Cell Therapy for Cartilage Repair Oldsmar FL

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Daniel E. Murphy
(813) 253-2406
602 S Howard Ave
Tampa, FL
Specialties
Orthopedics

Data Provided By:
John Nicholas Harker, DO
(727) 669-0284
2531 Landmark Dr
Clearwater, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Nova Se Univ, Coll Of Osteo Med, Ft Lauderdale Fl 33328
Graduation Year: 1989

Data Provided By:
Michael J Devito, DDS
(727) 725-4744
2745 State Road 580 Ste 103
Clearwater, FL
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Brian Oliver
(727) 725-6231
3251 N Mcmullen Booth Rd # 201
Clearwater, FL
Gender
M
Education
Medical School: Univ Of Fl Coll Of Med
Year of Graduation: 1985
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
David Ari Petersen, MD
(727) 724-3985
2730 N McMullen Booth Rd Ste 201
Clearwater, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1987

Data Provided By:
Brett R Bolhofner, MD
(727) 527-5272
4600 4th St N
Saint Petersburg, FL
Business
All Florida Orthopedic Associates
Specialties
Orthopedics

Data Provided By:
Anthony P Moreno
(727) 669-5300
1800 Mease Dr
Safety Harbor, FL
Specialty
Orthopedic Surgery, Orthopaedic Surgery of the Spine

Data Provided By:
Anne Marie Denys, MD
(727) 724-3985
Safety Harbor, FL
Specialties
Orthopedics
Gender
Female
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1993

Data Provided By:
Brian Charles Oliver, MD
(727) 725-6231
3251 N McMullen Booth Rd Ste 201
Clearwater, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Fl Coll Of Med, Gainesville Fl 32610
Graduation Year: 1985

Data Provided By:
Douglas John Weiland, MD
(727) 787-5668
3273 Landmark Dr
Clearwater, FL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Stanford Univ Sch Of Med, Stanford Ca 94305
Graduation Year: 1979

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Cell Therapy for Cartilage Repair: A Review and Update

Research into repair techniques for damage to knee cartilage is moving right along. Surgeons in Europe and Australia are ahead of American surgeons as they have moved from first-generation cartilage repair through second generation methods to the more current third-generation approaches.

Only one type of third-generation cell therapy for cartilage repair is available in the United States: the matrix-induced autologous chondrocyte implantation or MACI. MACI is the subject of this review article. Although it is being used by U.S. surgeons, the U.S. Food and Drug Administration (FDA) has not yet approved this type of cell carrier yet.

But let's step back a minute and get some background information that will help you understand what's going on. The basic problem is one of damage to the articular (joint surface) cartilage of the knee. The hole or defect can be small but deep (all the way down to the bone). Sometimes, the defect is large (wide and deep).

The affected person experiences knee pain and joint swelling, locking, stiffness, and clicking. The symptoms can be bad enough to interfere with daily activities at home and work and create quite a bit of disability. Sports participation can be out of the question.

Because so many athletes are affected and given the fact that knee joint (articular) cartilage doesn't repair itself, researchers started looking for ways to treat cartilage injuries of this type. They tried scraping the area and smoothing it down, a procedure called debridement. They tried drilling tiny holes into the bone marrow to stimulate bone healing. That's called microfracture. And they tried taking healthy cartilage from one part of the knee and transferring it to the lesion to fill in the hole.

All of these treatment methods had problems. There wasn't one approach that could work well for all different types and sizes of cartilage defects. That's when cell therapy was developed. Healthy cartilage cells (chondrocytes) were harvested from the knee but instead of using them directly in the damaged area, they were transferred to a lab. In the lab, the cells were used to grow more cells. When there were enough cells to fill in the hole, they were reimplanted into the patient and covered with a patch made of periosteal (bone) cells.

That procedure was called autologous chondrocyte implantation (ACI). It was the first cell therapy devised for the problem of full-thickness (down to the bone) cartilage injuries. That's why it's considered a first-generation approach to cell therapy cartilage repair. But again there were problems. The procedure is invasive and requires a two-step (staged) surgical procedure. That means at least two surgeries with all of the possible costs and risks that go with staged procedures.

The next batch of autologous chondrocyte implants were improved and formed the second-generation techniques. Instead of covering the patched up hole with periosteum (bone cells), they t...

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