2009, Number 1
<< Back
Acta Ortop Mex 2009; 23 (1)
Cartilage repair: Cell-based techniques
Ibarra-Ponce de León JC, Velasquillo-Martínez MC, Izaguirre A, Villalobos-Córdova E, Masri M, Ibarra-Ibarra LG
Language: Spanish
References: 32
Page: 38-44
PDF size: 163.75 Kb.
ABSTRACT
Introduction: The field of cartilage repair continues to advance after cell based and single-stage chondrocyte transplantation technologies. These strategies have been widely used in developed countries, and clinical, histologic and functional outcomes are of special interest. Objective: To describe evidence of cartilage repair techniques by means of a literature review. Results and discussion: Cartilage restoration through osteochondral allografting or autologous chondrocyte implantation (ACI) had proven efficacy, but technical and biologic limitations to these procedures exist. However, newer second-generation and third-generation cell-based technologies are being developed and tested clinically with purposes of decreasing operative morbidity, the ability to use a single-stage approach, and improve the viability and durability of cartilage repair tissue. These techniques can be used for treatment of important chondral defects in young patients and elite athletes, but well-designed randomized clinical trials should be done to confirm the value of these procedures.
REFERENCES
Curl WW, et al: Cartilage injuries: a review of 31,516 knee arthroscopies. Arthroscopy 1997; 13(4): 456-60.
Villalobos FEJ, Izaguirre A, Almazán A, Cruz F, Pérez-Jímenez FX, Ibarra JC: Articular cartilage injuries in 1,309 knee arthroscopies, a public health problem in a developing country? Osteoarthritis and Cartilage, 2007; 15(Suppl. 2): B102.
Widuchowski W, Widuchowski J, Trzaska T: Articular cartilage defects: study of 25,124 knee arthroscopies. Knee 2007; 14(3): 177-82.
Cole BJ, Lee SJ: Complex knee reconstruction: articular cartilage treatment options. Arthroscopy 2003; 19 Suppl 1: 1-10.
Brittberg M, et al: Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 1994; 331(14): 889-95.
Romeo AA, et al: Autologous chondrocyte repair of an articular defect in the humeral head. Arthroscopy 2002; 18(8): 925-9.
Giannini S, et al: Arthroscopic autologous chondrocyte implantation in osteochondral lesions of the talus: surgical technique and results. Am J Sports Med 2008; 36(5): 873-80.
Horas U, et al: Autologous chondrocyte implantation and osteochondral cylinder transplantation in cartilage repair of the knee joint. A prospective, comparative trial. J Bone Joint Surg Am 2003; 85-A(2): 185-92.
Peterson L, et al: Autologous chondrocyte transplantation. Biomechanics and long-term durability. Am J Sports Med 2002; 30(1): 2-12.
Wood JJ, et al: Autologous cultured chondrocytes: adverse events reported to the United States Food and Drug Administration. J Bone Joint Surg Am 2006; 88(3): 503-7.
Emmerson BC, et al: Fresh osteochondral allografting in the treatment of osteochondritis dissecans of the femoral condyle. Am J Sports Med 2007; 35(6): 907-14.
Karataglis D, Learmonth DJ: Management of big osteochondral defects of the knee using osteochondral allografts with the MEGA-OATS technique. Knee 2005; 12(5): 389-93.
Pylawka TK, et al: Impaction affects cell viability in osteochondral tissues during transplantation. J Knee Surg 2007; 20(2): 105-10.
Kon E, et al: Second generation issues in cartilage repair. Sports Med Arthrosc 2008; 16(4): 221-9.
Hettrich CM, Crawford D, Rodeo SA: Cartilage repair: third-generation cell-based technologies—basic science, surgical techniques, clinical outcomes. Sports Med Arthrosc 2008; 16(4): 230-5.
Englund M, Lohmander LS: Risk factors for symptomatic knee osteoarthritis fifteen to twenty-two years after meniscectomy. Arthritis Rheum 2004; 50(9): 2811-9.
Zhai G, et al: Correlates of knee pain in older adults: Tasmanian older adult cohort study. Arthritis Rheum 2006; 55(2): 264-71.
Sharma L, et al: Relationship of meniscal damage, meniscal extrusion, malalignment and joint laxity to subsequent cartilage loss in osteoarthritic knees. Arthritis Rheum 2008; 58(6): 1716-26.
Bentley G, et al: A prospective, randomized comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee. J Bone Joint Surg Br 2003; 85(2): 223-30.
Minas T, Bryant T: The role of autologous chondrocyte implantation in the patellofemoral joint. Clin Orthop Relat Res 2005; (436): 30-9.
Browne JE, et al: Clinical outcome of autologous chondrocyte implantation at 5 years in US subjects. Clin Orthop Relat Res 2005; (436): 237-45.
Dozin B, et al: Comparative evaluation of autologous chondrocyte implantation and mosaicplasty: a multicentered randomized clinical trial. Clin J Sport Med 2005; 15(4): 220-6.
Micheli LJ, et al: Articular cartilage defects of the distal femur in children and adolescents: treatment with autologous chondrocyte implantation. J Pediatr Orthop 2006; 26(4): 455-60.
Mithofer K, et al: Articular cartilage repair in soccer players with autologous chondrocyte transplantation: functional outcome and return to competition. Am J Sports Med 2005; 33(11): 1639-46.
Knutsen G, et al: A randomized trial comparing autologous chondrocyte implantation with microfracture. Findings at five years. J Bone Joint Surg Am 2007; 89(10): 2105-12.
Knutsen G, et al: Autologous chondrocyte implantation compared with microfracture in the knee. A randomized trial. J Bone Joint Surg Am 2004; 86-A(3): 455-64.
Saris DB, et al: Characterized chondrocyte implantation results in better structural repair when treating symptomatic cartilage defects of the knee in a randomized controlled trial versus microfracture. Am J Sports Med 2008; 36(2): 235-46.
Bartlett W, et al: Autologous chondrocyte implantation versus matrix-induced autologous chondrocyte implantation for osteochondral defects of the knee: a prospective, randomized study. J Bone Joint Surg Br 2005; 87(5): 640-5.
Marcacci M, et al: Articular cartilage engineering with Hyalograft C: 3-year clinical results. Clin Orthop Relat Res 2005; (435): 96-105.
Gobbi A, et al: Patellofemoral full-thickness chondral defects treated with Hyalograft-C: a clinical, arthroscopic, and histologic review. Am J Sports Med 2006; 34(11): 1763-73.
Ossendorf et al: Treatment of postraumatic and focal osteoarthritic cartilage defects of the knee with autologous polymer-based three-dimensional chondrocyte grafts: 2-year clinical results. Arthritis Res Ther 2007; 9(2): R41.
Selmi TA, et al: Autologous chondrocyte implantation in a novel alginate-agarose hydrogel: outcome at two years. J Bone Joint Surg Br 2008; 90(5): 597-604.