M. Butnariuephrat et al., RESURFACING OF GOAT ARTICULAR-CARTILAGE BY CHONDROCYTES DERIVED FROM BONE-MARROW, Clinical orthopaedics and related research, (330), 1996, pp. 234-243
The feasibility of using cartilaginous implants containing bone marrow
derived chondrocytes in biological resurfacing procedures for correct
ing defects in articular cartilage was examined in goats, The experime
ntal protocol included bone marrow aspiration, mesenchymal cell cultur
ing, cell proliferation, favorable conditions inducing chondrogenic di
fferentiation, and implantation of autogeneic and allogeneic cells. Au
togeneic implant transplantations proved to be the best source for reg
eneration and repair of defective articular surfaces with use of densi
tometric computed image analysis of histochemical and immuno-histochem
ical parameters on tissue sections, Allogeneic chondrocyte enriched cu
ltures derived from bone marrow evoke a typical immune response in the
host, expressed by the formation of fibrosis and progressive joint ar
throsis, In the current study, a biological resurfacing procedure is d
escribed in detail for large mammals of similar weight and size as hum
ans, Autogeneic mesenchymal cells derived from a bone marrow aspiratio
n are the best cell source and when embedded in hyaluronic acid based
adhesive glue make an excellent cartilaginous implant, The reparative
regenerated cartilaginous tissue outcome within the defects appear dif
ferent than neighboring normal articular cartilage shortly after surge
ry. Whether in the long term the cartilaginous remodelling process wil
l shape the cartilage such that it more closely resembles the original
articular cartilage is not known.