Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 1/2014

01.01.2014 | Knee

Is there a role for adult non-cultivated bone marrow stem cells in ACL reconstruction?

verfasst von: Alcindo Silva, Ricardo Sampaio, Rui Fernandes, Elisabete Pinto

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 1/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To assess by magnetic resonance imaging (MRI) if adult non-cultivated bone marrow stem cells accelerate tendon-to-bone healing in the femoral tunnel, after hamstring anterior cruciate ligament (ACL) reconstruction.

Methods

Forty-three patients underwent ACL reconstruction and were prospectively randomized into two groups: 20 patients in the experimental group (group A) with adult non-cultivated bone marrow stem cells and 23 patients in the control group (group B) without adult non-cultivated bone marrow stem cells. All patients underwent MRI of the knee at three months after surgery to evaluate the signal-to-noise ratio of the interzone.

Results

There was no difference in the signal-to-noise ratio of the interzone on MRI between the experimental and the control group.

Conclusions

Adult non-cultivated bone marrow stem cells do not seem to accelerate graft-to-bone healing in ACL reconstruction. The clinical relevance of this finding is that adult non-cultivated bone marrow stem cells apparently have a limited role in ACL reconstruction.

Level of evidence

II.
Literatur
1.
Zurück zum Zitat Arnoczky SP (1999) Building a meniscus. Biologic considerations. Clin Orthop 367(Suppl):S244–S253 Arnoczky SP (1999) Building a meniscus. Biologic considerations. Clin Orthop 367(Suppl):S244–S253
2.
Zurück zum Zitat Benjamin M, Evans E, Copp D (1986) The histology of tendon attachments to bone in man. J Anat 149:89–100PubMed Benjamin M, Evans E, Copp D (1986) The histology of tendon attachments to bone in man. J Anat 149:89–100PubMed
3.
Zurück zum Zitat Bianco P, Riminucci M (1998) The bone marrow stroma in vivo: ontogeny, structure, cellular composition and changes in disease. In: Beresford JN, Cambridge ME (eds) Marrow stromal cell culture: handbook in practical animal cell biology. Cambridge University Press, Cambridge, pp 10–25CrossRef Bianco P, Riminucci M (1998) The bone marrow stroma in vivo: ontogeny, structure, cellular composition and changes in disease. In: Beresford JN, Cambridge ME (eds) Marrow stromal cell culture: handbook in practical animal cell biology. Cambridge University Press, Cambridge, pp 10–25CrossRef
4.
Zurück zum Zitat Bongso A, Lee EH (2005) Stem cells: their definition, classification and sources. In: Bongso A (ed) Stem cells from bench to bedside. World Scientific Publishing, Singapore, pp 1–14CrossRef Bongso A, Lee EH (2005) Stem cells: their definition, classification and sources. In: Bongso A (ed) Stem cells from bench to bedside. World Scientific Publishing, Singapore, pp 1–14CrossRef
5.
Zurück zum Zitat Cancedda R, Dozin B, Giannoni P, Quarto R (2003) Tissue engineering and cell therapy of cartilage and bone. Matrix Biol 22:81–91PubMedCrossRef Cancedda R, Dozin B, Giannoni P, Quarto R (2003) Tissue engineering and cell therapy of cartilage and bone. Matrix Biol 22:81–91PubMedCrossRef
6.
Zurück zum Zitat Fibbe WE (2002) Mesenchymal stem cells. A potential source for skeletal repair. Ann Rheum Dis 61(Suppl 2):29–31 Fibbe WE (2002) Mesenchymal stem cells. A potential source for skeletal repair. Ann Rheum Dis 61(Suppl 2):29–31
7.
Zurück zum Zitat Goradia VK, Rochat MC, Grana WA, Rohrer MD, Prasad HS (2000) Tendon-to-bone healing of a semitendinosus tendon autograft used for ACL reconstruction in a sheep model. Am J Knee Surg 13:143–151PubMed Goradia VK, Rochat MC, Grana WA, Rohrer MD, Prasad HS (2000) Tendon-to-bone healing of a semitendinosus tendon autograft used for ACL reconstruction in a sheep model. Am J Knee Surg 13:143–151PubMed
8.
Zurück zum Zitat Jorgensen C, Djouad F, Apparailly F, Noel D (2003) Engineering mesenchymal stem cells for immunotherapy. Gene Ther 10:928–931PubMedCrossRef Jorgensen C, Djouad F, Apparailly F, Noel D (2003) Engineering mesenchymal stem cells for immunotherapy. Gene Ther 10:928–931PubMedCrossRef
9.
Zurück zum Zitat Kohno T, Ishibashi Y, Tsuda E, Kusumi T, Tanaka M, Toh S (2007) Immuno-histochemical demonstration of growth factors at the tendon-bone interface in anterior cruciate ligament reconstruction using a rabbit model. J Orthop Sci 12:67–73PubMedCrossRef Kohno T, Ishibashi Y, Tsuda E, Kusumi T, Tanaka M, Toh S (2007) Immuno-histochemical demonstration of growth factors at the tendon-bone interface in anterior cruciate ligament reconstruction using a rabbit model. J Orthop Sci 12:67–73PubMedCrossRef
10.
Zurück zum Zitat Lim JK, Hui J, Li L, Thambyah A, Goh J, Lee EH (2004) Enhancement of tendon graft osteointegration using mesenchymal stem cells in a rabbit model of anterior cruciate ligament reconstruction. Arthroscopy 20:899–910PubMed Lim JK, Hui J, Li L, Thambyah A, Goh J, Lee EH (2004) Enhancement of tendon graft osteointegration using mesenchymal stem cells in a rabbit model of anterior cruciate ligament reconstruction. Arthroscopy 20:899–910PubMed
11.
Zurück zum Zitat May D, Disler D, Jones E, Balkissoon A, Manaster B (2000) Abnormal signal intensity in skeletal muscle at MR imaging: patterns, pearls, and pitfalls. Radiographics 20:S295–S315 May D, Disler D, Jones E, Balkissoon A, Manaster B (2000) Abnormal signal intensity in skeletal muscle at MR imaging: patterns, pearls, and pitfalls. Radiographics 20:S295–S315
12.
Zurück zum Zitat Nebelung W, Becker R, Urbach D et al (2003) Histological findings of tendon-bone healing following anterior cruciate ligament reconstruction with hamstring grafts. Arch Orthop Trauma Surg 123:158–163PubMed Nebelung W, Becker R, Urbach D et al (2003) Histological findings of tendon-bone healing following anterior cruciate ligament reconstruction with hamstring grafts. Arch Orthop Trauma Surg 123:158–163PubMed
13.
Zurück zum Zitat Ntoulia A, Papadopoulou F, Ristanis S, Argyropoulou M, Georgoulis AD (2011) Revascularization process of the bone-patellar tendon-bone autograft evaluated by contrast-enhanced magnetic resonance imaging 6 and 12 months after anterior cruciate ligament reconstruction. Am J Sports Med 39:1478–1486PubMedCrossRef Ntoulia A, Papadopoulou F, Ristanis S, Argyropoulou M, Georgoulis AD (2011) Revascularization process of the bone-patellar tendon-bone autograft evaluated by contrast-enhanced magnetic resonance imaging 6 and 12 months after anterior cruciate ligament reconstruction. Am J Sports Med 39:1478–1486PubMedCrossRef
14.
Zurück zum Zitat Ohgushi H, Caplan AI (1999) Stem cell technology and bioceramics: from cell to gene engineering. J Biomed Mater Res 48:913–927PubMedCrossRef Ohgushi H, Caplan AI (1999) Stem cell technology and bioceramics: from cell to gene engineering. J Biomed Mater Res 48:913–927PubMedCrossRef
15.
Zurück zum Zitat Ouyang HW, Goh JC, Lee EH (2004) Use of bone marrow stromal cells for tendon graft-to-bone healing: histological and immunohistochemical studies in a rabbit model. Am J Sports Med 32:321–327PubMedCrossRef Ouyang HW, Goh JC, Lee EH (2004) Use of bone marrow stromal cells for tendon graft-to-bone healing: histological and immunohistochemical studies in a rabbit model. Am J Sports Med 32:321–327PubMedCrossRef
16.
Zurück zum Zitat Park MJ, Lee MC, Seong SC (2001) A comparative study of the healing of tendon autograft and tendon-bone autograft using patellar tendon in rabbits. Int Orthop 25:35–39PubMedCentralPubMedCrossRef Park MJ, Lee MC, Seong SC (2001) A comparative study of the healing of tendon autograft and tendon-bone autograft using patellar tendon in rabbits. Int Orthop 25:35–39PubMedCentralPubMedCrossRef
17.
Zurück zum Zitat Peterson W, Laprell H (2000) Insertion of autologous tendon grafts to the bone. A histological of tendon and immunohistochemical study of hamstrings and patellar tendon grafts. Knee Surg Sports Traumatol Arthrosc 8:26–31CrossRef Peterson W, Laprell H (2000) Insertion of autologous tendon grafts to the bone. A histological of tendon and immunohistochemical study of hamstrings and patellar tendon grafts. Knee Surg Sports Traumatol Arthrosc 8:26–31CrossRef
18.
Zurück zum Zitat Pittenger MF, Flake AM, Deans RJ (2002) Stem cell culture: mesenchymal stem cells from bone marrow. In: Atala A, Lanza RP (eds) Methods of tissue engineering. Academic Press, San Diego, pp 461–469 Pittenger MF, Flake AM, Deans RJ (2002) Stem cell culture: mesenchymal stem cells from bone marrow. In: Atala A, Lanza RP (eds) Methods of tissue engineering. Academic Press, San Diego, pp 461–469
19.
Zurück zum Zitat Rodeo SA, Arnocky SD, Torzilli PA, Hidaka C, Warren RF (1993) Tendon-healing in a bone tunnel. A biomechanical and histological study in the dog. J Bone Joint Surg Am 75:1795–1803PubMed Rodeo SA, Arnocky SD, Torzilli PA, Hidaka C, Warren RF (1993) Tendon-healing in a bone tunnel. A biomechanical and histological study in the dog. J Bone Joint Surg Am 75:1795–1803PubMed
20.
Zurück zum Zitat Rodeo SA, Suzuki K, Deng XH, Wozney J, Warren RF (1999) Use of recombinant human bone morphogenetic protein-2 to enhance tendon healing in a bone tunnel. Am J Sports Med 27:476–488PubMed Rodeo SA, Suzuki K, Deng XH, Wozney J, Warren RF (1999) Use of recombinant human bone morphogenetic protein-2 to enhance tendon healing in a bone tunnel. Am J Sports Med 27:476–488PubMed
21.
Zurück zum Zitat Sharpey W, Ellis GV (1856) Elements of anatomy, 6th edn. Walton and Moberly, London, pp 63–66 Sharpey W, Ellis GV (1856) Elements of anatomy, 6th edn. Walton and Moberly, London, pp 63–66
22.
Zurück zum Zitat Soon MY, Hassan A, Hui JH et al (2007) An analysis of soft tissue allograft anterior cruciate ligament reconstruction in a rabbit model: a short-term study of the use of mesenchymal stem cells to enhance tendon osteointegration. Am J Sports Med 35:962–971PubMedCrossRef Soon MY, Hassan A, Hui JH et al (2007) An analysis of soft tissue allograft anterior cruciate ligament reconstruction in a rabbit model: a short-term study of the use of mesenchymal stem cells to enhance tendon osteointegration. Am J Sports Med 35:962–971PubMedCrossRef
24.
25.
Zurück zum Zitat Tomita F, Yasuda K, Mikami S, Sakai T, Yamazaki S, Tohyama H (2001) Comparisons of intraosseous graft healing between the doubled flexor tendon graft and the bone–patellar tendon–bone graft in anterior cruciate ligament reconstruction. Arthroscopy 17:461–476PubMedCrossRef Tomita F, Yasuda K, Mikami S, Sakai T, Yamazaki S, Tohyama H (2001) Comparisons of intraosseous graft healing between the doubled flexor tendon graft and the bone–patellar tendon–bone graft in anterior cruciate ligament reconstruction. Arthroscopy 17:461–476PubMedCrossRef
27.
Zurück zum Zitat Vogl T, Schmitt J, Lubrich JR, Hochmuth K, Diebold T, Del Tredici K, Sudkamp N (2001) Reconstructed anterior cruciate ligaments using patellar tendon ligament grafts: diagnostic value of contrast-enhanced MRI in a 2-year follow-up regimen. Eur Radiol 11:1450–1456PubMedCrossRef Vogl T, Schmitt J, Lubrich JR, Hochmuth K, Diebold T, Del Tredici K, Sudkamp N (2001) Reconstructed anterior cruciate ligaments using patellar tendon ligament grafts: diagnostic value of contrast-enhanced MRI in a 2-year follow-up regimen. Eur Radiol 11:1450–1456PubMedCrossRef
28.
Zurück zum Zitat Weiler A, Peters G, Mäurer J, Unterhauser FN, Südkamp NP (2001) Biomechanical properties and vascularity of an anterior cruciate ligament graft can be predicted by contrast-enhanced magnetic resonance imaging. A two-year study in sheep. Am J Sports Med 29:751–761PubMed Weiler A, Peters G, Mäurer J, Unterhauser FN, Südkamp NP (2001) Biomechanical properties and vascularity of an anterior cruciate ligament graft can be predicted by contrast-enhanced magnetic resonance imaging. A two-year study in sheep. Am J Sports Med 29:751–761PubMed
29.
Zurück zum Zitat Weiler A, Sckeffler S, Apreleva M (2006) Healing of ligaments and tendon to bone. In: Walsh W (ed) Repair and regeneration of ligaments, tendons, and joint capsule, 1st edn. Humana Press, New Jersey, pp 201–231CrossRef Weiler A, Sckeffler S, Apreleva M (2006) Healing of ligaments and tendon to bone. In: Walsh W (ed) Repair and regeneration of ligaments, tendons, and joint capsule, 1st edn. Humana Press, New Jersey, pp 201–231CrossRef
30.
Zurück zum Zitat Woo SL, Hildebrand K, Watanabe N, Fenwick JA, Papageorgiou CD, Wang JH (1999) Tissue engineering of ligament and tendon healing. Clin Orthop Relat Res 367(Suppl):S312–S323 Woo SL, Hildebrand K, Watanabe N, Fenwick JA, Papageorgiou CD, Wang JH (1999) Tissue engineering of ligament and tendon healing. Clin Orthop Relat Res 367(Suppl):S312–S323
Metadaten
Titel
Is there a role for adult non-cultivated bone marrow stem cells in ACL reconstruction?
verfasst von
Alcindo Silva
Ricardo Sampaio
Rui Fernandes
Elisabete Pinto
Publikationsdatum
01.01.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 1/2014
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2279-9

Weitere Artikel der Ausgabe 1/2014

Knee Surgery, Sports Traumatology, Arthroscopy 1/2014 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.