Subchondral Bone Regenerative Effect of Two Different Biomaterials in the Same Patient

This case report aims at highlighting the different effects on subchondral bone regeneration of two different biomaterials in the same patient, in addition to bone marrow derived cell transplantation (BMDCT) in ankle. A 15-year-old boy underwent a first BMDCT on a hyaluronate membrane to treat a dee...

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Main Authors: Marco Cavallo, Roberto Buda, Francesca Vannini, Francesco Castagnini, Alberto Ruffilli, Sandro Giannini
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2013/850502
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author Marco Cavallo
Roberto Buda
Francesca Vannini
Francesco Castagnini
Alberto Ruffilli
Sandro Giannini
author_facet Marco Cavallo
Roberto Buda
Francesca Vannini
Francesco Castagnini
Alberto Ruffilli
Sandro Giannini
author_sort Marco Cavallo
collection DOAJ
description This case report aims at highlighting the different effects on subchondral bone regeneration of two different biomaterials in the same patient, in addition to bone marrow derived cell transplantation (BMDCT) in ankle. A 15-year-old boy underwent a first BMDCT on a hyaluronate membrane to treat a deep osteochondral lesion (8 mm). The procedure failed: subchondral bone was still present at MRI. Two years after the first operation, the same procedure was performed on a collagen membrane with DBM filling the defect. After one year, AOFAS score was 100 points, and MRI showed a complete filling of the defect. The T2 mapping MRI after one year showed chondral tissue with values in the range of hyaline cartilage. In this case, DBM and the collagen membrane were demonstrated to be good biomaterials to restore subchondral bone: this is a critical step towards the regeneration of a healthy hyaline cartilage.
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publishDate 2013-01-01
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series Case Reports in Orthopedics
spelling doaj-art-9b7c50fdfe3940789dc0ea757fb497842025-08-20T03:19:39ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/850502850502Subchondral Bone Regenerative Effect of Two Different Biomaterials in the Same PatientMarco Cavallo0Roberto Buda1Francesca Vannini2Francesco Castagnini3Alberto Ruffilli4Sandro Giannini5I Clinic, Rizzoli Orthopaedic Institute, Bologna University, Via Giulio Cesare Pupilli 1, 40136 Bologna, ItalyOrthopaedics and Traumatology, I Clinic, Rizzoli Orthopaedic Institute, Bologna University, Via Giulio Cesare Pupilli 1, 40136 Bologna, ItalyI Clinic, Rizzoli Orthopaedic Institute, Bologna University, Via Giulio Cesare Pupilli 1, 40136 Bologna, ItalyI Clinic, Rizzoli Orthopaedic Institute, Bologna University, Via Giulio Cesare Pupilli 1, 40136 Bologna, ItalyI Clinic, Rizzoli Orthopaedic Institute, Bologna University, Via Giulio Cesare Pupilli 1, 40136 Bologna, ItalyOrthopaedics and Traumatology, I Clinic, Rizzoli Orthopaedic Institute, Bologna University, Via Giulio Cesare Pupilli 1, 40136 Bologna, ItalyThis case report aims at highlighting the different effects on subchondral bone regeneration of two different biomaterials in the same patient, in addition to bone marrow derived cell transplantation (BMDCT) in ankle. A 15-year-old boy underwent a first BMDCT on a hyaluronate membrane to treat a deep osteochondral lesion (8 mm). The procedure failed: subchondral bone was still present at MRI. Two years after the first operation, the same procedure was performed on a collagen membrane with DBM filling the defect. After one year, AOFAS score was 100 points, and MRI showed a complete filling of the defect. The T2 mapping MRI after one year showed chondral tissue with values in the range of hyaline cartilage. In this case, DBM and the collagen membrane were demonstrated to be good biomaterials to restore subchondral bone: this is a critical step towards the regeneration of a healthy hyaline cartilage.http://dx.doi.org/10.1155/2013/850502
spellingShingle Marco Cavallo
Roberto Buda
Francesca Vannini
Francesco Castagnini
Alberto Ruffilli
Sandro Giannini
Subchondral Bone Regenerative Effect of Two Different Biomaterials in the Same Patient
Case Reports in Orthopedics
title Subchondral Bone Regenerative Effect of Two Different Biomaterials in the Same Patient
title_full Subchondral Bone Regenerative Effect of Two Different Biomaterials in the Same Patient
title_fullStr Subchondral Bone Regenerative Effect of Two Different Biomaterials in the Same Patient
title_full_unstemmed Subchondral Bone Regenerative Effect of Two Different Biomaterials in the Same Patient
title_short Subchondral Bone Regenerative Effect of Two Different Biomaterials in the Same Patient
title_sort subchondral bone regenerative effect of two different biomaterials in the same patient
url http://dx.doi.org/10.1155/2013/850502
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AT francescavannini subchondralboneregenerativeeffectoftwodifferentbiomaterialsinthesamepatient
AT francescocastagnini subchondralboneregenerativeeffectoftwodifferentbiomaterialsinthesamepatient
AT albertoruffilli subchondralboneregenerativeeffectoftwodifferentbiomaterialsinthesamepatient
AT sandrogiannini subchondralboneregenerativeeffectoftwodifferentbiomaterialsinthesamepatient