Table 2.
Study | Study design (no. of cases) | Mean age (yr) | Mean follow-up (mo) | Delivery method | Cell population (cells/mL) | Additional factor | Outcome | Complication |
---|---|---|---|---|---|---|---|---|
Jo et al. (2014) [14] | Case series (dose-dependent) (3 vs. 3 vs. 12) | 60 | 6 | Intra-articular injection | Low-dose: 1.0×107 | Diagnostic arthroscopy | Better clinical outcomes and decreased cartilage defect in high-dose group; Hyaline-like regeneration | No treatment-related AEs |
Mid-dose: 5.0×107 | Most common AEs: nasopharyngitis | |||||||
High-dose: 1.0×108 | Serious AEs: urinary stone | |||||||
Pak et al. (2013) [51] | Case series (100) | 51.2 | 26 | Intra-articular injection | NA (AD-SVF) | PRP+HA+CaCl2 | Pain (VAS) was improved | Joint swelling |
No tumor formation | ||||||||
Kim et al. (2015) [53] | Comparative matched-pair analysis (20 vs. 20) | 59.2 | 28.6 | Intra-articular injection vs. surgical implantation | 4.0×106 | Injection: PRP | Better clinical and second-look arthroscopic outcomes in surgical implantation group | NA |
Surgical implantation: fibrin glue | ||||||||
Second-look arthroscopy | ||||||||
Pers et al. (2016) [52] | Prospective (dose-dependent) (6 vs. 6 vs. 6) | 64.6 | 6 | Intra-articular injection | Low-dose: 2.0×106 | - | Improved clinical outcomes in all groups; Limited possible improvement on MRI | - |
Mid-dose: 1.0×107 | ||||||||
High-dose: 5.0×107 | ||||||||
Lee et al. (2019) [50] | Prospective RCT (12 MSCs vs. 12 saline) | 62.7 | 6 | Intra-articular injection | 1.0×108 | - | Significantly improved clinical outcomes in MSCs group; Increased defect in control group | - |
AD-MSC, adipose tissue-derived mesenchymal stem cell; OA, osteoarthritis; F/U, follow-up; AE, adverse event; NA, non-available; AD-SVF, adipose-derived stromal vascular fraction; PRP, platelet-rich plasma; HA, hyaluronic acid; VAS, visual analogue scale; MRI, magnetic resonance image; RCT, randomized controlled trial; MSCs, mesenchymal stem cells.