Eila Rivera1,2,3, Roberto Seijas1,2,3,4, Mónica Rubio2,5,6, Montserrat García-Balletbó1,2,3, Jose Manuel Vilar7, Patricia Laiz Boada1,2,3, Ramón Cugat1,2,3,6. 1. Department of Orthopaedic Surgery, Hospital Quirónsalud, Barcelona, Spain. 2. Garcia-Cugat Fundation, Barcelona, Spain. 3. Department of Orthopaedic Surgery, Artroscopia GC, Barcelona, Spain. 4. Department of Anatomy, Universidad Internacional de Catalunya, Barcelona, Spain. 5. Department of Animal Medicine and Surgery, Universidad CEU Cardenal Herrera, Moncada, Valencia, Spain. 6. CEU-UCH Chair of Medicine and Regenerative Surgery, Universidad CEU Cardenal Herrera, Moncada, Valencia, Spain. 7. Research Institute in Biomedical and Health Sciences, Universidad de las Palmas de Gran Canaria, Las Palmas, Spain.
Abstract
Introduction: The cartilage injuries are related to femoroacetabular impingement (FAI). The prognostic of the injury depends on the grade of itself. Using bone marrow concentrate (BMC), which contains stem cells, is related to the improvement in diverse tissues. The purpose of this study was to evaluate the improvement of the patients after a FAI arthroscopic intervention using BMC. We compared the results to those of a previous cohort of patients who had identical surgery but without BMC. Methods: A cohort study was conducted between 2015 and 2017. Forty patients with FAI that underwent hip arthroscopy surgery combined with BMC were included. A control group of 40 patients with identical characteristics operated without BMC therapy. VAS, mHHS, and iHOT-33 preoperatively and at 3, 6, 12, and 24 months data were obtained and analyzed. Results: Significant differences between two groups where found at 12 and 24 months of follow-up. VAS values were significantly lower (p = 0.007 and p = 0.000). Pain and functional scales mHHS (p = 0.004 and p = 0.001) and iHOT (p = 0.033 and p = 0.024) were significantly higher in the study group.Conclusions: The use of BMC as coadyuvant in arthroscopic intervention of FAI injuries results in pain reduction and improvement in functionality as showed in VAS, mHHS, and iHOT-33 scores at 12 and 24 months of follow-up. Level of Evidence: Level of Evidence III, Case control study.
Introduction: The cartilage injuries are related to femoroacetabular impingement (FAI). The prognostic of the injury depends on the grade of itself. Using bone marrow concentrate (BMC), which contains stem cells, is related to the improvement in diverse tissues. The purpose of this study was to evaluate the improvement of the patients after a FAI arthroscopic intervention using BMC. We compared the results to those of a previous cohort of patients who had identical surgery but without BMC. Methods: A cohort study was conducted between 2015 and 2017. Forty patients with FAI that underwent hip arthroscopy surgery combined with BMC were included. A control group of 40 patients with identical characteristics operated without BMC therapy. VAS, mHHS, and iHOT-33 preoperatively and at 3, 6, 12, and 24 months data were obtained and analyzed. Results: Significant differences between two groups where found at 12 and 24 months of follow-up. VAS values were significantly lower (p = 0.007 and p = 0.000). Pain and functional scales mHHS (p = 0.004 and p = 0.001) and iHOT (p = 0.033 and p = 0.024) were significantly higher in the study group.Conclusions: The use of BMC as coadyuvant in arthroscopic intervention of FAI injuries results in pain reduction and improvement in functionality as showed in VAS, mHHS, and iHOT-33 scores at 12 and 24 months of follow-up. Level of Evidence: Level of Evidence III, Case control study.
Entities:
Keywords:
bone marrow concentrate; cartilage; femoroacetabular impingement; hip arthroscopy; marrow concentrate; osteoarthritis
Authors: Ida Lindman; Sarantos Nikou; Axel Öhlin; Eric Hamrin Senorski; Olufemi Ayeni; Jon Karlsson; Mikael Sansone Journal: J Exp Orthop Date: 2021-04-23