The Role of Orthobiologics in the Management of Osteoarthritis and Focal Cartilage Defects

Orthopedics. 2019 Mar 1;42(2):66-73. doi: 10.3928/01477447-20190225-02.

Abstract

Individuals with osteoarthritis have a diminished quality of life, and the condition is a major cause of disability. Newer biologic treatments have been developed that are believed to modify disease progression. These predominantly include hyaluronic acid, platelet-rich plasma, bone marrow aspirate concentrate, and adipose-derived mesenchymal stem cells. There is conflicting evidence regarding the use of orthobiologics for osteoarthritis and for focal chondral defects, although most studies indicate that injections of biologics are safe and without significant adverse effects. [Orthopedics. 2019; 42(2):66-73.].

MeSH terms

  • Bone Marrow Transplantation
  • Cartilage Diseases / therapy*
  • Humans
  • Hyaluronic Acid / pharmacology
  • Hyaluronic Acid / therapeutic use
  • Mesenchymal Stem Cell Transplantation
  • Osteoarthritis / therapy*
  • Platelet-Rich Plasma
  • Viscosupplements / pharmacology
  • Viscosupplements / therapeutic use

Substances

  • Viscosupplements
  • Hyaluronic Acid