Compositions for repair of cartilage and bone

Prosthesis (i.e. – artificial body members) – parts thereof – or ai – Implantable prosthesis – Bone

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623 66, A61F 228

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050530500

ABSTRACT:
A defect is provided in cartilage or bone, or both, to excize damaged or pathological tissue, and it is filled with an implant having capability for complete regeneration of the skeletal tissue as a chondrogenic or osteogenic phenotype. The implant comprises cells expressing a chondrocyte phenotype (80.times.10.sup.6 cells/ml) embedded in a biocompatible matrix having about 20% serum, which provides a permissive environment for maturation and transformation of the implant to a fully integrated state with the surrounding tissue. A portion of the implant may comprise a bone segment or a bone substitute.

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S. Itay et al., "Use of Cultured Chick Epiphyseal Chondrocytes as Grafts for Defects in Chick Articular Cartilage", Clinical Orthopedics, pp. 284-303, Jul., 1987.
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Bentley, G. et al., "Isolated Epiphyseal Chondrocyte Allographs into Joint Surfaces--An Experimental Study in Rabbits", Annuals Rheumatic Diseases, 37, pp. 449-458 (1978).
Helbing, G. et al., "In-vitro--Untersuchungen an Isolierten Chondrozyten zur Prognose von Knorpeltransplantaten", Helv. Chir. Acta 46, pp. 21-24 (1979).
Urist, Marshall R. et al., "Bone Cell Differentiation and Growth Factors", Science, vol. 220, pp. 680-686, May 13, 1983.
Urist, Marshall R. et al., "Cartilage or Bone Induction by Articular Cartilage", The Journal of Bone and Joint Surgery, vol. 50B, No. 1, pp. 198-215, Feb. 1968.
Chesterman, P. J. et al., "Homotransplantation of Articular Cartilage and Isolated Chondrocytes", The Journal of Bone and Joint Surgery, vol. 50B, No. 1, pp. 184-197, Feb. 1968.
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