Articular Cartilage Disorder of Knee, Osteoarthritis, Knee
Conditions
Keywords
Bone marrow derived Mesenchymal Stem Cells, Knee articular cartilage injury, Chondrogenesis, orthopedics
Brief summary
Induction of autologous repair chondrogenesis to regenerate injured articular cartilage using bone marrow mesenchymal stem cells (MSCs) after in vitro expansion under restricted culturing conditions.
Detailed description
Fourteen patients from both genders, age range 40-68, will be enrolled according to strict inclusion and exclusion criteria, divided into two equal groups based upon receiving autologous MSCs alone, or MSCs supported by platelet lysate through percutaneous injection. The patients are followed by clinical assessment, laboratory investigations as well as magnetic resonance imaging (MRI) of the injected knee. The investigators hypothesize that the two groups will give satisfactory clinical outcomes, but the investigators are looking forward to assessing the best product that will activate chondrogenesis and heal cartilaginous injury.
Interventions
Comparison of clinical outcomes of patients injected by mesenchymal stem cells only with patients injected with mesenchymal stem cells supported by platelet lysate
Sponsors
Study design
Eligibility
Inclusion criteria
* MRI must show moderate/severe articular injury * Serum collagen II must be above the normal value. * Lesion site: Femoral and Tibial condyles or patella * Admission of steroid , NSAID, pain killers must be stopped before 1 month
Exclusion criteria
* Lesion size * PT and PTT not within normal value * Complete blood count ( Hb, PCV, and RBC) not within the normal value * HIV and Hepatitis Antigens (B and C) detection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessing the therapeutic benefits of the injected Autologous Mesenchymal Stem Cells. | 12 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of the articular cartilage healing in osteoarthritic patients through intra articular injection of Autologus Mesenchymal stem cell with/or without supported product. | 12 months | For every patient tests would be performed repeated at 6, and 12 months post-injection. |
Countries
Jordan