Articular cartilage engineering with Hyalograft C: 3-year clinical results
| Autor: | Domenico Brocchetta, D Rosa, Alberto Gobbi, Gian Luigi Sacchetti, E. Kon, Maurilio Marcacci, Stefano Zanasi, A. Delcogliano, Massimo Berruto, Giacomo Stefani, Luigi Adriano Pederzini, Diego Ghinelli |
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| Přispěvatelé: | M. Marcacci, M. Berruto, D. Bocchetta, A. Delcogliano, D. Ghinelli, A. Gobbi, E. Kon, L. Pederzini, D. Rosa, G. L. Sacchetti, G. Stefani, S. Zanasi |
| Rok vydání: | 2005 |
| Předmět: |
Adult
Cartilage Articular Male Pathology medicine.medical_specialty Scaffold Articular cartilage Biocompatible Materials Knee Injuries Menisci Tibial Statistics Nonparametric chemistry.chemical_compound Chondrocytes Tissue engineering Hyaluronic acid medicine Humans Orthopedics and Sports Medicine Hyaluronic Acid Range of Motion Articular Cartilage repair Retrospective Studies Tissue Engineering business.industry Cartilage General Medicine Biocompatible material Tibial Meniscus Injuries medicine.anatomical_structure Treatment Outcome Multicenter study chemistry Quality of Life Surgery Female business |
| Zdroj: | Clinical orthopaedics and related research. (435) |
| ISSN: | 0009-921X |
| Popis: | The use of tissue engineering for cartilage repair has emerged as a potential therapeutic option and has led to the development of Hyalograft C, a tissue-engineered graft composed of autologous chondrocytes grown on a scaffold entirely made of HYAFF 11, an esterified derivative of hyaluronic acid. Here we present the results of an ongoing multicenter clinical study conducted with the primary objective to investigate the subjective symptomatic, functional and health-related quality of life outcomes of patients treated with Hyalograft C. Clinical results on the cohort of 141 patients with followup assessments ranging from 2 to 5 years (average followup time: 38 months), are reported. At followup 91.5% of patients improved according to the International Knee Documentation Committee subjective evaluation; 76% and 88% of patients had no pain and mobility problems respectively assessed by the EuroQol-EQ5D measure. Furthermore, 95.7% of the patients had their treated knee normal or nearly normal as assessed by the surgeon; cartilage repair was graded arthroscopically as normal or nearly normal in 96.4% of the scored knees; the majority of the second-look biopsies of the grafted site histologically were assessed as hyaline-like. Importantly, a very limited complication rate was recorded in this study. The positive clinical results obtained indicate that Hyalograft C is a safe and effective therapeutic option for the treatment of articular cartilage lesions.Therapeutic study, Level III-2 (retrospective cohort study). See the Guidelines for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
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