RESEARCH ON THE CHARACTERISTICS OF BONE MARROW CELLS AND AUTOLOGOUS BONE MARROW STEM CELLS ISOLATED FROM BONE MARROW FLUID OF PATIENTS WITH KNEE OSTEOARTHRITIS

Dương Đình Toàn1,, Nguyễn Thị Thu Hà2
1 Hanoi Medical University
2 108 Military Central Hospital

Main Article Content

Abstract

Background: From 11/2011 to 10/2013, forty-six patients with forty-six knee osteoarthritis (KOA) underwent Arthroscopic Subchondral Drilling (microfracture) in combination with Autologous Bone Marrow Stem cells (ABMSCs) injection. Objectives: 1) Investigate some indexes of ABMSCs block of patients with KOA. Subjects and Methods: Forty-six primary KOA underwent ASD in combination with ABMSCs injection from pelvis. Most of knees had grade 3 cartilage lesions. Results: The average number of nucleated cells was 69.03 ± 49.86 G/L, in which the average percentage of  CD34 (+) stem cells used 0.71 ± 0.78%. The number of CD34(+) cells obtained in Autologous Bone Marrow blocks average 8,15 ± 0,67 x106. The number of cells that create clusters of CFU-F average 33,34 ± 39,98 x103. Conclusion: tem cells obtained from bone marrow fluid of patients with primary knee osteoarthritis stage 2 and 3 without culture can be used effectively in the treatment of knee osteoarthritis.

Article Details

References

1. Trần Ngọc Ân (1995). Hư khớp và hư cột sống, bệnh thấp khớp. .
2. Christopher J (2011). The Use of Mesenchymal Stem Cells in Orthopedics: Review of the Literature, Current Research, and Regulatory Landscape. Journal of American Physicians and Surgeons, 16.
3. Wakitani S và Goto T (2008). Mesenchymal cell-based repair of large, full-thickness defects of articular cartilage. J Bone Joint Surg Am, 76, 579–92.
4. Centeno CJ và Okabe T S.J.R. (2011). Safety and complications reporting update on the re-implantation of culture-expanded mesenchymal stem cells using autologous platelet lysate technique. Curr Stem Cell Res Ther.
5. Altman R (1986). ACR Clinical Classification Criteria for Osteoarthritis of the knee. Arthritis Rheum, 29.
6. Kellgren J.H và Lawrence J.S (2957). Radiologic assessment of osteoarthritis. Rheum Dis, 16, 494–501.
7. (2005), Culture of Human and Mouse Mesenchymal Cells. Methods in Molecular Biology, .
8. Nguyễn Mạnh Khánh (2011), Nghiên cứu ứng dụng ghép tế bào gốc tuỷ xương tự thân điều trị chậm liền xương, khớp giả thân xương chày, Học viện Quân Y.