MSC source | In vivoassessment of focal AC defect treatment | Advantages | Disadvantages |
---|---|---|---|
Bone marrow | Clinical and pre-clinical [7],[38],[45],[47],[48],[51],[53],[59],[60],[65],[66],[68],[69],[71]-[73],[76]-[78],[80]-[85],[88]-[91],[97] | Most rigorous investigation and strongest supporting evidence | Propensity to form osseous tissue (could be beneficial for osseous regeneration in osteochondral lesions) |
Ease of collection by needle | |||
Long-term safety reported | |||
Peripheral blood | Ease of collection by needle | Paucity of literature comparing this source to others | |
Synovial tissue | Greatest chondrogenic capacity noted based on in vitro study | Clinical assessment is lacking | |
Periosteum | Equivalent chondrogenic capacity to bone marrow | Propensity to form osseous tissue | |
Clinical assessment is lacking | |||
Adipose tissue | Abundance of tissue | Reduced chondrogenic capacity | |
Widespread anatomic availability | Clinical assessment is lacking |