Microfracture Versus Adipose Derived Stem Cells for the Treatment of Articular Cartilage Defects

Description

The purpose of this study is to compare two biologic methods for the treatment of articular cartilage defects in the knee. The first method, microfracture, is the standard of care and is routinely used to recruit cells from the subchondral bone marrow to the site of cartilage loss. The second method is the application of adipose-derived stem cells (ADSCs) to the defect site. In theory, ADSCs on a collagen scaffold should enable the delivery of more specific progenitor cells to the site of injury, resulting in better regeneration and integration of articular cartilage at the site of a defect as compared to the microfracture method.

Conditions

Degenerative Lesion of Articular Cartilage of Knee

Study Overview

Study Details

Study overview

The purpose of this study is to compare two biologic methods for the treatment of articular cartilage defects in the knee. The first method, microfracture, is the standard of care and is routinely used to recruit cells from the subchondral bone marrow to the site of cartilage loss. The second method is the application of adipose-derived stem cells (ADSCs) to the defect site. In theory, ADSCs on a collagen scaffold should enable the delivery of more specific progenitor cells to the site of injury, resulting in better regeneration and integration of articular cartilage at the site of a defect as compared to the microfracture method.

Randomized Controlled Trial of Microfracture Versus Adipose Derived Stem Cells for the Treatment of Isolated Articular Cartilage Defects

Microfracture Versus Adipose Derived Stem Cells for the Treatment of Articular Cartilage Defects

Condition
Degenerative Lesion of Articular Cartilage of Knee
Intervention / Treatment

-

Contacts and Locations

Redwood City

Stanford Medical Outpatient Center, Redwood City, California, United States, 94063

Santa Monica

Kerlan Jobe Orthopedic Institute, Santa Monica, California, United States, 90404

Denver

UC Health Steadman Hawkins Clinic - Denver Inverness, Denver, Colorado, United States, 80112

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Must be between ages 18 and 50 years.
  • * Must have a discrete, contained chondral defect less than 400mm\^2 located on the medial or lateral femoral condyle
  • * Must have overall neutral lower limb mechanical alignment (\<5 degrees varus or valgus).
  • * Ages younger than 18 years and older than 50 years.
  • * If they have undergone previous chondral procedures
  • * If they have pre-existing osteoarthritis (Kellegren-Lawrence Grade ≥2)
  • * If they have a BMI \>30.

Ages Eligible for Study

18 Years to 50 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Colorado, Denver,

Jason Dragoo, MD, PRINCIPAL_INVESTIGATOR, University of Colorado - Anschutz Medical Campus

Seth L Sherman, MD, PRINCIPAL_INVESTIGATOR, Stanford University

Study Record Dates

2025-12