Knee joint cartilage cells metabolize slowly, and it is difficult to repair themselves after injury. Any knee joint trauma or the progression of osteoarthritis may lead to the progression of cartilage or osteochondral defects. Compared with bone marrow mesenchymal stem cells (MSCs), peripheral blood MSCs have better chondrogenic differentiation ability. At the same time, the mobilization of peripheral blood MSCs and the advancement of extraction technology also make it feasible to treat osteochondral damage by using peripheral blood MSCs. The purpose of this study is to evaluate the therapeutic effect of surgical transplantation of autologous peripheral blood MSCs to repair knee joint Ⅳ-degree localized cartilage injury, and to explore a new treatment for osteochondral defects based on the foundation of the research group's previous research.
1. Explore the clinical efficacy of autologous peripheral blood mesenchymal stem cell transplantation in the treatment of osteochondral defects 2. Exploring the characteristics of cartilage regeneration in autologous peripheral blood mesenchymal stem cell transplantation
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
252
Transplantation of autologous peripheral blood mesenchymal stem cell
Microfracture
Microfracture plus collagen membrane transplantation
Autologous osteochondral transplantation
Institute of Sports Medicine, Peking University Third Hospital
Beijing, Beijing Municipality, China
Magnetic Resonance Imaging in the 6th month after surgery
Magnetic Resonance Imaging,including T2-mapping sequence, to evaluate the magnetic resonance observation of cartilage repair tissue (MOCART) score of cartilage regeneration in the knee articular cartilage defect area at 6 months after sugery. The MOCART score ranges from 0 to 100 points, the higher the score, the better the repair effect.
Time frame: 6 months after sugery
Magnetic Resonance Imaging in the 12th month after surgery
Magnetic Resonance Imaging,including T2-mapping sequence, to evaluate the MOCART score of cartilage regeneration in the knee articular cartilage defect area at 12 months after sugery
Time frame: 12 months after sugery
Magnetic Resonance Imaging in the 24th month after surgery
Magnetic Resonance Imaging,including T2-mapping sequence, to evaluate the MOCART score of cartilage regeneration in the knee articular cartilage defect area at 24 months after sugery
Time frame: 24 months after sugery
The Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index
The higher the WOMAC osteoarthritis index, the more severe the OA. Evaluate the severity of OA according to the following criteria: less than 80 is mild, 80-120 is moderate, and greater than 120 is severe.
Time frame: 3, 6, 12, 18 and 24 months after sugery
International knee documentation committee (IKDC) Knee Joint Score Sheet
IKDC is an internationally recognized score sheet for comprehensive evaluation of the subjective symptoms and objective signs of the knee joint system.
Time frame: 3, 6, 12, 18 and 24 months after sugery
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