自体间质血管部分移植治疗晚期膝关节和髋关节骨性关节炎。

IF 1.3 4区 农林科学 Q2 VETERINARY SCIENCES
M Schroers, Y Bruns, A-C Waselau, S Steigmeier-Raith, A Meyer-Lindenberg
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引用次数: 0

摘要

目的:本研究的目的是评估晚期髋关节和膝关节骨性关节炎犬在单次自体间质血管部分(SVF)移植后的跛行情况。材料和方法:在小开腹术中,为每个待治疗关节从每位患者身上取出10 g镰状脂肪。SVF的内部制备采用了一种现代且节省时间的程序(ARC TM System, InGeneron GmbH, Houston, USA),因此分离的细胞可以在脂肪去除后2小时内应用于相应的关节。总共治疗了5例患者的5个膝关节和4例患者的7个髋关节。结果:5例膝关节关节炎患者中有3例跛行改善,4例髋关节关节炎患者中有2例跛行改善。基于步态分析,只有一只踝关节病犬和一只髋关节病犬在术后最多3个月内出现改善。结论:这是第一个使用即时SVF移植治疗膝关节或髋关节骨性关节病的病例系列。在个别情况下,这种方法可能是治疗晚期膝关节炎或膝关节炎的一种治疗方法,尽管只能预期短期效果,这引起了对所涉及的努力和成本的质疑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Autologous point-of-care stromal vascular fraction transplantation in dogs with advanced osteoarthritis of the knee and hip joints

Autologous point-of-care stromal vascular fraction transplantation in dogs with advanced osteoarthritis of the knee and hip joints

Objective

The aim of the study was to assess lameness in dogs with advanced osteoarthritis of the hip and knee joints after a single autologous point-of-care transplantation of the Stromal Vascular Fraction (SVF) into the affected joint.

Materials and methods

During a minilaparotomy, 10 g of falciform fat was removed from each patient for each joint to be treated. A modern and time-saving procedure (ARC TM System, InGeneron GmbH, Houston, USA) was used for the in-house preparation of the SVF, so that the isolated cells could be applied to the respective joint within 2 h after fat removal. In total, five knee joints of five patients and seven hip joints of four patients were treated.

Results

Improvement in lameness according to owner questionnaires was seen in 3 of 5 patients with knee joint arthritis and 2 of 4 patients with hip joint arthritis. Based on gait analysis, only one dog with gonarthrosis and one dog with coxarthrosis showed improvement up to a maximum of 3 months after surgery.

Conclusion

This is the first case series on the treatment of osteoarthrosis of the knee or hip joint using point-of-care transplantation of the SVF. In individual cases, this method may represent a therapeutic approach for the treatment in dogs with advanced cox- or gonarthrosis, although only a short-term effect can be expected, which calls into question the effort and costs involved.

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来源期刊
Australian Veterinary Journal
Australian Veterinary Journal 农林科学-兽医学
CiteScore
2.40
自引率
0.00%
发文量
85
审稿时长
18-36 weeks
期刊介绍: Over the past 80 years, the Australian Veterinary Journal (AVJ) has been providing the veterinary profession with leading edge clinical and scientific research, case reports, reviews. news and timely coverage of industry issues. AJV is Australia''s premier veterinary science text and is distributed monthly to over 5,500 Australian Veterinary Association members and subscribers.
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