SLAOT 2016

SLAOT 2016
Punta Cana, República Dominicana

miércoles, 30 de octubre de 2013

Autologous bone marrow concentrate: review and application of a novel intra-articular orthobiologic for cartilagedisease


New Article on Bone Marrow Concentration BMC for Cartilage Disease Published by The Orthobiologic Institute TOBI Faculty

The Orthobiologic Institute TOBI Faculty, Dr. Steven Sampson and Dr. Danielle Aufiero, with TOBI Alumni Angela Botto-van Bemden published a new article onBone Marrow Concentration for Cartilage Disease, here is the link to the abstract: http://www.ncbi.nlm.nih.gov/pubmed/?term=Autologous+bone+marrow+concentrate%3A+review+and+application+of+a+novel+intra-articular+orthobiologic+for+cartilage+disease

To stay on top of emerging new therapies, including Bone Marrow Concentrate, Platelet Rich Plasma, Ozone and more, attend TOBI 5th Annual PRP & Regenerative Medicine Symposium, June 6-7, 2014 in Las Vegas, Nevada. www.prpseminar.com

This annual event has become the premiere arena for all practicing biologics to converge and discuss protocols, research, and network. This is a great opportunity to grow our community while supporting evidence based medicine.

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We look forward to seeing you in June.

Autologous ncbi.nlm.nih.gov

PubMed comprises more than 23 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.

 2013 Sep;41(3):7-18. doi: 10.3810/psm.2013.09.2022.

Autologous bone marrow concentratereview and application of a novel intra-articular orthobiologic for cartilagedisease.

Source

Clinical Instructor of Medicine, David Geffen School of Medicine at UCLA; Clinical Assistant Professor, Western University of Health Sciences; Adjunct Assistant Professor, Touro University; Founder, The Orthohealing Center and The Orthobiologic Institute (TOBI), Los Angeles, CA. drsampson@orthohealing.com.

Abstract

Younger adults, aged < 65 years, increasingly present to their physicians with advanced cartilage disease or post-traumatic osteoarthritis. A number of treatments exist for lessening patient pain and improving patient function. However, many patients are becoming aware of the potential of regenerative therapies and are now seeking solutions to the impaired biology underlying their conditions rather than addressing only their symptoms. Patients do not want to merely lessen their symptoms temporarily with a surgical procedure that replaces damaged tissue, but instead seek correction and repair of the underlying biology to regenerate damaged tissue and alleviate their symptoms altogether. Current therapies for patients with cartilage disease or osteoarthritis range from non-surgical intra-articular injections with biologics, such as hyaluronic acid (HA), to total joint arthroplasty for advanced stages of disease. Total joint arthroplasty is a successful procedure for patients aged > 65 years; however, the limited long-term durability of implanted prostheses decreases the preference of using such methods in more active patients aged < 65 years. The potential of cell-based orthobiologic injection therapies (pertaining to therapeutic injectables that aim to restore the biologic environment and/or structural components of diseased or damaged musculoskeletal tissue) is of tremendous interest for younger, more active patients, and is even more appealing in that such therapy can be delivered at point-of-care in the clinic during an office visit. Notably, the exponential rate of progress in biotechnology has allowed for immediate application of myriad novel therapies prior to clear evidence of benefit from randomized clinical trials. Orthobiologic intra-articularinjection therapies include HA and platelet-rich plasma (PRP). We report on current, available findings for a third-generation intra-articular orthobiologicinjectable therapy for cartilage diseasebone marrow concentrate (BMC). Bone marrow concentrate contains mesenchymal stem cells (MSCs), hematopoetic stem cells, platelets (containing growth factors), and cytokines. The anti-inflammatory and immunomodulatory properties of bonemarrow stem cells (BMSCs) can facilitate regeneration of tissue. Additionally, BMSCs enhance the quality of cartilage repair by increasing aggrecan content and tissue firmness. Following bone marrow aspiration (BMA), BMC is easily prepared using centrifugation, and is available for a same-day procedure with minimal manipulation of cells, thus complying with US Food and Drug Association (FDA) restrictions. To date, there are no published randomized controlled trials on the efficacy of use of autologous BMC intra-articular injections performed as a same-day in-office procedure for treating patients with cartilage disease; however, several publications have reported the ease of use of this method, its strong safety profile, and the fundamental science suggesting great therapeutic potential.
PMID:
 
24113698
 
[PubMed - in process]

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