Effect of Autologous Peripheral Blood Stem Cell Treatment on Articular Cartilage Regeneration

Kuala Lumpur Sports Medicine Centre

Status and phase

Completed

Phase 2

Conditions

Articular Cartilage Disorder of Knee

Treatments

Biological: Peripheral blood stem cells and hyaluronic acid injections

Drug: Hyaluronic Acid

Study type

Interventional

Funder types

Other

Identifiers

NCT01076673

KLSMC-001

Details and patient eligibility

About

The purpose of this study was to compare histologic and MRI evaluation of articular cartilage regeneration in patients with chondral lesions treated by arthroscopic subchondral drilling followed by postoperative intra-articular injections of hyaluronic acid (HA) with and without peripheral blood stem cells (PBSC)

Full description

The purpose of this study was to compare histologic and magnetic resonance imaging (MRI) evaluation of articular cartilage regeneration in patients with chondral lesions treated by arthroscopic subchondral drilling followed by postoperative intra-articular injections of hyaluronic acid (HA) with and without peripheral blood stem cells (PBSC)

Enrollment

50 patients

Sex

All

Ages

18 to 50 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients who have signed informed consent form
Patients with only unilateral isolated or multiple knee articular cartilage lesions demonstrated MRI scanning, with up to one previous operation on that knee
Patients who are either male or female aged between 18 to 50 years old, corresponding to availability of normative International Knee Documentation Committee (IKDC) data.
Female patients of childbearing age must have negative pregnancy tests and are advised to take contraceptive precautions throughout the study.

Exclusion criteria

Patients with bilateral knee lesions
Patients with the presence of ligamentous injury which would require reconstruction, varus or valgus deformity greater than 10 degrees, previous open total menisectomy requiring osteotomy, and cases that require complex surgery prior to cartilage regeneration
Patients with significant cognitive impairment, non-ambulatory status or lower extremities amputation other than toes, serious illness or medication affecting operative risk or wound healing (e.g. steroid intake, anticoagulation), and poorly controlled diabetes mellitus with a baseline HbA1c more than 8
Patients with significant peripheral vascular disease as indicated by absent dorsalis pedis or posterior tibial pulses.
Patients who cannot read English will be excluded from the study as they will be unable to complete the study questionnaires in an objective manner
Female patients who are pregnant
Patients with any contradictions to MRI scanning
Patients with body mass index (BMI) of over 35