Advancements in Regenerative Medicine for Articular Cartilage Repair in the Management of Osteoarthritis: A Review of Modern Treatment Methods

Osteoarthritis (OA) is the most common form of chronic joint diseases, and its treatment still remains difficult with the current state of medicine. In this review, modern regenerative methods used in the repair of articular cartilage, both traditional techniques and innovative cellular therapies,...

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Main Authors: Jakub Dziewic, Maria Przygoda, Joanna Śnieżna, Gabriela Trestka, Kamila Stępień, Sabina Adamczyk, Urszula Zelik, Wojciech Florczak, Wiktoria Domino, Jagienka Włodyka, Karol Dzwonnik
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/57092
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author Jakub Dziewic
Maria Przygoda
Joanna Śnieżna
Gabriela Trestka
Kamila Stępień
Sabina Adamczyk
Urszula Zelik
Wojciech Florczak
Wiktoria Domino
Jagienka Włodyka
Karol Dzwonnik
author_facet Jakub Dziewic
Maria Przygoda
Joanna Śnieżna
Gabriela Trestka
Kamila Stępień
Sabina Adamczyk
Urszula Zelik
Wojciech Florczak
Wiktoria Domino
Jagienka Włodyka
Karol Dzwonnik
author_sort Jakub Dziewic
collection DOAJ
description Osteoarthritis (OA) is the most common form of chronic joint diseases, and its treatment still remains difficult with the current state of medicine. In this review, modern regenerative methods used in the repair of articular cartilage, both traditional techniques and innovative cellular therapies, are described. It focuses on the most updated treatment modalities, discussing, among other methods, microfracture, osteochondral grafts, autologous chondrocyte implantation (ACI), novel approaches of matrix-assisted autologous chondrocyte transplantation (MACT) and mesenchymal stem cell (MSC) treatments, with especial regard toward the use of platelet-rich plasma (PRP) in relation to other intra-articular injections, namely hyaluronic acid and ozone therapy. The regenerative treatments analyzed in this review have great potential in cartilage defect repair and possible symptom alleviation for OA; long-term efficacy, however, and limitations of cost and invasiveness do have to be more extensively considered. Another discussion concerns macrophages, modulators of the inflammatory environment of the joint, and whether they could serve as potential therapeutic targets. The need for further investigation, in order to modify the existing methods and create other effective regenerative approaches in patients suffering from OA, is presented.
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issn 2450-3118
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publishDate 2025-01-01
publisher Nicolaus Copernicus University in Toruń
record_format Article
series Quality in Sport
spelling doaj-art-b899e46ced0f4213a7cbe213d17940a02025-01-20T08:23:25ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.57092Advancements in Regenerative Medicine for Articular Cartilage Repair in the Management of Osteoarthritis: A Review of Modern Treatment MethodsJakub Dziewic0https://orcid.org/0009-0008-4338-4573Maria Przygoda1https://orcid.org/0000-0002-6409-7265Joanna Śnieżna2https://orcid.org/0009-0006-2713-0835Gabriela Trestka3https://orcid.org/0009-0009-9504-8923Kamila Stępień4https://orcid.org/0009-0000-3579-9308Sabina Adamczyk5https://orcid.org/0009-0003-9671-6619Urszula Zelik6https://orcid.org/0009-0009-3369-7936Wojciech Florczak7https://orcid.org/0009-0006-8003-0999Wiktoria Domino8https://orcid.org/0009-0005-0034-7463Jagienka Włodyka9https://orcid.org/0009-0000-7243-7023Karol Dzwonnik10https://orcid.org/0009-0007-1366-3945Medical University of LublinSpecialist Hospital named after Stefan Żeromski, Independent Public Healthcare Facility (SP ZOZ), in KrakówMedical University of LublinClinical Provincial Hospital No. 2 in Rzeszów, Poland Lwowska 60, 35-501 Rzeszów, PolandIndependent Public Health Care Facility of the Ministry of Internal Affairs and Administration in Kielce, Poland Wojska Polskiego 51, 25-375 Kielce, PolandIndependent Public Healthcare Facility of the Ministry of Internal Affairs and Administration in Opole, PolandUniversity Teaching Hospital them F. Chopin in Rzeszów, Poland Fryderyka Szopena 2, 35-055 Rzeszów, PolandMedical University of LublinClinical Provincial Hospital No. 2 in Rzeszów, Poland Lwowska 60, 35-501 Rzeszów, PolandUniversity Teaching Hospital them F. Chopin in Rzeszów, Poland Fryderyka Szopena 2, 35-055 Rzeszów, PolandMedical University of Lublin Osteoarthritis (OA) is the most common form of chronic joint diseases, and its treatment still remains difficult with the current state of medicine. In this review, modern regenerative methods used in the repair of articular cartilage, both traditional techniques and innovative cellular therapies, are described. It focuses on the most updated treatment modalities, discussing, among other methods, microfracture, osteochondral grafts, autologous chondrocyte implantation (ACI), novel approaches of matrix-assisted autologous chondrocyte transplantation (MACT) and mesenchymal stem cell (MSC) treatments, with especial regard toward the use of platelet-rich plasma (PRP) in relation to other intra-articular injections, namely hyaluronic acid and ozone therapy. The regenerative treatments analyzed in this review have great potential in cartilage defect repair and possible symptom alleviation for OA; long-term efficacy, however, and limitations of cost and invasiveness do have to be more extensively considered. Another discussion concerns macrophages, modulators of the inflammatory environment of the joint, and whether they could serve as potential therapeutic targets. The need for further investigation, in order to modify the existing methods and create other effective regenerative approaches in patients suffering from OA, is presented. https://apcz.umk.pl/QS/article/view/57092osteoarthritisarticular cartilage repairstem cellsregenerative medicinecartilage regeneration
spellingShingle Jakub Dziewic
Maria Przygoda
Joanna Śnieżna
Gabriela Trestka
Kamila Stępień
Sabina Adamczyk
Urszula Zelik
Wojciech Florczak
Wiktoria Domino
Jagienka Włodyka
Karol Dzwonnik
Advancements in Regenerative Medicine for Articular Cartilage Repair in the Management of Osteoarthritis: A Review of Modern Treatment Methods
Quality in Sport
osteoarthritis
articular cartilage repair
stem cells
regenerative medicine
cartilage regeneration
title Advancements in Regenerative Medicine for Articular Cartilage Repair in the Management of Osteoarthritis: A Review of Modern Treatment Methods
title_full Advancements in Regenerative Medicine for Articular Cartilage Repair in the Management of Osteoarthritis: A Review of Modern Treatment Methods
title_fullStr Advancements in Regenerative Medicine for Articular Cartilage Repair in the Management of Osteoarthritis: A Review of Modern Treatment Methods
title_full_unstemmed Advancements in Regenerative Medicine for Articular Cartilage Repair in the Management of Osteoarthritis: A Review of Modern Treatment Methods
title_short Advancements in Regenerative Medicine for Articular Cartilage Repair in the Management of Osteoarthritis: A Review of Modern Treatment Methods
title_sort advancements in regenerative medicine for articular cartilage repair in the management of osteoarthritis a review of modern treatment methods
topic osteoarthritis
articular cartilage repair
stem cells
regenerative medicine
cartilage regeneration
url https://apcz.umk.pl/QS/article/view/57092
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