Evidence map›Paper›PMID 42360177›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2026

Cell-based therapy injections for the management of knee osteoarthritis: The ESSKA-ICRS consensus. Recommendations using the RAND/UCLA appropriateness method for different clinical scenarios.

Laura de Girolamo, Elizaveta Kon, Lior Laver, Luca Andriolo, Angelo Boffa, Jasmin Bagge, Kristoffer Weisskirchner Barfod, Ricardo Bastos, Ramon Cugat, Francesca de Caro and 19 more

Abstract readConsensus Statement
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 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

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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

29 authors.

Laura de GirolamoIRCCS Ospedale Galeazzi Sant'Ambrogio, Orthopaedic Biotechnology Laboratory, Milano, Italy.
Elizaveta KonDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Lior LaverDepartment of Orthopaedics, Hillel Yaffe Medical Center (HYMC), Hadera, Israel.
Luca AndrioloClinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Angelo BoffaClinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.ORCID https://orcid.org/0000-0002-1523-6900
Jasmin BaggeSports Orthopedic Research Center-Copenhagen (SORC-C), Department of Orthopedic Surgery, Copenhagen University Hospital-Hvidovre, Copenhagen, Denmark.
Kristoffer Weisskirchner BarfodSports Orthopedic Research Center-Copenhagen (SORC-C), Arthroscopic Center, Department of Orthopedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Hvidovre, Denmark.
Ricardo BastosUniversiade Federal Fluminense, Niterói, Rio de Janeiro, Brazil.
Ramon CugatInstituto Cugat, Hospital Quironsalud Barcelona, Barcelona, Spain.
Francesca de CaroIstituto di Cura Città di Pavia, Reparto di Chirurgia Mini Invasiva, Pavia, Italy.
Alessandro Di MartinoClinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Matej DrobničDepartment of Orthopedic Surgery, University Medical Center Ljubljana, Ljubljana, Slovenia.
João Espregueira-MendesClínica Espregueira-FIFA Medical Centre of Excellence, Porto, Portugal.
Michael Iosifidis3rd Orthopaedic Department, Interbalkan Medical Center, Thessaloniki, Greece.
Baris KocaogluAcibadem Altunizade Sports Therapy and Health Unit, Department of Orthopedics and Traumatology, Acibadem University Faculty of Medicine, Istanbul, Turkey.
Jérémy MagalonCell Therapy Laboratory, Hôpital De La Conception, AP-HM, Marseille, France.
Laura MangiaviniIRCCS Ospedale Galeazzi Sant'Ambrogio, Milan, Italy.
Rodica MarinescuDepartment of Orthopedics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Stefan NehrerCenter for Regenerative Medicine, Department for Health Sciences, Medicine and Research, University for Continuing Education Krems, Krems, Austria.
Marko OstojićSports Traumatology Division, Traumatology Department "Draškovićeva", University Hospital "Sisters of Mercy", Zagreb, Croatia.
Mikel SánchezArthroscopic Surgery Unit, MiKS Hospital, Vitoria, Spain.
Kristof SasOrthopaedic Center (ORTHOCA), Antwerp, Belgium.
George SkarpasOrthopaedic Surgery, University of Nicosia, Nicosia, Cyprus.
Konrad SłynarskiMirai Clinic, Warsaw, Poland.
Martyn SnowDepartment of Trauma and Orthopaedic Surgery, The Royal Orthopaedic Hospital, Birmingham, UK.
Thomas TischerDepartment of Orthopaedic Surgery, University of Rostock, Rostock, Germany.
Lucienne VonkDepartment of Orthopaedics, University Medical Center Utrecht, Utrecht, the Netherlands.
Tobias WinklerCenter for Musculoskeletal Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Giuseppe FilardoFaculty of Biomedical Sciences, Università Della Svizzera Italiana, Lugano, Switzerland.

Funding

European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA)International Cartilage Regeneration and Joint Preservation Society (ICRS)
6 · The paper itself

Abstract

purposeThe aim of this consensus was to develop evidence/expert-based patient-focused recommendations on the appropriateness of intra-articular point-of-care (POC) cell-based therapy (CBT) injections in different clinical scenarios of patients with knee osteoarthritis (OA).

methodsThe RAND/UCLA Appropriateness Method was used by European experts of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) and the International Cartilage Regeneration and Joint Preservation Society (ICRS) to reach a consensus and produce recommendations for specific patient categories, combining best available scientific evidence with the collective judgement of a panel of experts.

resultsA total of 144 scenarios were developed based on five factors: cell source (bone marrow vs. adipose tissue), age (<50 vs. 50-65 vs. 66-80 vs. >80 years), joint involvement (prevalent tibio-femoral vs. patello-femoral), OA level (Kellgren-Lawrence [KL] Grade 0-I vs. II-III vs. IV) and body mass index (BMI) (<18.5 vs. 18.5-35 vs. >35 kg/m

conclusionsThis ESSKA-ICRS expert consensus provides recommendations on the appropriateness of cell-based injectable therapies for knee OA. POC-CBT may be considered, after failure of other non-operative and injectable options, in patients aged ≤65 years with BMI ≤ 35 kg/m LEVEL OF EVIDENCE: Level I.

Indexed as

Cell- and Tissue-Based TherapyOsteoarthritis, KneeAgedAged, 80 and overHumansInjections, Intra-ArticularMiddle AgedPoint-of-Care Systemscell‐based therapyconsensusinjectionkneemesenchymal stromal cellsosteoarthritisRAND/UCLA

Identifiers

PMID42360177
PMCPMC13418391

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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 OpenQuestion graph.