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R3 STEM CELLS AND
JOINT REPAIR: A NEW
ERA OF ORTHOPEDIC
TREATMENT
Introduction
With an increased emphasis
on evidence based medicine,
there has been an increasing
focus on the pathophysiology
of orthopaedic injuries and
disease processes, and their
impact on overall outcome.
Types of Stem Cells:
Embryonic Stem Cells (Pre-
natal): These cells are obtained
from the blastocyst stage of
the embryo. Pluripotent in the
truest sense, they have a
capacity to form into any tissue
of the body and multiply in an
unlimited manner.
Sources of Stem cells:
Stem cells can be obtained
from bone marrow, periosteum,
adipose tissue, placenta,
umbilical cord, blood, human
amniotic fluid, dental pulp,
synovial tissue, skin and
skeletal muscle.
Isolation of Stem cells:
Stem cells may be “unselected
cells” obtained from
autologous bone marrow after
centrifugation or “selected” and
enhanced in culture utilizing
their affinity to tissue plastics.
Route of administration:
Stem cells may be directly
applied into a lesion either
surgically or via local injection
with a suitable scaffold/carrier.
MSCs may be taken through
initial phases of differentiation,
forming bone or cartilage
precursors under laboratory
conditions and then implanted
into lesions.
Mechanism of action:
In addition to differentiation into
bone, muscle, cartilage, ligament
or tendon cells, MSCs also have a
paracrine effect whereby they
secrete growth factors and
cytokines such as bone
morphogenic proteins (BMPs),
transforming growth factor-β
(TGF-β), and vascular endothelial
growth factor (VEGF).

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R3 Stem Cells and Joint Repair: A New Era of Orthopedic Treatment

  • 1. R3 STEM CELLS AND JOINT REPAIR: A NEW ERA OF ORTHOPEDIC TREATMENT
  • 2. Introduction With an increased emphasis on evidence based medicine, there has been an increasing focus on the pathophysiology of orthopaedic injuries and disease processes, and their impact on overall outcome.
  • 3. Types of Stem Cells: Embryonic Stem Cells (Pre- natal): These cells are obtained from the blastocyst stage of the embryo. Pluripotent in the truest sense, they have a capacity to form into any tissue of the body and multiply in an unlimited manner.
  • 4. Sources of Stem cells: Stem cells can be obtained from bone marrow, periosteum, adipose tissue, placenta, umbilical cord, blood, human amniotic fluid, dental pulp, synovial tissue, skin and skeletal muscle.
  • 5. Isolation of Stem cells: Stem cells may be “unselected cells” obtained from autologous bone marrow after centrifugation or “selected” and enhanced in culture utilizing their affinity to tissue plastics.
  • 6. Route of administration: Stem cells may be directly applied into a lesion either surgically or via local injection with a suitable scaffold/carrier. MSCs may be taken through initial phases of differentiation, forming bone or cartilage precursors under laboratory conditions and then implanted into lesions.
  • 7. Mechanism of action: In addition to differentiation into bone, muscle, cartilage, ligament or tendon cells, MSCs also have a paracrine effect whereby they secrete growth factors and cytokines such as bone morphogenic proteins (BMPs), transforming growth factor-β (TGF-β), and vascular endothelial growth factor (VEGF).