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Table 14 Summary of the published clinical studies

From: The use of mesenchymal stem cells for cartilage repair and regeneration: a systematic review

Category

No. of studies

References

Cell source

 Bone marrow

22 (71%)

[103–105, 109, 111–113, 115–118, 120, 122–128, 130–132]

 Adipose

5 (16%)

[106–108, 110, 114]

 Peripheral blood

2 (6%)

[119, 121]

 Synovium

2 (6%)

[129, 133]

Cell delivery

 Arthroscopic implantation

  Hyaluronic acid membrane

2 (6%)

[117, 130]

  Hyaluronic acid with fibrin glue or platelet gel

2 (6%)

[116, 128]

  Polyglycolic acid/hyaluronan

2 (6%)

[127, 131]

  Collagen with platelet gel

1 (3%)

[116]

  Fibrin glue

1 (3%)

[108]

  HYAFF 11 scaffold

1 (3%)

[132]

  Acetate Ringer solution

1 (3%)

[133]

  Unspecified

1 (3%)

[107]

Intra-articular injection

  PBS only

2 (6%)

[104, 110]

  PBS with HA

2 (6%)

[119, 121]

  Autologous serum

2 (6%)

[115, 123]

  Ringer lactate solution

3 (10%)

[103, 111, 112]

  PBS with serum albumin

1 (3%)

[105]

  HA and PRP

1 (3%)

[106]

  PRP

1 (3%)

[114]

  Commercial serum

1 (3%)

[109]

Transplantation by open surgery

  Collagen

6 (21%)

[103, 113, 118, 122, 124, 126, 129]

  Ascorbic acid-mediated sheet

2 (7%)

[120, 123]

  Fibrin glue

1 (4%)

[125]

Cell dose

 Less than 10 million

8 (26%)

[105, 107, 108, 114, 120, 122, 124, 129]

 10–20 million

5 (16%)

[113, 118, 119, 123, 125]

 Over 20 million

7 (23%)

[103, 104, 109–112, 133]

 Unspecified

11 (35%)

[106, 115–117, 121, 126–128, 130–132]

Follow-up

 Up to 6 months

4 (13%)

[104–106, 110]

 Up to 12 months

6 (19%)

[103, 109, 111, 124, 125, 127]

 Up to 2 years

11 (35%)

[107, 113–116, 120, 121, 128–131]

 Up to 3 years

7 (23%)

[108, 112, 117, 119, 122, 126, 132]

 Over 3 years

2 (6%)

[118, 133]

Assessments

 Radiology (MRI, X-ray)

24 (77%)

[103–106, 109–112, 115–117, 119, 121–125, 127–133]

 Arthroscopic assessment incl. histology

17 (54%)

[107, 108, 113, 116–122, 124–126, 130–133]

 IKDC

10 (32%)

[107, 108, 115, 121, 122, 126, 128, 130–132]

 VAS pain

12 (39%)

[103–106, 109–112, 114, 129, 131, 132]

 Tegner activity scale

8 (26%)

[107, 108, 114, 115, 129, 131–133]

 Lysholm

6 (19%)

[114, 115, 125, 128, 131, 133]

 KOOS

5 (16%)

[126, 128–130, 132]

 Function (no scoring systems or unspecified)

4 (13%)

[104–106, 109]

 ICRS cartilage injury evaluation package

3 (10%)

[120, 123, 125]

 Clinical symptoms/outcomes (no scoring system or unspecified)

3 (10%)

[105, 109, 124]

 (Revised) Hospital for special surgery knee-rating scale

2 (6%)

[113, 125]

 Functional Rating Index

2 (6%)

[104, 106]

 WOMAC

5 (16%)

[103, 109–112]

 AOFAS score

2 (6%)

[112, 116, 117]

 Knee Society Score

1 (3%)

[110]

 Harris Hip Score

1 (3%)

[112]

Concomitant procedures

 Subchondral bone marrow stimulation (multiple perforation, drilling, abrasion chondroplasty)

11 (35%)

[113, 115, 118, 119, 121–123, 125, 127, 128, 131]

 Debridement, synovectomy, excision of degenerative tears (no subchondral bone marrow stimulation)

8 (26%)

[107, 108, 114, 116, 117, 124, 130, 133]

 ACL reconstruction, meniscus repair, osteotomy, or patella alignment, ACL calcification removal, trochlear resurfacing, osteochondral fragment fixation

8 (26%)

[115, 123, 126, 129–133]

 None

6 (19%)

[103, 105, 106, 110–112]

 Not specified

3 (10%)

[104, 109, 120]

Previous procedures

 Microfractures/multiple perforation/multiple drilling

6 (19%)

[104, 116, 117, 122, 125, 130]

 Menisectomy

6 (19%)

[103, 111, 124, 129, 131, 133]

 ACL reconstruction

4 (13%)

[103, 111, 131, 133]

 Multiple (microfracture, debridement)

1 (3%)

[119]

 ACI

2 (6%)

[116, 117]

 None

6 (19%)

[106–108, 110, 114, 118]

 Not specified

9 (29%)

[105, 109, 112, 115, 120, 121, 126, 128, 132]

  1. PBS phosphate-buffered saline, HA hyaluronic acid, PRP plate-rich-plasma, RCT randomised controlled study, KOOS Knee and Osteoarthritis Outcome Score, IKDC score International Knee Documentation Committee Score, WOMAC the Western Ontario and McMaster Universities Arthritis Index, AOFAS the American Orthopaedic Foot & Ankle Society