MESENCHYMAL CELLS IN ROTATOR CUFF REPAIR -TECHNIQUE DESCRIPTION AND CASE REPORTS
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Citações na Scopus
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Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
ATHA COMUNICACAO & EDITORA
Citação
ACTA ORTOPEDICA BRASILEIRA, v.31, n.6, article ID e268392, 5p, 2023
Resumo
Objective: To describe a protocol of obtention of mesenchymal stem cells and to report their use as a biological adjuvant in three patients undergoing arthroscopic rotator cuff repair. Methods: Case series of patients who underwent arthroscopic repair of isolated full-thickness supraspinatus tear using mesenchymal stem cells obtained from the bone marrow as a biological adjuvant. All patients were operated on at the same institution, by a surgeon with 13 years of experience. The cells were applied at the end of the procedure, at the tendon-bone interface, at an approximate concentration of 2,000,000 mesenchymal cells/mm3 and a total volume of 5 ml. Results: All patients improved with the procedure, with one excellent and two good results. All cases overcame the minimally important clinical difference. All cases reached tendon healing, without partial or complete re-tears. We observed no complications. Conclusion: Arthroscopic rotator cuff repair with added mesenchymal cells obtained from bone marrow and submitted to a cell expansion process led to good functional results and healing in all cases in the sample, with no complications. Level of Evidence IV, Case Series.
Palavras-chave
Rotator Cuff, Mesenchymal Stem Cell Transplantation, Arthroscopy
Referências
- Bailey JR, 2019, AM J SPORT MED, V47, P1496, DOI 10.1177/0363546518774762
- Burkhart SS, 2006, J AM ACAD ORTHOP SUR, V14, P333, DOI 10.5435/00124635-200606000-00003
- Chun SW, 2022, SCI REP-UK, V12, DOI 10.1038/s41598-021-04656-z
- Churchill RS, 2010, J SHOULDER ELB SURG, V19, P716, DOI 10.1016/j.jse.2009.10.011
- Fuchs B, 1999, J SHOULDER ELB SURG, V8, P599, DOI 10.1016/S1058-2746(99)90097-6
- Gamradt SC, 2007, TECH ORTHOP, V22, P26, DOI 10.1097/01.bto.0000261868.03232.dd
- Gulotta LV, 2009, CLIN SPORT MED, V28, P13, DOI 10.1016/j.csm.2008.09.002
- Hernigou P, 2014, INT ORTHOP, V38, P1811, DOI 10.1007/s00264-014-2391-1
- Hurley ET, 2019, AM J SPORT MED, V47, P753, DOI 10.1177/0363546517751397
- Jo CH, 2018, STEM CELLS, V36, P1441, DOI 10.1002/stem.2855
- Kim YS, 2017, AM J SPORT MED, V45, P2010, DOI 10.1177/0363546517702863
- Li ZY, 2019, J ORTHOP SURG RES, V14, DOI 10.1186/s13018-019-1072-6
- Malavolta EA, 2022, ORTHOP TRAUMATOL-SUR, V108, DOI 10.1016/j.otsr.2021.102894
- Malavolta EA, 2018, AM J SPORT MED, V46, P3134, DOI 10.1177/0363546518795895
- Malavolta Eduardo Angeli, 2017, Rev. bras. ortop., V52, P501, DOI 10.1016/j.rboe.2017.06.010
- Malavolta EA, 2017, ACTA ORTOP BRAS, V25, P78, DOI 10.1590/1413-785220172503170849
- Malavolta EA, 2014, AM J SPORT MED, V42, P2446, DOI 10.1177/0363546514541777
- McElvany MD, 2015, AM J SPORT MED, V43, P491, DOI 10.1177/0363546514529644
- Oku Elaine Cristina, 2006, Rev. Bras. Reumatol., V46, P246, DOI 10.1590/S0482-50042006000400003
- Lamas JR, 2019, TRIALS, V20, DOI 10.1186/s13063-019-3504-3
- Randelli PS, 2022, AM J SPORT MED, V50, P1344, DOI 10.1177/03635465221083324
- Rodeo SA, 2007, J SHOULDER ELB SURG, V16, p191S, DOI 10.1016/j.jse.2007.03.012
- Smid P, 2017, Clin Investig (Lond), V7, P103
- Sugaya H, 2005, ARTHROSCOPY, V21, P1307, DOI 10.1016/j.arthro.2005.08.011
- Yamamoto A, 2010, J SHOULDER ELB SURG, V19, P116, DOI 10.1016/j.jse.2009.04.006