Vasiliadis Angelo V, Galanis Nikiforos
2 Orthopaedic Department, General Hospital of Thessaloniki "Papageorgiou", Ring Road-N. Eukarpia, 56403 Thessaloniki, Greece.
School of Medicine, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, Greece.
Stem Cell Investig. 2020 Aug 10;7:15. doi: 10.21037/sci-2020-013. eCollection 2020.
Regenerative medicine is a promising field in orthopaedic surgery. Although surgical treatments can produce excellent outcomes and may be the best choice for some patients, regenerative medicine can provide with more minimally-invasive treatment options. Mesenchymal stem cells (MSCs) are multipotent cells and are highly capable to differentiate into osteocytes or chondrocytes, while they can be isolated from different bone sources. The bone marrow aspiration from the posterior iliac crest appears to be preferred, as it provided a modestly higher concentration of nucleated cells [(25.1-54.7)×10 cells/mL]. MSCs are also easily obtained from other bone sources, such as humerus, femur, tibia, vertebral body or calcaneus and have their content ranges between 5.8×10 and 38.7×10 nucleated cells. Although, they present a wide range of documented nucleated cells, they can be cultivated and expanded in vitro in multiple cell types, avoiding a second surgical site while preventing post-operative pain and the possible risk for infection. Thus, they represent a promising and encouraging treatment option in orthopaedic surgery.
再生医学是骨科手术中一个很有前景的领域。虽然手术治疗可以产生优异的效果,并且可能是一些患者的最佳选择,但再生医学可以提供更多的微创治疗选择。间充质干细胞(MSCs)是多能细胞,具有高度分化为骨细胞或软骨细胞的能力,同时它们可以从不同的骨源中分离出来。从髂后嵴抽取骨髓似乎是首选,因为它能提供相对较高浓度的有核细胞[(25.1 - 54.7)×10个细胞/毫升]。MSCs也很容易从其他骨源获得,如肱骨、股骨、胫骨、椎体或跟骨,其有核细胞含量在5.8×10至38.7×10之间。尽管它们的有核细胞数量范围很广,但它们可以在体外培养并扩增为多种细胞类型,避免了第二个手术部位,同时防止术后疼痛和可能的感染风险。因此,它们在骨科手术中代表了一种有前景且令人鼓舞的治疗选择。
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