Lind Martin, Larsen Allan
University Hospital of Aarhus, Sportstrauma Clinic, Aarhus, Denmark.
Connect Tissue Res. 2008;49(6):437-42. doi: 10.1080/03008200802325037.
Cell-free methods for cartilage tissue repair have recently gained increased focus. One method to supply a chondrogenic cell source is to apply freshly harvested cartilage tissue to the defects area and to retain the tissue for cell outgrowth. The present study aims to investigate the cartilage repair response of autologous cartilage chips or chondrocytes in combination with a collagen membrane in a goat femoral condyle full thickness cartilage defect model. Fully 16 defects in 8 adult goats were used for the study. A total of 6 mm full-thickness cartilage defects in the femoral condyles were randomized to collagen membrane matrix scaffold with chondrocytes and minced cartilage placed under collagen membrane scaffold. Animals were followed for 4 months. No difference was found in O'Driscoll and Pinada histology scores, tissue filling (35%), or repair tissue stiffness between the two groups. This animal study demonstrated no difference in cartilage repair between the two different techniques. The general tissue regeneration was limited probably due to the early time point of investigation and the challenging mechanical environment.
用于软骨组织修复的无细胞方法最近受到了越来越多的关注。一种提供软骨形成细胞来源的方法是将新鲜采集的软骨组织应用于缺损区域,并保留该组织以促进细胞生长。本研究旨在研究在山羊股骨髁全层软骨缺损模型中,自体软骨碎片或软骨细胞与胶原膜联合使用时的软骨修复反应。该研究使用了8只成年山羊的16个缺损。股骨髁上总共6毫米的全层软骨缺损被随机分为两组,一组为胶原膜基质支架联合软骨细胞,另一组为胶原膜支架下放置切碎的软骨。对动物进行了4个月的随访。两组在奥德里斯科尔(O'Driscoll)和皮纳达(Pinada)组织学评分、组织填充率(35%)或修复组织硬度方面均未发现差异。这项动物研究表明,两种不同技术在软骨修复方面没有差异。一般组织再生可能受到限制,这可能是由于研究的时间点较早以及机械环境具有挑战性。