Cell Therapy for Cartilage Repair Orem UT

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Kirt Michael Kimball, MD
(801) 489-3291
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1974

Data Provided By:
Robert Taylor Jackson, MD
(801) 224-5373
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1974
Hospital
Hospital: Mountain View Hospital, Payson, Ut
Group Practice: Central Utah Multi-Specialty

Data Provided By:
Jon B Bishop
(801) 802-0120
700 W 800 N
Orem, UT
Specialty
Hand Surgery

Data Provided By:
Brian G Graf, DMD
(801) 375-9105
419 N Orem Blvd
Orem, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Michael Christopher Gardner, DDS
(801) 226-6611
1692 N State St
Orem, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Scott Taylor Jackson, MD
(801) 489-3291
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1982
Hospital
Hospital: Utah Valley Reg Med Ctr, Provo, Ut
Group Practice: Central Utah Med Clinic; Rockwood Clinic Ps

Data Provided By:
Richard Taylor Jackson, MD
(801) 374-2362
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1974
Hospital
Hospital: Mountain View Hospital, Payson, Ut
Group Practice: Central Ut Osteoporosis Ctr

Data Provided By:
Joseph Lewis Richey, MD
(801) 224-5373
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1985

Data Provided By:
Devon Ammon Nelson, MD
(801) 224-5373
700 W 800 N Ste 100
Orem, UT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduation Year: 1973

Data Provided By:
Norman Green Jorgensen, DDS
(801) 225-7002
560 S State St Ste M1
Orem, UT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
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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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