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Aratikatla A, Maffulli N, Rodriguez HC, Gupta M, Potty AG, El-Amin SF, Gupta A. Allogenic perinatal tissue for musculoskeletal regenerative medicine applications: a systematic review protocol. J Orthop Surg Res 2022; 17:307. [PMID: 35690774 PMCID: PMC9188718 DOI: 10.1186/s13018-022-03197-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 05/31/2022] [Indexed: 11/13/2022] Open
Abstract
Background Musculoskeletal ailments impact the lives of millions of people, and at times necessitate surgery followed by physiotherapy, drug treatments, or immobilization. Regenerative musculoskeletal medicine has undergone enormous progress over the last few decades. Sources of tissues used for regenerative medicine purposes can be grouped into autologous or allogenic. Although autologous sources are promising, there is a wide range of limitations with the treatment, including the lack of randomized controlled studies for orthopaedic conditions, donor site morbidity, and highly variable outcomes for patients. Allogenic sources bypass some of these shortcomings and are a promising source for orthopaedic regenerative medicine applications. Methods A systematic search will be performed using PubMed, Elsevier, ScienceDirect, and Google Scholar databases for articles published in English before May 2022. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and guidelines will be used. Studies will be eligible if they apply to acute and chronic orthopaedic musculoskeletal complications or animal or human disease models. Publications must include the use of MSCs and/or tissue obtained from amniotic/chorionic membrane, amniotic fluid, umbilical cord, and/or umbilical cord-derived Wharton’s jelly as an intervention. Placebos, noninjury models, acute injury models, non-injury models, and gold standard treatments will be compared. The study selection will be performed by two independent reviewers using a dedicated reference management software. Data synthesis and meta-analysis will be performed separately for preclinical and clinical studies. Discussion The results will be published in relevant peer-reviewed scientific journals. Investigators will present results at national or international conferences. Trial registration: The Protocol will be registered on PROSPERO international prospective register of systematic reviews prior to commencement.
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Affiliation(s)
| | - Nicola Maffulli
- Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, 84084, Fisciano, Italy.,San Giovanni di Dio e Ruggi D'Aragona Hospital "Clinica Orthopedica" Department, Hospital of Salerno, 84124, Salerno, Italy.,Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, E1 4DG, UK.,School of Pharmacy and Bioengineering, Keele University School of Medicine, Stoke-on-Trent, ST5 5BG, UK
| | - Hugo C Rodriguez
- Holy Cross Hospital, Orthopaedic Research Institute, Fort Lauderdale, FL, 33334, USA.,Department of Orthopaedic Surgery, Larkin Community Hospital, South Miami, FL, USA
| | - Manu Gupta
- Future Biologics, Lawrenceville, GA, 30043, USA.,Polar Aesthetics Dental & Cosmetic Centre, Noida, Uttar Pradesh, 201301, India
| | - Anish G Potty
- South Texas Orthopaedic Research Institute (STORI Inc.), Laredo, TX, 78045, USA.,Laredo Sports Medicine Clinic, Laredo, TX, 78041, USA
| | - Saadiq F El-Amin
- El-Amin Orthopaedic & Sports Medicine Institute, Lawrenceville, GA, 30043, USA.,Regenerative Sports Medicine, Lawrenceville, GA, 30043, USA.,BioIntegrate Inc., 2505 Newpoint Pkwy, Suite - 100, Lawrenceville, GA, 30043, USA
| | - Ashim Gupta
- Future Biologics, Lawrenceville, GA, 30043, USA. .,Polar Aesthetics Dental & Cosmetic Centre, Noida, Uttar Pradesh, 201301, India. .,South Texas Orthopaedic Research Institute (STORI Inc.), Laredo, TX, 78045, USA. .,BioIntegrate Inc., 2505 Newpoint Pkwy, Suite - 100, Lawrenceville, GA, 30043, USA. .,Veterans in Pain (V.I.P.), Valencia, CA, 91354, USA. .,Indian Stem Cell Study Group (ISCSG) Association, Lucknow, Uttar Pradesh, 110048, India.
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