文献詳細
誌上シンポジウム 創外固定の将来展望
文献概要
骨延長術では仮骨形成が促進されれば,治療期間が短縮し合併症が減少することが期待される.われわれは培養骨髄細胞と多血小板血漿の移植による細胞治療を開発し,これまで100骨以上に本法を併用した骨延長術を施行してきた.軟骨無形成症に対する治療では,従来法と比較してhealing indexおよび治療を要する合併症の頻度は有意に減少した.本法は厚生労働省高度・先進医療評価会議で承認され,ヒト幹細胞指針に基づく再生医療としては本邦初の保険併用が認められた細胞治療であり,従来の同種骨あるいは自家骨移植の代用となり得る可能性を秘めている.
参考文献
1) Kitoh H, Kitakoji T, Tsuchiya H, et al:Transplantation of marrow derived mesenchymal stem cells and platelet rich plasma during distraction osteogenesis. A preliminary result of three cases. Bone 35:892-898, 2004
2) Kitoh H, Kitakoji T, Tsuchiya H, et al:Transplantation of culture expanded bone marrow cells and platelet rich plasma in distraction osteogenesis of the long bones. Bone 40:522-528, 2007
3) Kitoh H, Kitakoji T, Tsuchiya H, et al:Distraction osteogenesis of the lower extremity in patients with achondrolpasia/hypochondroplasia treated with transplantation of culture expanded bone marrow cells and platelet rich plasma. J Pediatr Orthop 27:629-634, 2007
4) Kitoh H, Kawasumi M, Kaneko H, et al:Differential effects of culture expanded bone marrow cells transplantation on the regeneration of bone between the femoral and the tibial lengthenings. J Pediatr Orthop 29:643-649, 2009
5) Landesberg R, Roy M, Glickman RS:Quantification of growth factor levels using simplified method of platelet-rich plasma gel preparation. J Oral Maxillofac Surg 58:297-300, 2000
6) Marx RE, Carlson ER, Eichstaedt RM, et al:Platelet-rich plasma:Growth factor enhancement for bone grafts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:638-646, 1998
7) Pittenger MF, Mackay AM, Beck SC, et al:Multilineage potential of adult human mesenchymal stem cells. Science 284:143-147, 1999
8) Schilephake H:Bone growth factors in maxillofacial skeletal reconstruction. Int J Oral Maxillofac Surg 31:469-484, 2002
9) Simpson AH, Kenwright J:Fracture after distraction osteogenesis. J Bone Joint Surg Br 82:659-665, 2002
10) Takamine Y, Tsuchiya H, Kitakoji T, et al:Distraction osteogenesis enhanced by osteoblastlike cells and collagen gel. Clin Orthop 399:240-246, 2002
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