Stem Cells International / 2016 / Article / Tab 3 / Review Article
Cartilage Defect Treatments: With or without Cells? Mesenchymal Stem Cells or Chondrocytes? Traditional or Matrix-Assisted? A Systematic Review and Meta-Analyses Table 3 Characteristics of studies that compared ACI with MACT.
Study Year Study design Regions Number of patients FU Age Mean, range (yr) Gender Male/female Locations Major assessments of efficacy Excellent Good Fair Poor Graft hypertrophy Frequency of reoperation Other assessments Bartlett et al. [21 ] 2005 RCT England ACI-C: 44 MACT: 47 1 yr 33.7, 15–49 33.4, 17–47 54/37 Knee MCS 10 15 16 19 10 7 8 6 4/44 3/47 4/44 4/47 ICRS, biopsy Manfredini et al. [34 ] 2007 CCS Italy ACI-C: 17 MACT: 15 Mean, 48.5 mo. 32.3, 17–51 35.2, 20–55 15/2 13/2 Knee HSS 9 6 6 3 2 1 0 0 NR NR NR NR ICRS, MRI, and biopsy Ferruzzi et al. [35 ] 2008 CCS Italy ACI-P: 48 MACT: 50 5 yr 32.3 35.2 30/18 36/14 Knee IKDC 7 7 10 23 23 11 8 9 4/48 2/50 6/48 2/50 MRI, biopsy Zeifang et al. [20 ]
2010 RCT Germany ACI-P: 10 MACT: 11 2 yr 29.5 29.1 16/5 Femoral condyle IKDC NR NR NR NR NR NR NR NR 7/9 1/8 1/10 3/11 Lysholm, SF-36, TAS, and MOCART Macmull et al. [36 ] 2012 CCS England ACI-C: 25 MACT: 23 Mean, 40.3 mo. 34.6, 17–50 35, 21–46 16/9 14/9 Patellae MCS 4 6 6 7 6 8 9 2 NR NR NR NR VAS, Bentley score Panagopoulos et al. [37 ] 2012 CCS England ACI-P: 11 MACT: 8 Mean, 37.5 mo. 32.2, 18–43 8/3 7/1 Knee Lysholm 0 0 2 1 4 6 5 1 3/11 2/8 NR NR IKDC, TAS
FU: follow-up; RCT: randomized controlled trial; CCS: case-control study; ACI-C: autologous chondrocyte implantation with a flap made of collagen; ACI-P: autologous chondrocyte implantation with periosteal flap MACT: matrix-assisted autologous chondrocyte transplantation; MCS: Modified Cincinnati Rating System; ICRS: International Cartilage Repair score; HSS: Hospital for Special Surgery score; IKDC: International Knee Documentation Committee; MRI: magnetic resonance imaging; SF-36: Short-Form-36 Health Survey; MOCART: Magnetic Resonance Observation of Cartilage Repair; VAS: Visual Analogue Scale; TAS: Tegner Activity Score.