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OrthoBiologics / Rachel M. Frank, Jorge Chahla, and Garrett Jackson, editors.

Elsevier ScienceDirect eBook - Translational Medicine 2024 Available online

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Format:
Book
Contributor:
Frank, Rachel M., editor.
Chahla, Jorge, editor.
Jackson, Garrett, editor.
Language:
English
Subjects (All):
Orthopedic surgery.
Biological products--Therapeutic use.
Biological products.
Physical Description:
1 online resource (281 pages)
Edition:
First edition.
Place of Publication:
London, England : Academic Press, [2025]
Summary:
OrthoBiologics provides state-of-the-art knowledge of current biologic therapies for a variety of orthopaedic conditions in a single source.The content is presented in a straightforward manner, including defining all currently available orthobiologic options, discussing processing characteristics and appropriate clinical use, and finally.
Contents:
Front Cover
OrthoBiologics
Copyright Page
Dedication
Contents
List of contributors
Preface
1 Autologous blood: platelet-rich plasma and platelet-poor plasma
Introduction
Composition
Platelet-rich fibrin
Fibrin functions in regeneration
Applications in orthopedics
Ligament healing
Meniscus healing
Tendon healing
Platelet-rich plasma in muscle healing
Platelet-rich plasma in cartilage
Conclusion
References
2 Defining, measuring and optimizing platelet-rich plasma
Defining platelet-rich plasma
Commercial system platelet-rich plasma variability
Proposed platelet-rich plasma classifications
Quantifying platelet-rich plasma
Benchside analysis point of care
Future directions
3 Optimal use of platelet-rich plasma and platelet-poor plasma
Platelet-rich plasma and platelet-poor plasma: overview
Muscle healing
Common clinical applications
Rotator cuff disease
Ulnar collateral ligament injuries
Hip osteoarthritis
Knee osteoarthritis
Achilles tendinopathy
Summary
4 Where orthobiologics started: what are mesenchymal stem cells?
Orthobiologics: a historical overview
What are mesenchymal stem cells?
What mesenchymal stem cells are not
Orthopedic applications of mesenchymal stem cells
Avascular necrosis
Fracture healing
Cartilage restoration
Ligamentous and tendinopathic injuries
Spinal cord injuries
5 Bone marrow-derived mesenchymal stromal cells
Harvest and preparation
Senescence
Regulations
Bone marrow-derived mesenchymal stromal cells versus concentrated bone marrow aspirate
Uses
Osteoarthritis
Focal cartilage defects
Fractures
Osteoporosis
Osteogenesis imperfecta.
Challenges for clinical application
Social media
Conflict of interests
6 Defining, optimizing, and measuring bone marrow aspirate and bone marrow concentrate
Bone marrow extraction method
Patient procedural preparation
Review anatomical sites
Unilateral versus bilateral
Overview of bone marrow harvesting guidance techniques
Bone marrow extraction techniques
Bone marrow aspirate device designs and their overall differences in cellularity
Differences between bone marrow aspirate and bone marrow concentrate
Bone marrow aspirate as injectate+characteristics cellularity
Bone marrow aspirate matrix as injectate+characteristics cellularity
Bone marrow concentrate as injectate+characteristics cellularity+preparation consideration (cellular density separation)
Literature summary of results Bone marrow application in osteoarthritis
Bone marrow aspirate in osteoarthritis
Bone marrow concentrate in osteoarthirits
7 Optimal clinical use of bone marrow aspirate and bone marrow aspirate concentrate
Patient selection
Clinical uses/outcomes
Bone marrow aspirate concentrate in sports medicine
Rotator cuff
Lateral or medial epicondylitis
Anterior cruciate ligament
Patellar and achilles tendons
Articular cartilage applications
Bone marrow aspirate concentrate in osteoarthritis
Bone marrow aspirate concentrate in trauma
Bone marrow aspirate concentrate in spine
Potential complications
Further reading
8 Adipose tissue-derived stromal/stem cells
Isolation and expansion of adipose tissue-derived stromal/stem cells
Trilineage differentiation of adipose tissue-derived stromal/stem cells
Factors influencing cell fate.
Adipogenic differentiation
Osteogenic differentiation
Chondrogenic differentiation
Adipose tissue-derived stromal/stem cells differentiation for tissue regeneration in vivo
Bone regeneration
Cartilage regeneration
Chondroinduction by adipose tissue-derived stromal/stem cells
Immunomodulation by adipose tissue-derived stromal/stem cells
Immunoregulatory mechanisms
Innate immune response
Adaptive immune response
Therapeutic application of immunomodulatory adipose tissue-derived stromal/stem cells
9 Defining, optimizing, measuring, and utilizing adipose, MFAT, etc.
Adipose as a source of stem cells
Adipose-derived stem cells
Adipose tissue derivatives: SVF and MFAT
Regulatory considerations
Mechanism of adipose function
Preparation of adipose stem cells
Location
Harvesting technique
Isolation
Storage
Clinical application
Bone
Cartilage and meniscus
Tendon
Skin and wound healing
Complications
Limitations and shortcomings
Next steps and future directions
Conclusions
10 Optimal clinical use of adipose mesenchymal stromal cells
Biology of adipose-derived mesenchymal stromal cells
Origin and characteristics
Mechanism of action in regenerative medicine
Clinical use of adipose-derived mesenchymal stromal cells
Overview of clinical indications
Preparation approaches
Patient selection and contraindications for harvest
Applications
Ankle osteoarthritis
Shoulder osteoarthritis
Chondral defects
Tendon and ligament healing
Lateral epicondylitis
Rotator cuff tendinopathy/repair
Patellar tendinopathy
Anterior cruciate ligament tears
Bone regeneration.
Fracture healing
Osteonecrosis
Practical considerations
Limitations and future directions
Disclosure statement
11 Basic science and preclinical evidence for amniotic membrane−derived allografts in orthobiologics
Sources and isolation of placental-derived orthobiologics
Anatomy of placental-derived products
Harvesting and processing of perinatal tissue
Preclinical studies using amniotic membrane-derived products
Challenges and limitations of using amniotic membrane-derived orthobiologics
Difficulty in maintaining live mesenchymal stromal cells
Lack of standardization
Safety
Current regulatory restriction on the use of amniotic membrane-derived products
12 Defining, optimizing, and measuring amniotic/placental mesenchymal stem cells
Anatomy and function
Formulation
Collection
Isolation and storage
Effects of use
In vitro
In vivo
Cartilage and bone
Tendon injury
Ligament injury
Plantar fasciitis
Spinal cord injury
13 Optimal clinical use of amniotic/placental mesenchymal stem cells
History and basic science of birth tissue products
Advantages and disadvantages of using amniotic/placental mesenchymal stem cells
Current evidence of successful clinical use of amniotic/placental mesenchymal stem cells
Knee
Hip
Tendinopathy
Spine
Future directions and challenges for the clinical use of amniotic/placental-derived allografts
14 Synovial mesenchymal stem cells
Background
Background on cartilage repair
Cartilage injury and tissue damage response and consequences
The synovium
Synovial disorders
Synovial analysis.
Role of mesenchymal stem cells in cartilage regeneration
Microfracture
Bone marrow concentrate
Synovial-derived mesenchymal stem cells
Limits
Mesenchymal stem cell repair
Recruitment
Signaling
Exosomes
The regulation and use of mesenchymal stem cells
Synovial mesenchymal stem cells
Properties of synovial mesenchymal stem cells
Paracrine signaling
Synovial-derived mesenchymal stem cells for cartilage repair
Origin of synovial-derived mesenchymal stem cells
Perivascular synovial-derived mesenchymal stem cells' highest chondrogenic potential
Increased proliferation in synovial-derived mesenchymal stem cells
Synovial-derived mesenchymal stem cell-derived exosomes
Disclosures
15 Peripheral blood stem cells
Developmental perspective hematology oncology
Developmental background for cartilage repair
Clinical applications of peripheral blood stem cell
Articular cartilage regeneration and target patient population for K.A.R.T.®
Food Drug Administration pathway
Expanding indications for peripheral blood stem cells
Shoulder cartilage
Bone defects
Osteochondral defects in the knee
Osteochondral defects in the ankle
Patellar tendinitis
Achilles tendinitis
Adductor tendinitis
Ligament Injury
Augmentation following surgical repair of tendons and ligaments
Knee-recurrent dislocation of the patella
Elbow-complete rupture of the radial collateral ligament and the common extensor origin
Shoulder-massive rotator cuff tear
Mechanism of action of musculoskeletal regeneration via peripheral blood stem stells
16 Orthobiologics-growth factors and mediators
Growth factors.
Platelet-derived growth factors.
Notes:
Includes bibliographical references and index.
Description based on publisher supplied metadata and other sources.
Description based on print version record.
ISBN:
0-12-822903-9
OCLC:
1453196001

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