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Analysis of the acetabular chondral flap (ALAD-3/4 damage) in FAI syndrome type CAM

Analysis of the acetabular chondral flap (ALAD-3/4 damage) in FAI syndrome type CAM - -

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00023506
Enrollment
10
Registered
2020-11-04
Start date
2020-11-02
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

M24.85 M94.25

Interventions

Group 1: The cartilage flap is resected intraoperatively in the presence of ALAD 3/4 damage. This will be evaluated histologically.

Sponsors

Klinik und Poliklinik für Orthopädie und orthopädische ChirurgieForschungsabteilung | Human Cells and Orthopedic MaterialsUniversitätsmedizin Greifswald KöR
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: FAI Syndrome, chondral damage ALAD 3/4

Exclusion criteria

Exclusion criteria: Chondral damage ALAD 1/2

Design outcomes

Primary

MeasureTime frame
Unstable chondral delamination flaps are routinely resected intraoperatively and examined. Histology: A portion of the resected tissue is fixed in paraformaldehyde for histological examination, embedded in kerosene and cut. For histological evaluation of cartilage quality, the following staining procedures are performed: (i) H&E as overview staining and for the evaluation of possible immune cell infiltrations (ii) Collagen (II) Immunofluorescence for the evaluation of cartilage quality or the proportion of hyaline articular cartilage (iii) Alcian blue for the evaluation of cartilage quality or the proportion of sulfated glycosaminoglycans.

Secondary

MeasureTime frame
Flow cytometry: A part of the resectate is digested for cell isolation by collagenase degradation (Yonenaga et al. 2017). After degradation the cell counts / g resectate are quantified. To assess possible immune cell infiltration, the isolated cells are examined by flow cytometry. For this purpose a Basic Immune Phenotyping (CD3, CD4, CD8, CDM, CD16, CD19, CD45, CD56) is performed. Cell characterization: To assess the functionality of isolated chondrocytes, they are expanded in vitro and subsequently characterized, (i) proliferation capacity and viability, (ii) migration capacity (live cell imaging), (iii) matrix formation after chondrogenic in vitro stimulation and subsequent proteoglycan quantification, histological examination of the cartilage pellet and gene expression analyses of the classical chondrogenic markers (ACAN, MMP13, SOX9, COL10A1, COL2A1) before and after stimulation.

Countries

Germany

Contacts

Public ContactAlexander Zimmerer

ARCUS Kliniken

zimmerer@sportklinik.de+49 7231 / 60556 - 312

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026