Regen Med. 2018 Mar 19. doi: 10.2217/rme-2017-0104. [Epub ahead of print]

The regenerative therapies of the ankle degeneration: a focus on multipotential mesenchymal stromal cells.

El-Jawhari JJ^1,2, Brockett CL³, Ktistakis I^1,4, Jones E¹, Giannoudis PV^1,4.

Abstract

The ankle degeneration ranging from focal osteochondral lesions to osteoarthritis can cause a total joint function loss. With rising life expectancy and activity of the patients, various regenerative therapies were introduced aiming to preserve the joint function via the induction of cartilage and bone repair. Here, biological events and mechanical changes of the ankle degeneration were discussed. The regenerative therapies were reviewed versus the standard surgical treatment. We especially focused on the use of mesenchymal (multipotential) stromal cells (MSCs) highlighting their dual functions of regeneration and cell modulation with an emphasis on the emerging MSC-based clinical studies. Being at an early step, more basic and clinical research is needed to optimize the applications of all ankle regenerative therapies including MSC-based methods.