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Bone Marrow Aspirate Concentrate-Enhanced Marrow Stimulation of Chondral Defects
by
Gao, Liang
, Madry, Henning
, Cucchiarini, Magali
, Orth, Patrick
, Eichler, Hermann
in
Articular cartilage
/ Bone marrow
/ Cell adhesion & migration
/ Cell differentiation
/ Defects
/ Drilling
/ Gene expression
/ Growth factors
/ Health aspects
/ Joint surgery
/ Knee
/ Review
/ Stem cells
/ Studies
2017
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Bone Marrow Aspirate Concentrate-Enhanced Marrow Stimulation of Chondral Defects
by
Gao, Liang
, Madry, Henning
, Cucchiarini, Magali
, Orth, Patrick
, Eichler, Hermann
in
Articular cartilage
/ Bone marrow
/ Cell adhesion & migration
/ Cell differentiation
/ Defects
/ Drilling
/ Gene expression
/ Growth factors
/ Health aspects
/ Joint surgery
/ Knee
/ Review
/ Stem cells
/ Studies
2017
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While trying to remove the title from your shelf something went wrong :( Kindly try again later!
Do you wish to request the book?
Bone Marrow Aspirate Concentrate-Enhanced Marrow Stimulation of Chondral Defects
by
Gao, Liang
, Madry, Henning
, Cucchiarini, Magali
, Orth, Patrick
, Eichler, Hermann
in
Articular cartilage
/ Bone marrow
/ Cell adhesion & migration
/ Cell differentiation
/ Defects
/ Drilling
/ Gene expression
/ Growth factors
/ Health aspects
/ Joint surgery
/ Knee
/ Review
/ Stem cells
/ Studies
2017
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Bone Marrow Aspirate Concentrate-Enhanced Marrow Stimulation of Chondral Defects
Journal Article
Bone Marrow Aspirate Concentrate-Enhanced Marrow Stimulation of Chondral Defects
2017
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Overview
Mesenchymal stem cells (MSCs) from bone marrow play a critical role in osteochondral repair. A bone marrow clot forms within the cartilage defect either as a result of marrow stimulation or during the course of the spontaneous repair of osteochondral defects. Mobilized pluripotent MSCs from the subchondral bone migrate into the defect filled with the clot, differentiate into chondrocytes and osteoblasts, and form a repair tissue over time. The additional application of a bone marrow aspirate (BMA) to the procedure of marrow stimulation is thought to enhance cartilage repair as it may provide both an additional cell population capable of chondrogenesis and a source of growth factors stimulating cartilage repair. Moreover, the BMA clot provides a three-dimensional environment, possibly further supporting chondrogenesis and protecting the subchondral bone from structural alterations. The purpose of this review is to bridge the gap in our understanding between the basic science knowledge on MSCs and BMA and the clinical and technical aspects of marrow stimulation-based cartilage repair by examining available data on the role and mechanisms of MSCs and BMA in osteochondral repair. Implications of findings from both translational and clinical studies using BMA concentrate-enhanced marrow stimulation are discussed.
Publisher
Hindawi Limiteds,Hindawi Publishing Corporation,Hindawi,John Wiley & Sons, Inc,Wiley
Subject
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