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Clinical Musculoskeletal Biologics 2023 Special Issue

Dr Cole
Dr Lubowitz

In 2023, Brian Cole, MD, Guest Editor, and James Lubowitz, MD, Editor-in-Chief, selected these top, recent clinical musculoskeletal biologics articles published in Arthroscopy and Arthroscopy Techniques for inclusion in our first Biologics Special Issue.

In a Call For Papers, authors are encouraged to submit their orthobiologics research to our journals. Accepted articles may be awarded inclusion in future special issues.

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  • Infographic

    Platelet-Rich Plasma: Fundamentals and Clinical Applications

    Arthroscopy
    Vol. 37Issue 9p2732–2734Published in issue: September, 2021
    • Andrew J. Sheean
    • Adam W. Anz
    • James P. Bradley
    Cited in Scopus: 9
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      Platelet-rich plasma (PRP) is perhaps the most widely studied of the biologic therapies, with an ever-growing body of evidence supporting its safety and efficacy in decreasing inflammation and pain and promoting healing in the setting of both nonoperative and operative treatments. PRP is produced by the centrifugation of whole blood, isolating its constituent parts based on their unique densities. These density gradients can be selectively harvested so as to obtain different concentrations of various blood product components, such as platelets and leukocytes.
      Platelet-Rich Plasma: Fundamentals and Clinical Applications
    • Original Article
      Open Access

      Safety and Efficacy of an Amniotic Suspension Allograft Injection Over 12 Months in a Single-Blinded, Randomized Controlled Trial for Symptomatic Osteoarthritis of the Knee

      Arthroscopy
      Vol. 37Issue 7p2246–2257Published online: March 11, 2021
      • Andreas H. Gomoll
      • Jack Farr
      • Brian J. Cole
      • David C. Flanigan
      • Christian Lattermann
      • Bert R. Mandelbaum
      • and others
      Cited in Scopus: 17
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        The purpose of this study is to determine the efficacy of amniotic suspension allograft (ASA) compared to hyaluronic acid (HA) and saline at up to 12 months of follow-up through the use of patient-reported outcomes, immunoglobulin levels, and anti-human leukocyte antigen (HLA) levels.
        Safety and Efficacy of an Amniotic Suspension Allograft Injection Over 12 Months in a Single-Blinded, Randomized Controlled Trial for Symptomatic Osteoarthritis of the Knee
      • Meta-analysis

        Platelet-Rich Plasma Combined With Hyaluronic Acid Improves Pain and Function Compared With Hyaluronic Acid Alone in Knee Osteoarthritis: A Systematic Review and Meta-analysis

        Arthroscopy
        Vol. 37Issue 4p1277–1287.e1Published online: December 2, 2020
        • Theofilos Karasavvidis
        • Trifon Totlis
        • Ron Gilat
        • Brian J. Cole
        Cited in Scopus: 14
        Online Extra
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          To evaluate the efficacy of platelet-rich plasma (PRP) combined with hyaluronic acid (HA) injections versus HA injections alone for the management of knee osteoarthritis (OA).
          Platelet-Rich Plasma Combined With Hyaluronic Acid Improves Pain and Function Compared With Hyaluronic Acid Alone in Knee Osteoarthritis: A Systematic Review and Meta-analysis
        • Original Article

          Platelet-Rich Plasma in Patients With Partial-Thickness Rotator Cuff Tears or Tendinopathy Leads to Significantly Improved Short-Term Pain Relief and Function Compared With Corticosteroid Injection: A Double-Blind Randomized Controlled Trial

          Arthroscopy
          Vol. 37Issue 2p510–517Published online: October 27, 2020
          • Cory A. Kwong
          • Jarret M. Woodmass
          • Eva M. Gusnowski
          • Aaron J. Bois
          • Justin Leblanc
          • Kristie D. More
          • and others
          Cited in Scopus: 33
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            To perform a randomized controlled trial comparing platelet-rich plasma (PRP) with standard corticosteroid (CS) injection in providing pain relief and improved function in patients with rotator cuff tendinopathy and partial-thickness rotator cuff tears (PTRCTs).
            Platelet-Rich Plasma in Patients With Partial-Thickness Rotator Cuff Tears or Tendinopathy Leads to Significantly Improved Short-Term Pain Relief and Function Compared With Corticosteroid Injection: A Double-Blind Randomized Controlled Trial
          • Original Article

            Intra-Articular Platelet-Rich Plasma Combined With Hyaluronic Acid Injection for Knee Osteoarthritis Is Superior to Platelet-Rich Plasma or Hyaluronic Acid Alone in Inhibiting Inflammation and Improving Pain and Function

            Arthroscopy
            Vol. 37Issue 3p903–915Published online: October 19, 2020
            • Zhe Xu
            • Zhixu He
            • Liping Shu
            • Xuanze Li
            • Minxian Ma
            • Chuan Ye
            Cited in Scopus: 23
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              To evaluate the effectiveness and explore the therapeutic mechanisms of platelet-rich plasma (PRP) combined with hyaluronic acid (HA) as a treatment for knee osteoarthritis (KOA).
              Intra-Articular Platelet-Rich Plasma Combined With Hyaluronic Acid Injection for Knee Osteoarthritis Is Superior to Platelet-Rich Plasma or Hyaluronic Acid Alone in Inhibiting Inflammation and Improving Pain and Function
            • Meta-analysis

              Platelet-Rich Plasma Versus Hyaluronic Acid in the Treatment of Knee Osteoarthritis: A Meta-analysis of 26 Randomized Controlled Trials

              Arthroscopy
              Vol. 37Issue 1p309–325Published online: July 14, 2020
              • Jixiang Tan
              • Hong Chen
              • Lin Zhao
              • Wei Huang
              Cited in Scopus: 25
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                To compare the effectiveness and safety of platelet-rich plasma (PRP) and hyaluronic acid (HA) in patients with adult knee osteoarthritis (KOA) and to explore the most effective and safe protocol by using a meta-analysis method.
                Platelet-Rich Plasma Versus Hyaluronic Acid in the Treatment of Knee Osteoarthritis: A Meta-analysis of 26 Randomized Controlled Trials
              • Research Article

                Proximal Humerus and Ilium Are Reliable Sources of Bone Marrow Aspirates for Biologic Augmentation During Arthroscopic Surgery

                Arthroscopy
                Vol. 36Issue 9p2403–2411Published online: June 15, 2020
                • Alexander Otto
                • Lukas N. Muench
                • Cameron Kia
                • Joshua B. Baldino
                • Julian Mehl
                • Felix Dyrna
                • and others
                Cited in Scopus: 13
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                  The purpose of this study was to evaluate the number of colony-forming units (CFUs) derived from concentrated bone marrow aspirates (BMAs) that were processed following arthroscopic harvest from either the proximal humerus or the body of the ilium during biologic augmentation of the rotator cuff and acetabular labral repairs.
                  Proximal Humerus and Ilium Are Reliable Sources of Bone Marrow Aspirates for Biologic Augmentation During Arthroscopic Surgery
                • Original Article

                  Subacromial Bursa–Derived Cells Demonstrate High Proliferation Potential Regardless of Patient Demographics and Rotator Cuff Tear Characteristics

                  Arthroscopy
                  Vol. 36Issue 11p2794–2802Published online: June 14, 2020
                  • Lukas N. Muench
                  • Joshua B. Baldino
                  • Daniel P. Berthold
                  • Cameron Kia
                  • Amir Lebaschi
                  • Mark P. Cote
                  • and others
                  Cited in Scopus: 14
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                    To investigate the influence of patient demographics and rotator cuff tear characteristics on the cellular proliferation potential of subacromial bursa–derived cells (SBDCs).
                    Subacromial Bursa–Derived Cells Demonstrate High Proliferation Potential Regardless of Patient Demographics and Rotator Cuff Tear Characteristics
                  • Systematic Review

                    Regenerative Potential of Mesenchymal Stem Cells for the Treatment of Knee Osteoarthritis and Chondral Defects: A Systematic Review and Meta-analysis

                    Arthroscopy
                    Vol. 37Issue 1p362–378Published online: June 1, 2020
                    • Bhargavi Maheshwer
                    • Evan M. Polce
                    • Katlynn Paul
                    • Brady T. Williams
                    • Theodore S. Wolfson
                    • Adam Yanke
                    • and others
                    Cited in Scopus: 32
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                      To perform a systematic review and meta-analysis evaluating the effects of mesenchymal stem cells (MSCs) on cartilage regeneration and patient-reported pain and function.
                      Regenerative Potential of Mesenchymal Stem Cells for the Treatment of Knee Osteoarthritis and Chondral Defects: A Systematic Review and Meta-analysis
                    • Meta-analysis

                      Intra-Articular Injections of Hyaluronic Acid or Steroids Associated With Better Outcomes Than Platelet-Rich Plasma, Adipose Mesenchymal Stromal Cells, or Placebo in Knee Osteoarthritis: A Network Meta-analysis

                      Arthroscopy
                      Vol. 37Issue 1p292–306Published online: April 16, 2020
                      • Seung-Beom Han
                      • In-Wook Seo
                      • Young-Soo Shin
                      Cited in Scopus: 27
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                        To evaluate the clinical effects of hyaluronic acid (HA), steroids, platelet-rich plasma (PRP), or adipose mesenchymal stromal cell (MSC) injections in the treatment of knee osteoarthritis (OA).
                        Intra-Articular Injections of Hyaluronic Acid or Steroids Associated With Better Outcomes Than Platelet-Rich Plasma, Adipose Mesenchymal Stromal Cells, or Placebo in Knee Osteoarthritis: A Network Meta-analysis
                      • Original Article

                        Intra-Articular Injections of Mesenchymal Stem Cell Exosomes and Hyaluronic Acid Improve Structural and Mechanical Properties of Repaired Cartilage in a Rabbit Model

                        Arthroscopy
                        Vol. 36Issue 8p2215–2228.e2Published online: April 14, 2020
                        • Keng Lin Wong
                        • Shipin Zhang
                        • Ming Wang
                        • Xiafei Ren
                        • Hassan Afizah
                        • Ruenn Chai Lai
                        • and others
                        Cited in Scopus: 43
                        Online Extra
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                          To compare the efficacy of mesenchymal stem cell (MSC) exosomes with hyaluronic acid (HA) against HA alone for functional cartilage regeneration in a rabbit osteochondral defect model.
                          Intra-Articular Injections of Mesenchymal Stem Cell Exosomes and Hyaluronic Acid Improve Structural and Mechanical Properties of Repaired Cartilage in a Rabbit Model
                        • Systematic Review

                          Platelet-Rich Plasma Augmentation in Meniscal Repair Surgery: A Systematic Review of Comparative Studies

                          Arthroscopy
                          Vol. 36Issue 6p1765–1774Published online: February 10, 2020
                          • Eric D. Haunschild
                          • Hailey P. Huddleston
                          • Jorge Chahla
                          • Ron Gilat
                          • Brian J. Cole
                          • Adam B. Yanke
                          Cited in Scopus: 19
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                            To systematically review the literature on meniscal repair surgery and assess functional and radiographic outcomes of platelet-rich plasma (PRP)–augmented repair compared with standard repair techniques.
                            Platelet-Rich Plasma Augmentation in Meniscal Repair Surgery: A Systematic Review of Comparative Studies
                          • Systematic Review

                            Anterior Cruciate Ligament Reconstruction with Platelet-Rich Plasma: A Systematic Review of Randomized Control Trials

                            Arthroscopy
                            Vol. 36Issue 4p1204–1210Published online: January 24, 2020
                            • Martin S. Davey
                            • Eoghan T. Hurley
                            • Dan Withers
                            • Ray Moran
                            • Cathal J. Moran
                            Cited in Scopus: 21
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                              To perform a systematic review of the randomized controlled trials (RCTs) evaluating the efficacy of platelet-rich plasma (PRP) to augment anterior cruciate ligament (ACL) reconstruction.
                              Anterior Cruciate Ligament Reconstruction with Platelet-Rich Plasma: A Systematic Review of Randomized Control Trials
                            • Meta-analysis

                              Different Intra-articular Injections as Therapy for Hip Osteoarthritis: A Systematic Review and Network Meta-analysis

                              Arthroscopy
                              Vol. 36Issue 5p1452–1464.e2Published online: January 13, 2020
                              • Zhihu Zhao
                              • Jian-xiong Ma
                              • Xin-long Ma
                              Cited in Scopus: 30
                              Online Extra
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                                This systematic review and network meta-analysis aimed to compare the clinical outcomes between 4 intra-articular injections (platelet-rich plasma [PRP], hyaluronic acid [HA], corticosteroid [CS], and HA plus PRP) for hip osteoarthritis (OA).
                                Different Intra-articular Injections as Therapy for Hip Osteoarthritis: A Systematic Review and Network Meta-analysis
                              • Systematic Review

                                Platelet-Rich Plasma Versus Surgery for the Management of Recalcitrant Greater Trochanteric Pain Syndrome: A Systematic Review

                                Arthroscopy
                                Vol. 36Issue 3p875–888Published online: December 24, 2019
                                • Rafael Walker-Santiago
                                • Natalia M. Wojnowski
                                • Ajay C. Lall
                                • David R. Maldonado
                                • Stephanie M. Rabe
                                • Benjamin G. Domb
                                Cited in Scopus: 13
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                                  To perform a systematic review of the outcomes of platelet-rich plasma (PRP) injections as an in-office procedure versus surgical treatment for recalcitrant greater trochanteric pain syndrome (GTPS).
                                  Platelet-Rich Plasma Versus Surgery for the Management of Recalcitrant Greater Trochanteric Pain Syndrome: A Systematic Review
                                • Original Article

                                  The Effect of Delayed Injection of Leukocyte-Rich Platelet-Rich Plasma Following Rotator Cuff Repair on Patient Function: A Randomized Double-Blind Controlled Trial

                                  Arthroscopy
                                  Vol. 36Issue 3p648–657Published online: November 27, 2019
                                  • Martyn Snow
                                  • Faisal Hussain
                                  • Joseph Pagkalos
                                  • Tomasz Kowalski
                                  • Marcus Green
                                  • Samir Massoud
                                  • and others
                                  Cited in Scopus: 19
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                                    To investigate the effect of delayed application of leukocyte-rich platelet-rich plasma (PRP) on rotator cuff repair results as assessed by outcome scores and imaging at one year.
                                    The Effect of Delayed Injection of Leukocyte-Rich Platelet-Rich Plasma Following Rotator Cuff Repair on Patient Function: A Randomized Double-Blind Controlled Trial
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