Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3144136 | Journal of Cranio-Maxillofacial Surgery | 2009 | 7 Pages |
SummaryPurposeThis case report describes a new clinical method for chair-side processing of a cell mixture which contains mesenchymal stem cells (MSCs) which was applied for the first time in the treatment of a nonunion of an atrophic fractured mandible.MethodsBone marrow was aspirated and a corticocancellous bone graft was harvested from the iliac crest of a 56-year-old woman with medical comorbidities and a fracture of the atrophic mandible. The fracture was stabilized with a reconstruction bone plate, and mononuclear cells including MSCs were concentrated by centrifugation and applied in combination with a particulate bone transplant. A sample of the grafted cells was characterized by flow cytometric analysis and by their ability to differentiate into various cell types.ResultsThe fracture healed uneventfully. No complications occurred during the 4-month follow-up.ConclusionAdding MSCs is a feasible alternative to enhance bone healing. This chair-side method requires little training and no cell laboratory support.