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               reconstruction remains a very complex topic for both surgeons and patients.


               New approaches such as WALANT and tissue engineering will perhaps improve current results. To date,
               the dream of regenerating injured tissues, and tendon tissue in particular, appears to be getting closer and
               closer, but it still has to contend with grey areas in our biological and biomolecular knowledge of scarring
               processes and the development of various tissues, and with the legislative and ethical difficulties that this
               field of research brings with it.


               DECLARATIONS
               Authors’ contributions
               Concept and design: Bertolini M, Faccenda C, Parolo C, Stucchi S, Marchesini A, De Francesco F, Riccio M
               Data acquisition, data analysis, and manuscript preparation: Faccenda C, Stucchi S, Marchesini A
               Critical revision and completion of the manuscript: Bertolini M, Marchesini A, De Francesco F, Riccio M,
               Parolo C


               Availability of data and materials
               Not applicable.


               Financial support and sponsorship
               None.

               Conflicts of interest
               All authors declare that there are no conflicts of interest.

               Ethical approval and consent to participate
               Not applicable.

               Consent for publication
               Informed consent was obtained from all patients.

               Copyright
               © The Author(s) 2023.


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