Knee Osteoarthritis
Conditions
Keywords
knee osteoarthritis ,, bone marrow aspirate, injections
Brief summary
This pilot study will evaluate the clinica! and radiological results of a treatment for knee osteoarthritis with injections of autologous concentrated bone marrow aspirate at the bone-cartilage interface via percutaneous.
Detailed description
This pilot study (N=30) patients will evaluate the clinica! and radiological results of a treatment for knee osteoarthritis with injections of bone marrow concentrate (BMC),obtained from the Bone Marrow Aspirate Concentration System (BioCUE) at the bone-cartilage interface via percutaneous injections. The PerFuse system will also be evaluated to determine if it can be used to deliver the BMC to the osseous sites. Follow-up is 1, 3, 6, 12, and 24 months.
Interventions
Percutaneous injections at the bone-cartilage interface (distal femur and proximal tibia)
Sponsors
Study design
Intervention model description
autologous concentrated bone marrow aspirate
Eligibility
Inclusion criteria
* age ranging from 40 to 75 * Osteoarthritis of the medial or lateral compartment (2-3-4 grade according to the Kellgren-Lawrence score); * Failure after at least 6 months of conservative treatment (drug therapy with NSAIDs,hyaluronic acid,platelet-rich plasma and corticosteroids injections); * Signature of informed consent.
Exclusion criteria
* Patients with trauma in the 6 months prior to the intervention; * Patients with malignancies; * Patients with rheumatic diseases; * Patients with diabetes; * Patients suffering from metabolic disorders of the thyroid; * Patients being abuse of alcohol, drugs or medications; * Body Mass Index\> 35;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| improvement of the International Knee Documentation Committee (IKDC) subjective score | Time Frame: 1,3,6, 12, 24 months evaluation | (International Knee Documentation Committee) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| improvement of the Knee Injury and osteoarthritis Outcome Score (KOOS) | Time Frame: 1,3,6, 12, 24 months evaluation | (Knee Injury and osteoarthritis Outcome Score) |
| evaluation of WORMS score for MRI | Time Frame: 6, 12, 24 months evaluation | MRI score |
Countries
Italy