Knee Chondral, Osteochondral Defect
Conditions
Brief summary
CARTIPATCH® is an Autologous Chondrocyte Implantation product including functional cells in a matrix, indicated for the treatment of isolated osteocartilaginous lesions. The submitted protocol is a Phase III multicentric, prospective, controlled and randomized clinical trial, sponsored by TBF Génie Tissulaire, France. The main objective of the protocol is to compare the clinical improvement of the IKDC subjective score between the microfracture-treated group and the CARTIPATCH® chondrocyte graft-treated group , 18 months following surgery. Several secondary objectives were determined. The microfracture procedure will be conducted in one operative step, during arthroscopy and CARTIPATCH® procedure will be conducted in two operative steps: 1. Arthroscopy to collect cartilage; 2. Implantation following arthrotomy about 6 weeks following arthroscopy. Both groups will follow the same rehabilitation program.
Interventions
Cartilage is harvested and treated for chondrocytes isolation and culture. After multiplication, the chondrocytes are transferred into a biomaterial support and surgically implanted.
Tiny fractures are created at the cartilage surface to stimulate cartilage growth.
Sponsors
Study design
Eligibility
Inclusion criteria
* isolated femoral osteochondral lesion * aged 18 to 45 * grade 3 or 4 lesion (ICRS) sized 2,5 to 7,5cm2 * lesion depth under 10mm * IKDC score below 55 * no prior surgical treatment
Exclusion criteria
* pregnancy or breastfeeding * allergy * arthrosis * varus or valgus angle greater than 6° * kissing lesion * affection of the patella * excessive laxity * meniscal pathology history * severe chronic disease * BMI \> 30 * HIV, Hepatitis B, C, HTLV, Syphilis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical evaluation scoring system: IKDC | 18 months |
Countries
Belgium