A Solution for Knee Osteoarthritis with Adipose-Derived Autologous Stem Cells in Middle-Aged People

L. Milani
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Abstract

Background: Adipose tissue has achieved a great relevance as possible fount of mesenchymal stem cells for the healing of different articular pathologies including Knee Osteoarthritis (KOA). Stem cells derived from the Adipose Tissue (ADSCs) have a possibility to differentiate into chondrocyte, can reduce the immune response and can stimulate a local tissue repair, improving also the intra-articular Methods and Findings: Intra-articular injections of ADSCs with other conservative or surgical treatments can lead to an improving of all clinical and functional postoperative outcomes evaluated in middle-aged patients with KOA or chondral lesions. Moreover, some scores based on Magnetic Resonance Imaging (MRI) demonstrated an incremented quality of repaired cartilage in comparison with the pre-treatment. We observed no serious advent events. Conclusion: The use of ADSCs appeared to be out of danger, effective and it can be supposed an alternative procedure for the healing of chondral lesions and degenerative OA suitable for middle-aged athlete but no specific studies have been focus on this population and no long term follow-up data are available.
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中年人用脂肪来源的自体干细胞治疗膝骨性关节炎
背景:脂肪组织作为间充质干细胞的可能来源,在包括膝骨关节炎(KOA)在内的不同关节病变的愈合中具有很大的相关性。来源于脂肪组织(ADSCs)的干细胞有可能分化为软骨细胞,可以减少免疫反应,并可以刺激局部组织修复,也可以改善关节内注射ADSCs与其他保守或手术治疗可以改善中年KOA或软骨病变患者的所有临床和功能术后结果。此外,一些基于磁共振成像(MRI)的评分显示,与预处理相比,修复的软骨质量有所提高。我们没有观察到严重的发病事件。结论:ADSCs的使用似乎是安全有效的,它可以被认为是一种适合中年运动员的软骨病变和退行性骨关节炎愈合的替代方法,但没有针对这一人群的专门研究,也没有长期随访数据。
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