Responsiveness of the International Knee Documentation Committee Subjective Knee Form in Comparison to the Western Ontario and McMaster Universities Osteoarthritis Index, Modified Cincinnati Knee Rating System, and Short Form 36 in Patients with Focal Articular Cartilage Defects

The purpose of this study was to investigate the clinical results at five years’ follow-up of a tri-layered nanostructured biomimetic osteochondral scaffold used for focal articular cartilage defects in patients meeting the criteria of early osteoarthritis (EOA). The study population comprised 22 patients (mean age: 39 years), prospectively assessed before surgery, at 24 and 60 months’ follow-up. Inclusion criteria were: at least two episodes of knee pain for more than 10 days in the last year, Kellgren-Lawrence OA grade 0, I or II and arthroscopic or MRI findings according to the European Society of Sports Traumatology, Knee Surgery & Arthroscopy (ESSKA) criteria. Clinical results demonstrated significant improvement in International Knee Documentation Committee (IKDC) subjective and objective scores and in Tegner score, although activity level never reached the pre-injury level. The complication rate of this study was 8.3%. Two patients underwent re-operation (8.3%), while a comprehensive definition of failure (including both surgical and clinical criteria) identified four failed patients (16.6%) at this mid-term follow-up evaluation. The use of a free-cell osteochondral scaffold represented a safe and valid alternative for the treatment of focal articular cartilage defects in the setting of an EOA, and was able to permit a significant clinical improvement and stable outcome with low complication and failure rates.

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Results of Osteochondral Autologous Transplantation in the Knee

The Open Orthopaedics Journal ◽

10.2174/1874325001004010111 ◽

2010 ◽

Vol 4 (1) ◽

pp. 111-114 ◽

Cited By ~ 2

Author(s):

Sandra Muller ◽

Roelf S Breederveld ◽

Wim E Tuinebreijer

Keyword(s):

Articular Cartilage ◽

Autologous Transplantation ◽

International Knee Documentation Committee ◽

Subjective Assessment ◽

Clinical Results ◽

Cartilage Defects ◽

Appropriate Treatment ◽

High Level ◽

Articular Cartilage Defects

Repair of full thickness defects of articular cartilage in the knee is difficult but important to prevent progression to osteoarthritis. The purpose of this retrospective study was to evaluate the clinical results of Osteochondral Autograft Transplant System (OATS) treatment for articular defects of the knee.Between 1999 and 2005, 15 knees (14 patients) were treated by the OATS technique. Age ranged from 27 to 52 years. Cartilage defects were up to 3.75 cm2. The mean follow-up was 42 months. Knee function was assessed by the Lysholmscore and International Knee Documentation Committee (IKDC) Subjective Knee Form. Six patients scored good or excellent. No patient had knee instability. Twelve of 13 patients returned to sports at an intermediate or high level. The subjective assessment score (0-10) changed from 4.7 before operation to 7.2 afterward (P=0.007). The OATS-technique resulted in a decrease in symptoms in patients with localized articular cartilage defects. We consider the OATS technique to be an appropriate treatment for cartilage defects to prevent progression of symptoms.

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Functional hybrid organo-inorganic composite materials of the incorporative type for the recovery of articular cartilage defects

Functional materials ◽

10.15407/fm26.03.609 ◽

2019 ◽

Vol 26 (3) ◽

Keyword(s):

Articular Cartilage ◽

Composite Materials ◽

Cartilage Defects ◽

Articular Cartilage Defects ◽

Inorganic Composite

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Faculty Opinions recommendation of Activity levels are higher after osteochondral autograft transfer mosaicplasty than after microfracture for articular cartilage defects of the knee: a retrospective comparative study.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717447889.792802948 ◽

2012 ◽

Author(s):

Edilson Forlin

Keyword(s):

Articular Cartilage ◽

Comparative Study ◽

Cartilage Defects ◽

Activity Levels ◽

Osteochondral Autograft ◽

Osteochondral Autograft Transfer ◽

Retrospective Comparative Study ◽

Articular Cartilage Defects

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A composite scaffold of Wharton’s jelly and chondroitin sulphate loaded with human umbilical cord mesenchymal stem cells repairs articular cartilage defects in rat knee

Journal of Materials Science Materials in Medicine ◽

10.1007/s10856-021-06506-w ◽

2021 ◽

Vol 32 (4) ◽

Author(s):

Zhong Li ◽

Yikang Bi ◽

Qi Wu ◽

Chao Chen ◽

Lu Zhou ◽

...

Keyword(s):

Stem Cells ◽

Articular Cartilage ◽

Composite Scaffold ◽

Biomechanical Properties ◽

Cartilage Defects ◽

Human Umbilical Cord ◽

Composite Scaffolds ◽

Articular Cartilage Defects

AbstractTo evaluate the performance of a composite scaffold of Wharton’s jelly (WJ) and chondroitin sulfate (CS) and the effect of the composite scaffold loaded with human umbilical cord mesenchymal stem cells (hUCMSCs) in repairing articular cartilage defects, two experiments were carried out. The in vitro experiments involved identification of the hUCMSCs, construction of the biomimetic composite scaffolds by the physical and chemical crosslinking of WJ and CS, and testing of the biomechanical properties of both the composite scaffold and the WJ scaffold. In the in vivo experiments, composite scaffolds loaded with hUCMSCs and WJ scaffolds loaded with hUCMSCs were applied to repair articular cartilage defects in the rat knee. Moreover, their repair effects were evaluated by the unaided eye, histological observations, and the immunogenicity of scaffolds and hUCMSCs. We found that in vitro, the Young’s modulus of the composite scaffold (WJ-CS) was higher than that of the WJ scaffold. In vivo, the composite scaffold loaded with hUCMSCs repaired rat cartilage defects better than did the WJ scaffold loaded with hUCMSCs. Both the scaffold and hUCMSCs showed low immunogenicity. These results demonstrate that the in vitro construction of a human-derived WJ-CS composite scaffold enhances the biomechanical properties of WJ and that the repair of knee cartilage defects in rats is better with the composite scaffold than with the single WJ scaffold if the scaffold is loaded with hUCMSCs.

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