Evidence map›Paper›PMID 41541548›Full record

ArticleJournal of experimental orthopaedics2026

Intra-articular and intra-osseous expanded adipose-derived stromal cell injections for knee osteoarthritis-related bone marrow lesions yield promising outcomes: Preliminary results in 16 athletes.

Miguel A Khoury, Emmanuel T Papakostas, Theodorakys Marín Fermín, Montassar Tabben, Karim Chamari, Lorena Levi, Khaled Alkhelaifi, Pieter D'Hooghe

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Miguel A KhourySurgery Department Aspetar Orthopaedic and Sports Medicine Hospital Doha Qatar.ORCID https://orcid.org/0009-0006-2521-6598
Emmanuel T PapakostasSurgery Department Aspetar Orthopaedic and Sports Medicine Hospital Doha Qatar.ORCID https://orcid.org/0000-0003-1339-7900
Theodorakys Marín FermínOrthopedic Department Clínica Santa Sofía, Av. Principal de Santa Sofía El Cafetal Caracas Venezuela.ORCID https://orcid.org/0000-0002-1698-9517
Montassar TabbenSurgery Department Aspetar Orthopaedic and Sports Medicine Hospital Doha Qatar.ORCID https://orcid.org/0000-0002-2152-9427
Karim ChamariResearch Department, Naufar Wellness and Recovery Center Doha Qatar.ORCID https://orcid.org/0000-0001-9178-7678
Lorena LeviSurgery Department Aspetar Orthopaedic and Sports Medicine Hospital Doha Qatar.ORCID https://orcid.org/0009-0003-5809-1339
Khaled AlkhelaifiSurgery Department Aspetar Orthopaedic and Sports Medicine Hospital Doha Qatar.ORCID https://orcid.org/0000-0002-4560-441X
Pieter D'HoogheSurgery Department Aspetar Orthopaedic and Sports Medicine Hospital Doha Qatar.ORCID https://orcid.org/0000-0003-0003-6305

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To explore the results of a fluoroscopic-guided intra-osseous (IO) and intra-articular (IA) injection of expanded adipose-derived stromal cells (ASCs) in athletes with bone marrow lesions (BML) associated with knee osteoarthritis (OA). Methods: A prospective study was conducted on 16 athletes (9 males, 7 females; mean age 30.5 ± 2.8 years), including two with bilateral knee involvement. All had Kellgren-Lawrence grades 2-4 and received IA and IO injections of 24.3 ± 2.1 million and 23.4 ± 1.9 million ASCs, respectively. Clinical outcomes were assessed using the Knee Injury and Osteoarthritis Outcome Score (KOOS), Numeric Pain Rating Scale (NPRS), and Tegner activity scale at baseline, 6 months, and 12 months. Radiological changes were evaluated using Magnetic Resonance Imaging Osteoarthritis Knee Scores (MOAKS) at baseline and 12 months. Results: Significant improvements were observed in NPRS, Tegner, and all KOOS subscales at 6 months and 12 months with respect to baseline ( Conclusions: Combined IA and IO ASC injections are a safe and effective treatment for OA-BMLs in athletes, offering sustained clinical and radiological benefits over 12 months. Level of Evidence: Level III.

Indexed as

Athlete's knee injectionsbone marrow lesionsdegenerative joint diseaseintra‐osseous injectionmesenchymal stromal cells

Identifiers

PMID41541548
PMCPMC12802558

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.