Journal of Cartilage & Joint Preservation最新文献

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Extracellular vesicles from synovial fluid-derived mesenchymal stem cells confer chondroprotective effects on in vitro and in vivo osteoarthritic chondrocytes 滑膜液源性间充质干细胞的胞外囊泡对体外和体内骨关节炎软骨细胞具有软骨保护作用
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100146
Haixiang Liang , Dan Li , Eric V. Neufeld , Michael J. Sayegh , Adam Kiridly , Pablo Palacios , Henintsoa Fanjaniaina Andriamifidy , Pooja Swami , Kenneth R. Zaslav , Nicholas A. Sgaglione , Daniel A. Grande
{"title":"Extracellular vesicles from synovial fluid-derived mesenchymal stem cells confer chondroprotective effects on in vitro and in vivo osteoarthritic chondrocytes","authors":"Haixiang Liang ,&nbsp;Dan Li ,&nbsp;Eric V. Neufeld ,&nbsp;Michael J. Sayegh ,&nbsp;Adam Kiridly ,&nbsp;Pablo Palacios ,&nbsp;Henintsoa Fanjaniaina Andriamifidy ,&nbsp;Pooja Swami ,&nbsp;Kenneth R. Zaslav ,&nbsp;Nicholas A. Sgaglione ,&nbsp;Daniel A. Grande","doi":"10.1016/j.jcjp.2023.100146","DOIUrl":"10.1016/j.jcjp.2023.100146","url":null,"abstract":"<div><h3>Introduction</h3><p>Extracellular vesicles (EVs) released by mesenchymal stem cells (MSCs) are theorized to mediate cartilage regeneration through paracrine actions. It is hypothesized that EVs derived from synovial fluid MSCs (SF-MSCs) will promote anabolic gene expressions and decrease catabolic markers of in vitro osteoarthritic chondrocytes. These EVs will also demonstrate increased cartilage regeneration as measured in a rat osteoarthritis (OA) model.</p></div><div><h3>Objectives</h3><p>This study tested the in-vitro anti-inflammation effects of using EVs from SF-MSCs on chondrocytes and in vivo study on chondroprotective effects of EVs with OA environment.</p></div><div><h3>Methods</h3><p>In vitro, rat chondrocytes were exposed to EVs collected from SF-MSC that had been either exposed or unexposed to interleukin-1β (IL-1β). Gene expressions for various anabolic and catabolic markers were measured. In vivo, rats who received anterior cruciate ligament transection as an OA model with an osteoarthritic knee joint were exposed to weekly injections of SF-MSC-derived EVs at 2 different doses. The results were evaluated with histological study and scored using the Osteoarthritis Research Society International system. Serum cytokines were analyzed via enzyme-linked immunosorbent assay.</p></div><div><h3>Results</h3><p>In vitro, chondrocytes exposed to SF-MSCs derived EVs demonstrated increased anabolic markers and decreased catabolic markers also with the EVs collected from interleukin-1β treated SF-MSCs. In vivo, rats that received EVs displayed lower Osteoarthritis Research Society International scores, more collagen type II alpha 1, and less matrix metalloproteinase-13 than the control groups. This anti-inflammation potential was systemic, as demonstrated by the decrease of serum proinflammatory cytokines.</p></div><div><h3>Conclusions</h3><p>SF-MSCs-derived EVs were effective at promoting the expression of anabolic markers while simultaneously attenuating the production of proinflammatory markers in vitro and in vivo. These anti-inflammation effects were dose-dependent in vivo. The injection of EVs in the knee joint changed the cytokines in the serum.</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100146"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254523000525/pdfft?md5=d3597df5e39a6b8e3b0bbc0f354dcfdd&pid=1-s2.0-S2667254523000525-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122508222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chondromalacia patellae: Cartilaginous lesions of the patella in the setting of anterior knee pain 髌骨软化症:膝关节前部疼痛时的髌骨软骨损伤
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2022.100096
Benjamin J. Levy , Charles Cossell , Nathan L. Grimm , Andrew E. Jimenez , Leslie J. Bisson
{"title":"Chondromalacia patellae: Cartilaginous lesions of the patella in the setting of anterior knee pain","authors":"Benjamin J. Levy ,&nbsp;Charles Cossell ,&nbsp;Nathan L. Grimm ,&nbsp;Andrew E. Jimenez ,&nbsp;Leslie J. Bisson","doi":"10.1016/j.jcjp.2022.100096","DOIUrl":"10.1016/j.jcjp.2022.100096","url":null,"abstract":"<div><h3>Introduction</h3><p>Chondromalacia patellae (CP) is common among patients with anterior knee pain (AKP), characterized by softening and deterioration of the patellar cartilage. Although the exact etiology is unknown, risk factors include lower extremity muscle weakness, obesity, and female sex. Further, patellar maltracking may play a role in developing CP. Treatment algorithms for CP remain vague and inconsistent as the significance of the diagnosis remains in question. Initial treatment is typically nonoperative with various adjunct modalities. However, surgery may have a role for recalcitrant cases.</p></div><div><h3>Objectives</h3><p>Although CP is a common diagnosis, there is still much to be learned about the significance of this diagnosis and subsequent treatment strategies. Knowledge of this will help to guide providers moving forward.</p></div><div><h3>Methods</h3><p>The authors completed a thorough literature search of available published work through December 31, 2021, discussing CP and its relationship with AKP, and distilled this information into current concepts regarding history, diagnosis, treatment, and future directions.</p></div><div><h3>Results</h3><p>Although much is still unknown about the significance and best treatment strategy for patients with AKP pain and CP, it is likely that in many cases chondromalacia is a finding in the presence of AKP, rather than the cause of the AKP.</p></div><div><h3>Conclusions</h3><p>More work must be done to fully elucidate the underlying causes of CP. However, some of these cases are likely related to subtle maltracking and perhaps can be surgically corrected. In most cases, extensive nonoperative measures and searching for other causes of AKP is most prudent.</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254522000592/pdfft?md5=f4d3bf0babecfa4a6133386ee393cc70&pid=1-s2.0-S2667254522000592-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134205693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging evaluation of physical activity effect on knee articular cartilage 通过成像评估体育锻炼对膝关节软骨的影响
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100138
Marcus Vinicius Danieli , Arnaldo Eder Kist , Luan Possani Rodrigues , Ian Walter Stegmann Filho , Arthur Gomes Rossito , Felipe Santos Lima , João Luiz Francisconi , Paulo Roberto Bignardi , Carlos Eduardo Abascal Shiguihara , João Paulo Fernandes Guerreiro
{"title":"Imaging evaluation of physical activity effect on knee articular cartilage","authors":"Marcus Vinicius Danieli ,&nbsp;Arnaldo Eder Kist ,&nbsp;Luan Possani Rodrigues ,&nbsp;Ian Walter Stegmann Filho ,&nbsp;Arthur Gomes Rossito ,&nbsp;Felipe Santos Lima ,&nbsp;João Luiz Francisconi ,&nbsp;Paulo Roberto Bignardi ,&nbsp;Carlos Eduardo Abascal Shiguihara ,&nbsp;João Paulo Fernandes Guerreiro","doi":"10.1016/j.jcjp.2023.100138","DOIUrl":"10.1016/j.jcjp.2023.100138","url":null,"abstract":"<div><h3>Introduction</h3><p>Hyaline cartilage is a complex tissue with great load absorbing-function. Studies showed that moderate exercise can have a positive effect on chondral matrix composition but excessive can be harmful to cartilage.</p></div><div><h3>Objectives</h3><p>Evaluate knee cartilage thickness before and after physical activity (running) in healthy young individuals.</p></div><div><h3>Methods</h3><p>Ten healthy young adult male volunteers aged between 18 and 21 years old were selected to undergo magnetic resonance imaging examination of the right knee to measure the cartilage thickness of the anterior, medial, and lateral compartments before and after 1 hour of continuous running. Cartilage thickness measurements were performed by a radiologist who did not know the identity of the volunteers or the moment of the evaluation (before or after the exercise).</p></div><div><h3>Results</h3><p>The subjects' mean age, height, and weight were 19.5 years, 1.80 m, and 75.2 kg, respectively, with a mean body mass index of 23.14. There was a decrease in chondral thickness after running on all surfaces evaluated. The changes that were relevant (<em>P</em> &lt; .05) were all the medial femoral condyle, the anterior portion of the lateral femoral condyle, the anterior portion of the lateral plateau, the entire surface of the patella and trochlea. The greatest difference in thickness between before and after exercise was observed in the lateral facet of the patella (−0.224 mm) followed by the anterior surface of the medial femoral condyle (−0.186 mm). In proportional values, the highest decrease occurred in the anterior portion of the medial femoral condyle (−11.42%).</p></div><div><h3>Conclusion</h3><p>There was a decrease in knee chondral thickness after 60 minutes of running, being statistically significant in the medial femoral condyle, anterior surface of the lateral femoral condyle, and lateral plateau and patellofemoral joint (patella and trochlea).</p></div><div><h3>Level of evidence</h3><p>IV (Case Series).</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100138"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254523000446/pdfft?md5=0446ff4842db4198fd54cc93b7acc8b4&pid=1-s2.0-S2667254523000446-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133515374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MACI (autologous cultured chondrocytes on porcine collagen membrane) in patients 40 years and older: short-term clinical outcomes and patient satisfaction 40 岁及以上患者的 MACI(猪胶原膜上的自体培养软骨细胞):短期临床疗效和患者满意度
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100102
Liana Leja , Tom Minas
{"title":"MACI (autologous cultured chondrocytes on porcine collagen membrane) in patients 40 years and older: short-term clinical outcomes and patient satisfaction","authors":"Liana Leja ,&nbsp;Tom Minas","doi":"10.1016/j.jcjp.2023.100102","DOIUrl":"10.1016/j.jcjp.2023.100102","url":null,"abstract":"<div><h3>Introduction</h3><p>Cartilage restoration in the middle-aged population (40-60 years) is understudied.</p></div><div><h3>Objectives</h3><p>The purpose of this study is to report the clinical outcomes and satisfaction of patients over the age of 40 years old who underwent autologous cultured chondrocytes on porcine collagen membrane (MACI) for the treatment of degenerative articular cartilage lesions in the knee.</p></div><div><h3>Methods</h3><p>The study included 30 patients who were over 40 years of age (mean 48.6 ± 5.5 years, range 41-60 years). Patients included were treated by a single surgeon from 2017 to 2020. Clinical outcome data was available for 29 patients at a minimum 2-year follow-up (mean 39.6 ± 9.6 months). All patients with intact MACI grafts completed a satisfaction questionnaire. The mean lesion surface area transplanted was 11.5 ± 6.6 cm<sup>2</sup>. The mean number of defects transplanted was 2.5 ± 1.0. Treatment failure was defined as delamination of the MACI graft with associated clinical symptoms and/or progression of osteoarthritis.</p></div><div><h3>Results</h3><p>Of the 29 patients, 6 (21%) had a graft failure. Three patients went on to osteochondral allograft transplantation, 1 patient experienced symptomatic improvement with debridement, and 2 patients underwent total knee arthroplasty. Twenty-seven of the 29 patients (93%) maintained their native knee. Of those with intact MACI grafts, 17 out of 23 (74%) rated their knee as “good” or “excellent” and 16 out of 23 (70%) were satisfied with their surgery.</p></div><div><h3>Conclusions</h3><p>MACI is effective in the short-term in patients over the age of 40 years old with degenerative articular cartilage lesions to maintain their native knee. A moderate degree of satisfaction was achieved in most patients.</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100102"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254523000045/pdfft?md5=b7016bbc6aca30057b50040000625354&pid=1-s2.0-S2667254523000045-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123082411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Platelet-rich plasma induced healing of a chronic osteochondral defect of the knee 富血小板血浆诱导膝关节慢性骨软骨缺损的愈合
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100132
Michael R. Baria , Ryan Barnes , David Flanigan , Christopher Kaeding
{"title":"Platelet-rich plasma induced healing of a chronic osteochondral defect of the knee","authors":"Michael R. Baria ,&nbsp;Ryan Barnes ,&nbsp;David Flanigan ,&nbsp;Christopher Kaeding","doi":"10.1016/j.jcjp.2023.100132","DOIUrl":"10.1016/j.jcjp.2023.100132","url":null,"abstract":"<div><h3>Introduction</h3><p>Platelet-rich plasma (PRP) has increasingly been used in sports medicine to promote tissue healing. No previous study has demonstrated the effect of PRP alone for treatment of osteochondral defects of the knee.</p></div><div><h3>Case presentation</h3><p>We describe the case of a 37-year-old male who was diagnosed with osteochondritis dissecans of the medial femoral condyle in 2000. At that time, he underwent arthroscopic repair. In 2018, he presented for increased medial knee pain and catching. He elected to proceed with an initial PRP injection in 2018 and returned for 3 more injections through 2021. After the 4 injections, magnetic resonance imaging (MRI) demonstrated interval healing of the osteochondral defect with markedly smaller dimensions than the original 2018 MRI [0.7 cm × 0.5 cm].</p></div><div><h3>Conclusion</h3><p>To our knowledge, this is the first case of MRI-proven healing of an osteochondral defect with PRP (without accompanying cartilage restoration surgery). Ongoing treatment with an anabolic therapy like PRP may facilitate symptom improvement and structural healing.</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100132"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254523000379/pdfft?md5=b58d595182e70ded7deca747607594f3&pid=1-s2.0-S2667254523000379-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123828638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A gap-filling, regenerative implant for open-wedge osteotomy 用于开放式楔形截骨术的间隙填充再生植入物
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100117
Margot Rikkers , H. Chien Nguyen , Nasim Golafshan , Mylène de Ruijter , Riccardo Levato , Lucienne A. Vonk , Nienke van Egmond , Miguel Castilho , Roel J.H. Custers , Jos Malda
{"title":"A gap-filling, regenerative implant for open-wedge osteotomy","authors":"Margot Rikkers ,&nbsp;H. Chien Nguyen ,&nbsp;Nasim Golafshan ,&nbsp;Mylène de Ruijter ,&nbsp;Riccardo Levato ,&nbsp;Lucienne A. Vonk ,&nbsp;Nienke van Egmond ,&nbsp;Miguel Castilho ,&nbsp;Roel J.H. Custers ,&nbsp;Jos Malda","doi":"10.1016/j.jcjp.2023.100117","DOIUrl":"10.1016/j.jcjp.2023.100117","url":null,"abstract":"<div><h3>Introduction</h3><p>In patients suffering from unilateral osteoarthritis in the knee, an osteotomy can provide symptomatic relief and postpone the need for replacement of the joint. Nevertheless, open-wedge osteotomies (OWOs) around the knee joint face several challenges like postoperative pain and bone nonunion.</p></div><div><h3>Objectives</h3><p>In this study, the aim was to design, fabricate, and evaluate a gap-filling implant for OWO using an osteoinductive and degradable biomaterial.</p></div><div><h3>Methods</h3><p>Design of porous wedge-shaped implants was based on computed tomography scans of cadaveric legs. Implants were 3-dimensionally printed using a magnesium strontium phosphate-polycaprolactone (MgPSr-PCL) biomaterial ink. Standardized scaffolds with different inter-fiber spacing (IFS) were mechanically characterized and osteoinductive properties of the biomaterial were assessed in vitro. Finally, human-sized implants with different heights (5 mm, 10 mm, 15 mm) were designed and fabricated for ex vivo implantation during 3 OWO procedures in human cadaveric legs.</p></div><div><h3>Results</h3><p>Implants printed with an interior of IFS-1.0 resulted in scaffolds that maintained top and bottom porosity, while the interior of the implant exhibited significant mechanical stability. Bone marrow concentrate and culture expanded mesenchymal stromal cells attached to the MgPSr-PCL material and proliferated over 21 days in culture. The production of osteogenic markers alkaline phosphatase activity, calcium, and osteocalcin was promoted in all culture conditions, independent of osteogenic induction medium. Finally, 3 OWO procedures were planned and fabricated wedges were implanted ex vivo during the procedures. A small fraction of one side of the wedges was resected to assure fit into the proximal biplanar osteotomy gap. Preplanned wedge heights were maintained after implantation as measured by micro-computed tomography.</p></div><div><h3>Conclusion</h3><p>To conclude, personalized implants for implantation in OWOs were successfully designed and manufactured. The implant material supported osteogenesis of mesenchymal stromal cells and bone marrow concentrate in vitro and full-size implants were successfully implemented into the surgical procedure without compromising preplanned wedge height.</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100117"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254523000197/pdfft?md5=a5e4085339c07797afaa60e8703f80de&pid=1-s2.0-S2667254523000197-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133335155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Osteochondral allograft and xenograft immunogenicity decrease following ex vivo tissue culture 骨软骨异体移植物和异种移植物体内外组织培养后免疫原性降低
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100115
Kate E. Birdwhistell , Samuel P. Franklin , David J. Hurley , Bradley D. Heins , John F. Peroni
{"title":"Osteochondral allograft and xenograft immunogenicity decrease following ex vivo tissue culture","authors":"Kate E. Birdwhistell ,&nbsp;Samuel P. Franklin ,&nbsp;David J. Hurley ,&nbsp;Bradley D. Heins ,&nbsp;John F. Peroni","doi":"10.1016/j.jcjp.2023.100115","DOIUrl":"10.1016/j.jcjp.2023.100115","url":null,"abstract":"<div><h3>Introduction/Objective</h3><p>Osteochondral allografting can be an effective option for the treatment of focal cartilage injuries. However, wide scale applicability of this technique is limited by availability of donor tissue. To overcome this limitation, osteochondral xenografting has been proposed as a potential alternative, but immune-mediated rejection precludes its clinical application at this time. We hypothesized that removing much of the marrow cell content through tissue culture would result in a decrease in xenograft immunogenicity. We believed this could be tested in a preclinical animal model.</p></div><div><h3>Methods</h3><p>Fresh porcine femoral condyles were harvested and cultured for 0, 14, or 28 days before coculture with either allogeneic enriched porcine T-cells or xenogeneic enriched equine T-cells for 5 days. After 5 days, these cocultures were pulsed with 5-ethynyl-2′deoxyuridine then analyzed by flow cytometry to assess the level of cell proliferation. Coculture supernatant samples were also collected to evaluate the levels of prostaglandin-E2 and monocyte chemotactic protein-1 (MCP-1) as markers of inflammation.</p></div><div><h3>Results</h3><p>The osteochondral tissue induced significantly less T-cell proliferation, prostaglandin-E2, and MCP-1 production when the tissue had been cultured for either 14 or 28 days prior to the coculture assay (<em>P</em> &lt; .0001).</p></div><div><h3>Conclusions</h3><p>We conclude that T-cell responses to either allogeneic or xenogeneic osteochondral tissues were significantly reduced by 14 days of preculture prior to exposure to T-cells.</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100115"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254523000173/pdfft?md5=08e4533d0f9ff6b3ca8661fb07facc17&pid=1-s2.0-S2667254523000173-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123805830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Noninferiority meta-analysis of autologous vs allogeneic osteochondral transplantation for the treatment of osteochondral defects of the knee confounded by defect size differences 自体与异体骨软骨移植治疗膝关节骨软骨缺损的非劣效性荟萃分析(受缺损大小差异的影响
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100130
Dexter Seow , Jin Hean Koh , Hannah L.X. Cheang , Gin Way Law , Glenys Poon , Li Yi Tammy Chan , Keng Lin Wong , James Hui
{"title":"Noninferiority meta-analysis of autologous vs allogeneic osteochondral transplantation for the treatment of osteochondral defects of the knee confounded by defect size differences","authors":"Dexter Seow ,&nbsp;Jin Hean Koh ,&nbsp;Hannah L.X. Cheang ,&nbsp;Gin Way Law ,&nbsp;Glenys Poon ,&nbsp;Li Yi Tammy Chan ,&nbsp;Keng Lin Wong ,&nbsp;James Hui","doi":"10.1016/j.jcjp.2023.100130","DOIUrl":"10.1016/j.jcjp.2023.100130","url":null,"abstract":"<div><h3>Background</h3><p>Autologous and allogeneic osteochondral transplantations are widely employed for knee osteochondral defects (OCDs). However, there has been a lack of consensus on the efficacy of autografts vs allografts.</p></div><div><h3>Objectives</h3><p>To evaluate the complication profile following autologous vs allogeneic osteochondral transplantation for knee OCDs.</p></div><div><h3>Data sources</h3><p>PubMed and Embase.</p></div><div><h3>Study eligibility criteria, participants, and interventions</h3><p>Clinical studies that reported complication rates following autologous or allogeneic osteochondral transplantation for knee OCDs.</p></div><div><h3>Study appraisal and synthesis methods</h3><p>Meta-analysis of proportions using the restricted maximum-likelihood method after the Freeman-Tukey double-arcsine transformation.</p></div><div><h3>Results</h3><p>There were 35 studies with 2647 and 2569 OCDs included before and after lost to follow-up, respectively. Graft failure rates were not significantly lower in autografts vs allografts in all analyses: as reported (6.23% vs 10.81%, respectively; <em>P = .</em>63), best-case (6.00% vs 10.24%, respectively; <em>P = .</em>66) and worst-case analyses (7.46% vs 14.43%, respectively; <em>P = .</em>42). In the subgroup of mean follow-up time &lt;36 months, graft failure rates were significantly lower in autografts vs allografts in all analyses.</p></div><div><h3>Limitations</h3><p>The meta-analysis was confounded by the inherent differences in mean defect sizes of the autograft and allograft arms.</p></div><div><h3>Conclusions and implications of key findings</h3><p>Overall graft failure and revision rates were lower in autograft vs allograft for the treatment of knee OCDs but this may have been confounded by the inherent differences in mean defect sizes between the groups. Further studies on autografts for larger-sized knee OCDs and allografts for smaller-sized knee OCDs are warranted to better complete the noninferiority analysis.</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100130"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254523000355/pdfft?md5=d2c4758f20fadca93f223a29858e8078&pid=1-s2.0-S2667254523000355-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121672449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Welcome to the final issue of the Journal of Cartilage & Joint Preservation in 2023 欢迎阅读《软骨与关节保存杂志》2023 年最后一期
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100156
Miranda Manfre, Rachel M. Frank
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引用次数: 0
Destabilization of the medial meniscus to induce post-traumatic osteoarthritis in domestic pigs 破坏内侧半月板以诱发家猪创伤后骨关节炎
Journal of Cartilage & Joint Preservation Pub Date : 2023-12-01 DOI: 10.1016/j.jcjp.2023.100139
Jacqueline M. Chevalier , Garett B. Pearson , Nicole Nixon , Carl R. Flannery , Luis Campoy , Lisa A. Fortier
{"title":"Destabilization of the medial meniscus to induce post-traumatic osteoarthritis in domestic pigs","authors":"Jacqueline M. Chevalier ,&nbsp;Garett B. Pearson ,&nbsp;Nicole Nixon ,&nbsp;Carl R. Flannery ,&nbsp;Luis Campoy ,&nbsp;Lisa A. Fortier","doi":"10.1016/j.jcjp.2023.100139","DOIUrl":"10.1016/j.jcjp.2023.100139","url":null,"abstract":"<div><h3>Introduction</h3><p>Post-traumatic osteoarthritis (PTOA) develops following traumatic articular insult. One model system used to study the progression and treatment of PTOA is the destabilization of the medial meniscus (DMM) as first described by Glasson et al performed in mini-pigs. Miniature pigs are less available, more expensive, and have synovial fluid sampling limitations, limiting the availability of osteoarthritis biomarkers compared to domestic pigs.</p></div><div><h3>Objectives</h3><p>The following technical note details stepwise procedures and animal welfare strategies for the use of Yorkshire pigs as a large animal PTOA model.</p></div><div><h3>Methods</h3><p>The following technical note details stepwise procedures to perform peroperative saphenous nerve block, DMM, and subsequent postoperative management in Yorkshire pigs as a large animal PTOA model.</p></div><div><h3>Results</h3><p>At 4 weeks post-operatively, all pigs develop mild-moderate PTOA based on postmortem joint dissections.</p></div><div><h3>Conclusions</h3><p>This technical note provides further details on the arthrotomy approach to destabilize the medial meniscus of domestic pigs as a model of PTOA.</p></div>","PeriodicalId":100760,"journal":{"name":"Journal of Cartilage & Joint Preservation","volume":"3 4","pages":"Article 100139"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2667254523000458/pdfft?md5=ea8f7ca097b21496005ddfbe36c38f6f&pid=1-s2.0-S2667254523000458-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129909528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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