Evidence map›Paper›PMID 42220756›Full record

ArticleCureus2026

Expert Opinion on Allogeneic Bone Marrow-Derived Mesenchymal Stem Cell (BMMSC) Therapy for Knee Osteoarthritis: Clinical Insights, Efficacy, and Safety.

Sanjay B Londhe, Vijay Goni, Ravi Shah, Ravi Sauhta, Pardeep Bageja, Natesh Kolusu, Vijal Modi, Bishal Bhagat, Rajashekar Danda, Gaurav Bhandari and 4 more

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Sanjay B LondheDepartment of Orthopedics, Criticare Asia Hospital, Mumbai, IND.
Vijay GoniDepartment of Orthopedics and Traumatology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Ravi ShahDepartment of Orthopedics, Sujay Hospital, Mumbai, IND.
Ravi SauhtaDepartment of Orthopedics and Joint Replacement, Artemis Hospital Gurgaon, Gurgaon, IND.
Pardeep BagejaDepartment of Orthopedics, Sir Ganga Ram Hospital, New Delhi, IND.
Natesh KolusuDepartment of Orthopedics and Trauma, Virinchi Hospitals, Hyderabad, IND.
Vijal ModiDepartment of Orthopedics, Dr. Vijal Modi (DVM) Hospital, Ahmedabad, Ahmedabad, IND.
Bishal BhagatDepartment of Orthopedic Surgery, Manipal Hospitals, Kolkata, Kolkata, IND.
Rajashekar DandaDepartment of Orthopedics, PRK Super Specialty Hospitals, Hyderabad, Hyderabad, IND.
Gaurav BhandariDepartment of Orthopedics and Joint Replacement, Dharamshila Narayana Superspeciality Hospital, New Delhi, IND.
Girish BhaleraoDepartment of Orthopedics and Joint Replacement, Gleneagles Hospitals, Mumbai, IND.
Krishna Shriram DhanasekaranDepartment of Medical Affairs, Cipla Ltd., Mumbai, IND.
Prashant PalkarDepartment of Medical Affairs, Cipla Ltd., Mumbai, IND.
Sucheta MehtaDepartment of Medical Affairs, Cipla Ltd., Mumbai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnee osteoarthritis (KOA) remains a major cause of disability. Many patients with moderate disease (Kellgren-Lawrence (KL) grade 2-3) continue to experience disease progression, despite receiving guideline-based conservative treatments that primarily offer symptomatic relief. Allogeneic bone marrow-derived mesenchymal stem cells (BMMSCs) have gained attention for their potential anti-inflammatory, immunomodulatory, and chondroprotective effects. This consensus exercise aimed to capture expert perspectives on diagnostic practices, clinical utility, efficacy, safety, and real-world integration of allogeneic BMMSC therapy.

methodsA structured expert panel comprising experienced orthopedic surgeons reviewed preclinical, clinical, and regulatory evidence supporting allogeneic BMMSCs for KOA. Real-time online polling collected quantitative data on diagnostic approaches, perceived efficacy, safety experience, cartilage-regeneration assessment, and broader orthopedic indications.

resultsMost experts (81.8%) relied on physical examination and X-ray (KL grading) for diagnosis, while MRI was used selectively. A majority (72.7%) considered allogeneic BMMSCs effective for KL grade 2-3 KOA. Routine MRI monitoring for cartilage regeneration was uncommon; only 9.0% reported performing post-procedural MRI for visualizing structural improvements. No severe allergic or anaphylactic reactions were reported, and adverse events were described as mild and transient. Regulatory approval and GMP/GLP-certified manufacturing were viewed as key contributors to both clinician and patient confidence and insurance coverage. Experts supported the use of allogeneic MSCs for cartilage defects and, to a lesser extent, avascular necrosis and tendon or ligament injuries. Identified gaps included long-term durability and standardized rehabilitation protocols.

conclusionsThe expert panel found that allogeneic BMMSCs appear to be a safe and effective treatment for grade 2-3 KOA. Additional real-world data and targeted guidelines are needed to better define the role of allogeneic BMMSCs in routine orthopedic practice.

Indexed as

cartilage preservationclinical consensusknee osteoarthritisorthobiologicsregenerative medicine

Identifiers

PMID42220756
PMCPMC13219782

What Socratic holds

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LicenceCC BY
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Registered trials

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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.