApplication of Tissue Engineering in Bone, Joints, Ligaments Injuries and Cartilage RegenerationView all 15 articles

Applications of Bone Regenerative Medicine in the Foot and Ankle: Mechanisms, Technologies, and Therapeutic Advances

Provisionally accepted
Yang  LianboYang Lianbo1Yijie  LiYijie Li2Tianqi  WangTianqi Wang3Zhuo  ZhaoZhuo Zhao1旺  李旺 李4Jinghang  LvJinghang Lv1Haoran  ChenHaoran Chen1Zhaodong  QiZhaodong Qi2Xinming  WangXinming Wang1Wenchi  BaoWenchi Bao1Haidong  LiangHaidong Liang1*
  • 1Second Affiliated Hospital of Dalian Medical University, Dalian, China
  • 2Dalian Medical University, Dalian, China
  • 3People's Hospital of Liaoning Province, Shenyang, China
  • 4Shengjing Hospital of China Medical University Department of Radiology, Shenyang, China

The final, formatted version of the article will be published soon.

Background: Foot and ankle diseases significantly impact quality of life, with regenerative medicine emerging as a promising approach. A comprehensive evaluation of both efficacy and safety is paramount for its clinical translation. Methods: A comprehensive literature search was conducted in PubMed using keywords "regenerative medicine" and "foot and ankle" (as of December 31, 2024). Studies were categorized by technology and disease. Results:PRP and HA showed short-term efficacy in talar cartilage repair; stem cells enhanced functional recovery in ankle osteoarthritis. 3D printing enabled personalized implants. Exosomes and AI were identified as future directions. However, the reporting of safety data was often sporadic and non-standardized, highlighting the need for more systematic monitoring in future studies. Conclusion: Regenerative therapies demonstrate potential but require further validation through robust trials that prioritize standardized safety reporting alongside efficacy outcomes. Gaps in exosome isolation, long-term safety, and clinical translation need addressing.

Keywords: Regenerative Medicine, Foot and ankle diseases, Platelet-Rich Plasma, Stem Cells, 3D bioprinting

Received: 25 Jun 2025; Accepted: 14 Nov 2025.

Copyright: © 2025 Lianbo, Li, Wang, Zhao, 李, Lv, Chen, Qi, Wang, Bao and Liang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Haidong Liang, johnlhd@163.com

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