About this trial

The goal of this pilot randomized clinical trial is to look into the efficacy of concentrated bone marrow aspirate (cBMA) in improving post traumatic osteoarthritis (PTOA) symptoms in patients undergoing revision anterior cruciate ligament reconstruction surgery. The main questions it aims to answer are whether clinical outcomes, such as pain, are improved in patients who get cBMA with surgery, if there is a change in circulating markers of inflammation and what part of the cellular and molecular composition of cBMA may explain its effects.

Eligibility criteria

Qualifiers

Males and Females

Age 18 to 55

Previous unilateral ACLR (Anterior Cruciate Ligament Reconstruction) within the last 5 years, and identified as having experienced failure of the primary ACLR

Scheduled to have a revision ACLR surgery, with any graft type (including patellar tendon, hamstring, quad or allograft)

Disqualifiers

History of inflammatory arthritis or joint sepsis

Prior or concurrent total or sub-total meniscectomy

Prior or present avascular necrosis of the index knee

Oral or intra-articular corticosteroid injection within 3 months

Trial design

Treatments tested in this trial

  • Concentrated Bone Marrow Aspirate Injection
  • Sham Incision
  • Revision Anterior Cruciate Ligament Reconstruction

Treatment groups

40 Participants
are divided into 2 treatment groups

Locations

2
Emory Orthopaedics & Spine Center30097, AtlantaGeorgia, United States
Hospital for Special Surgery10021, New YorkNew York, United States

Sponsors and collaborators

Hospital for Special Surgery, New York

Lead sponsor

Emory University

Collaborator

Arthritis Foundation

Collaborator