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用于骨科应用的无离心机骨髓抽吸采集

Centrifuge-Free Bone Marrow Aspirate Harvest for Orthopaedic Applications.

作者信息

Oyadomari Sarah, Ranawat Anil, Wang Dean

机构信息

Department of Orthopaedic Surgery, University of California, Irvine, Irvine, California, U.S.A.

Hospital for Special Surgery, New York, New York, U.S.A.

出版信息

Arthrosc Tech. 2025 Jul 2;14(8):103721. doi: 10.1016/j.eats.2025.103721. eCollection 2025 Aug.

DOI:10.1016/j.eats.2025.103721
PMID:40936582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12420573/
Abstract

Autologous bone marrow aspirate (BMA) is increasingly being used in clinical practice to augment the repair and healing of bone, cartilage, and tendon by delivering mesenchymal stem cells (MSCs) and growth factors to the site of injury. Traditional BMA harvest and preparation rely on centrifugation to generate a BMA concentrate with a higher concentration of MSCs than the original aspirate. However, this traditional technique may be inefficient and time-consuming, and it could sacrifice sterility. In this technique, we describe a centrifuge-free BMA harvest system (Marrow Cellution; Cervos Medical) that avoids peripheral blood dilution during aspiration, thereby potentially achieving a higher yield of MSCs and growth factors within the BMA without the need for centrifugation.

摘要

自体骨髓抽吸物(BMA)在临床实践中越来越多地被用于通过将间充质干细胞(MSC)和生长因子输送到损伤部位来增强骨、软骨和肌腱的修复与愈合。传统的BMA采集和制备依靠离心来生成比原始抽吸物中MSC浓度更高的BMA浓缩物。然而,这种传统技术可能效率低下且耗时,还可能牺牲无菌性。在本技术中,我们描述了一种无需离心的BMA采集系统(Marrow Cellution;Cervos Medical),该系统在抽吸过程中避免外周血稀释,从而有可能在无需离心的情况下在BMA中获得更高产量的MSC和生长因子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5072/12420573/3ae4b963edd7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5072/12420573/80d6381eaf75/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5072/12420573/af756961e14f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5072/12420573/3ae4b963edd7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5072/12420573/80d6381eaf75/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5072/12420573/af756961e14f/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5072/12420573/3ae4b963edd7/gr3.jpg

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本文引用的文献

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Am J Sports Med. 2023 Apr;51(5):1234-1242. doi: 10.1177/03635465231154601. Epub 2023 Feb 22.
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Reorientation technique has benefits in bone marrow aspiration of stem cells.重定位技术在干细胞骨髓抽吸中有优势。
Sci Rep. 2022 Jul 8;12(1):11637. doi: 10.1038/s41598-022-15019-7.
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A single step, centrifuge-free method to harvest bone marrow highly concentrated in mesenchymal stem cells: results of a pilot trial.
一种无需离心即可收获富含间充质干细胞的骨髓的单一步骤方法:初步试验结果。
Int Orthop. 2022 Feb;46(2):391-400. doi: 10.1007/s00264-021-05243-7. Epub 2021 Nov 2.
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Injection of Bone Marrow Aspirate for Glenohumeral Joint Osteoarthritis: A Pilot Randomized Control Trial.骨髓抽吸物注射治疗肩肱关节骨关节炎:一项初步随机对照试验
Arthrosc Sports Med Rehabil. 2021 Aug 14;3(5):e1431-e1440. doi: 10.1016/j.asmr.2021.07.005. eCollection 2021 Oct.
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Am J Sports Med. 2021 May;49(6):1492-1504. doi: 10.1177/0363546521998725. Epub 2021 Mar 30.
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