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 7

Results of meta-analyses in our study.

Number of studiesAssessment Number of studiesModel, pooled relative risk estimates (95% CI)HeterogeneityPublication bias
%Begg’s Egger’s

Cell-based versus cell-free 7Excellent and good results5Fixed, OR,
4.27 (2.19–8.34)
5.1722.70.270.2210.269
Mean score and standard deviation6Random, WMD,
10.11 (2.69–16.53)
22.9378.2010.953

Traditional ACI versus MACT 6Excellent and good results5Fixed, OR,
0.49 (0.30–0.82)
1.5000.830.0860.088
Graft hypertrophy4Fixed, OR,
2.43 (1.00–5.94)
3.9423.80.270.7340.241
Frequency of reoperation3Fixed, OR,
1.34 (0.53–3.37)
2.7828.10.2510.593

OR: odd ratio; CI: confidence interval; WMD: weighted mean difference; ACI: autologous chondrocyte implantation; MACT: matrix-assisted autologous chondrocyte transplantation.