A STUDY COMPARING THE PAIN AND RANGE OF MOVEMENTS FOLLOWING THE INJECTIONS OF PLATELET RICH PLASMA DERIVED FROM BLOOD AND BONE MARROW ASPIRATION CELLS FROM THE ILIAC BONE INTO THE KNEE JOINT SUFFERING FROM ARTHRITIS
- Conditions
- Health Condition 1: M171- Unilateral primary osteoarthritisof knee
- Registration Number
- CTRI/2021/11/038075
- Lead Sponsor
- Department Of Orthopaedics
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Age between 35 and 75 years-old
Diagnosis of pre-existing osteoarthritis of the joint by Kellgren-Lawrence Grade 1, 2 or 3.
Vas Score between 40 to 80.
Working understanding of the English language and able to fully understand the procedure
Capable of providing informed consent
Able to complete online, in-person or phone surveys for the purposes of follow-up
Capable of understanding pre- and post-procedure care instructions
Ambulatory at baseline
Previous trial and failure of conservative therapy consisting of a minimum of 6 weeks of physical therapy and trial of anti-inflammatory medications if not contraindicated, with or without concomitant bracing and/or injections.
Age < 35 or > 75 years old
MRI demonstrating either no or severe osteoarthritis (Kellgren-Lawrence Grade 0,4)
Prior total or partial joint replacement surgery or a surgery involving cartilage regeneration (microfracture, ACI, etc.)
Previous cortisone and/or Hyaluronic acid intra-articular injection or arthroscopic procedure within the last 3 months
Co-morbidity with autoimmune disease including rheumatologic condition, inflammatory arthritis
Chronic disease or medical condition such as cancer, cardiac conditions including CHF NYHA class 2 or worse, liver failure, renal failure including CKD grade 3 or worse, respiratory disease such as COPD and pulmonary fibrosis, clotting/coagulation disorder or Thrombocytopenia with <150,000 platelets per mm3.
Currently undergoing immunomodulatory therapy or otherwise immunosuppressedUncontrolled endocrine disorder
BMI >35
Current diagnosis of osteomyelitis, human immunodeficiency virus (HIV-1, -2) and/or hepatitis C (HCV), infection and poorly controlled diabetes (HgA1C >7.0)
Pregnancy or planned pregnancy
previous stem cell injection into treatment joint
Patient scheduled to undergo any concomitant surgical procedures.
Coagulopathy or anticoagulant treatment
Fibromyalgia, chronic fatigue or chronic pain involving multiple body parts or opioid medication management
Active or recent (within 2 weeks) history of infection
Neuromuscular disease
Pregnancy
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Patients enrolled in the study will be evaluated before the start of the study (day 0) followed by a 4-week follow-up to assess WOMAC and VAS scores along with a questionnaire to assesses the quality of life.Timepoint: Patients enrolled in the study will be evaluated before the start of the study (day 0) followed by a 4-week follow-up to assess WOMAC and VAS scores along with a questionnaire to assesses the quality of life.
- Secondary Outcome Measures
Name Time Method The patient health and clinical outcome which include Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and visual analog scale (VAS) score will be monitored after one yearTimepoint: one year