Unique ID issued by UMIN | UMIN000027498 |
---|---|
Receipt number | R000031492 |
Scientific Title | New application of collagen membrane for less invasive procedure of autologous cultured cartilage implantation |
Date of disclosure of the study information | 2017/06/01 |
Last modified on | 2019/08/13 08:43:46 |
New application of collagen membrane for less invasive procedure of autologous cultured cartilage implantation
New application of collagen membrane for autologous cultured cartilage implantation
New application of collagen membrane for less invasive procedure of autologous cultured cartilage implantation
New application of collagen membrane for autologous cultured cartilage implantation
Japan |
Full-thickness articular cartilage defects of the knee due to trauma or osteochondritis dissecans
Orthopedics |
Others
NO
The purpose of this study is to investigate safety and efficacy of collagen membrane for the autologous chondrocyte implantation (ACI) to eliminate periosteum harvest for less invasive procedure and to deliver more simple procedure.
Safety,Efficacy
Clinical score from Knee Injury and Osteoarthritis Outcome Score (KOOS) sheet obtained at registration, 26 weeks, and 52 weeks after implantation.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Device,equipment |
JACC (autologous cultured cartilage) will be prepared by Japan Tissue Engineering Co., Ltd following established protocol and delivered to our hospital with certified quality.
Patients will be admitted to the Hiroshima University Hospital with general manner and anesthetized at operation room (anesthesia method will be decided by anesthesiologist).
Under anesthesia, a medial or lateral parapatellar arthrotomy will be carried out to approach lesions. The lesion will be debrided as far as normal surrounding cartilage and until healthy subchondral bone. The defect was covered by a sutured collagen membrane. The membrane was shaped and sutured to the surrounding rim of normal cartilage with interrupted 5-0 nylon and loosely tied 4-0 vicryl sutures. After suturing half of the border of the membrane, the JACC will be placed in the defect, and then remaining border of the membrane will be sutured. Pull-out suture will be applied if it will be required to cover JACC. The joint capsule, retinaculum, and skin were sutured in separate layers. The grafted site will be confirmed its stability during range of motion before wound closure.
13 | years-old | <= |
Not applicable |
Male and Female
1. Over 13 year old
2. Diagnosed as chondral lesion due to trauma or osteochondritis dissecans of the knee
3. Lesion size is over 4cm2
4. Patients consented to being enrolled this study with specific form
1. Patient who is diagnosed as oteoarthritis of the knee
2. Patient who is diagnosed or suspected malignant tumor
3. Patient who has complications and considered as inappropriate case by orthopaedic surgeon in charge.
4. Hypersensitive patients against gentamicin, amphotericin B, or amnoglycoside.
5. Hypersensitive patients against intradermal injection of atelocollagen or bovine product.
6. Patient who has allergic reaction to bovine or swine.
7. Patient who is diagnosed as rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, dermatomyositis, polymyositis, autoimmune thyropathy, multiple arteritis, scleroderma, ulcerative colitis, Crohn's disease, Sjogren's syndrome, Reiter's syndrome, mixed connective tissue dissase.
8. Patient who has past history about anaphylactic shock.
9. Patient who has hypersensitive against atelocollagen.
10. Patient who is considered as inappropriate case by orthopaedic surgeon in charge.
5
1st name | |
Middle name | |
Last name | Nobuo Adachi |
Hiroshima University Hospital
Department of Orthopaedic Surgery
1-2-3 Kasumi, Minami-ku, Hiroshima, Japan
082-257-5230
nadachi@hiroshima-u.ac.jp
1st name | |
Middle name | |
Last name | Masakazu Ishikawa |
Hiroshima University Hospital
Department of Orthopaedic Surgery
1-2-3 Kasumi, Minami-ku, Hiroshima, Japan
082-257-5233
mishikawa@hiroshima-u.ac.jp
Hiroshima University Hospital
Japan Tissue Engineering Co., Ltd.
Profit organization
NO
2017 | Year | 06 | Month | 01 | Day |
Unpublished
Terminated
2017 | Year | 05 | Month | 10 | Day |
2017 | Year | 04 | Month | 26 | Day |
2017 | Year | 06 | Month | 01 | Day |
2020 | Year | 07 | Month | 01 | Day |
2017 | Year | 05 | Month | 25 | Day |
2019 | Year | 08 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031492