Autologous chondrocyte implantation provides good long-term clinical results in the treatment of knee osteoarthritis: a systematic review.


Journal

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730

Informations de publication

Date de publication:
Jun 2023
Historique:
received: 09 02 2022
accepted: 24 05 2022
medline: 16 5 2023
pubmed: 19 6 2022
entrez: 18 6 2022
Statut: ppublish

Résumé

To evaluate the mid- and long-term efficacy of autologous chondrocyte implantation (ACI) and matrix-assisted chondrocyte implantation (MACI) to treat patients with knee cartilage defects in the presence of osteoarthritis (OA). PubMed and Cochrane databases were systematically searched for studies describing the treatment of knee OA with ACI or MACI (Kellgren-Lawrence (KL) ≥ 1, minimum follow-up 36 months). Results were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines and included Lysholm, Western Ontario McMaster University and International Knee Documentation Committee scores. Of the 127 full-text articles assessed for eligibility, only five studies were selected based on inclusion/exclusion criteria (2 on ACI and 3 on MACI). In both groups, the defects were mainly located at femoral level, size 2.2-15.1 cm ACI and MACI procedures for the treatment of knee cartilage lesions associated to OA showed long-term success and allowed delaying arthroplasty. Additional trials reporting homogenous data and precise patient characterization are needed to conduct an effective literature meta-analysis and identify the clinical relevance of these procedures. IV.

Identifiants

pubmed: 35716187
doi: 10.1007/s00167-022-07030-2
pii: 10.1007/s00167-022-07030-2
doi:

Types de publication

Systematic Review Meta-Analysis Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2338-2348

Subventions

Organisme : Ministero della Salute
ID : Progetto Rete Apparato Muscolo Scheletrico (RAMS) RC RETI 2021

Informations de copyright

© 2022. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).

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Auteurs

Alessandra Colombini (A)

Laboratorio di Biotecnologie Applicate all'Ortopedia, IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161, Milan, Italy. alessandra.colombini@grupposandonato.it.

F Libonati (F)

Laboratorio di Biotecnologie Applicate all'Ortopedia, IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161, Milan, Italy.

S Lopa (S)

Cell and Tissue Engineering Laboratory, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

G M Peretti (GM)

Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

M Moretti (M)

Cell and Tissue Engineering Laboratory, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.
Regenerative Medicine Technologies Lab, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Department of Surgery, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Faculty of Biomedical Sciences, Euler Institute, USI, Lugano, Switzerland.

L de Girolamo (L)

Laboratorio di Biotecnologie Applicate all'Ortopedia, IRCCS Istituto Ortopedico Galeazzi, Via R. Galeazzi 4, 20161, Milan, Italy.

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