The role of injections of mesenchymal stem cells as an augmentation tool in rotator cuff repair: a systematic review.
Vieira Ferreira N., Andrade R., Pinto Freitas T., de Campos Azevedo C., Espregueira-Mendes J., Salgado AJ.
Systematic Review with a reported sample of 5 on Tendon Injury, Rotator Cuff, published in JSES Rev Rep Tech (2025) — summary generated from the PubMed abstract.
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- Study type
- Systematic Review
- Journal
- JSES Rev Rep Tech (2025)
- Country
- Netherlands
- Reported sample size
- 5
- PMID
- 40321851
- DOI
- 10.1016/j.xrrt.2024.12.003
Abstract (original English)
Arthroscopic repair is currently the gold standard for the surgical treatment of rotator cuff tears, but the retear rates remain unacceptably high. Mesenchymal stem cells (MSCs) may play a role in the local biology and enhance tendon-to-bone healing during rotator cuff repair. However, the scientific literature is still not well systematized on the effects of injection of MSCs as an augmentation tool for rotator cuff repair. Our goal was to investigate the effect of injections of MSCs to augment rotator cuff repair in patients with rotator cuff tear. PubMed and EMBASE were searched up to June 2022 for clinical studies that applied MSCs injections to augment rotator cuff repair. Imaging, patient-reported outcomes measures, shoulder range of motion and strength were collected. Quantitative synthesis included within- and between-group mean differences with the within-group percentage of minimal clinically important difference for each study and continuous outcomes, and relative risks (RR) for retears and adverse events. Quantitative synthesis was computed with 95% confidence intervals (CIs). We included 5 studies comprising a total of 228 individuals with a weighted mean age of 59.3 ± 1.2 years. Three studies used bone marrow MSCs and two studies applied adipose-derived MSCs. Patient-reported outcomes measures, shoulder range of motion, and strength improved significantly in all M
What this study does not prove
- • This study does not prove SVF is an approved treatment or a replacement for standard care.
Evidence level
Relatively higher-quality human studies compared with other topics in this database, e.g. multiple RCTs or systematic reviews. This does not mean it is standard or approved care.
How we grade evidenceRelated research
- Level AMeta-analysis
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Meta-analysis with a reported sample of 422 on Tendon Injury, published in Clin Orthop Relat Res (2025) — summary generated from the PubMed abstract.
- 2025
- n = 422
Clin Orthop Relat Res - Level ASystematic Review
Platelet-Rich Plasma Injections for Foot and Ankle Pathologies Have Significantly More Complications Compared With Hyaluronic Acid Injections, Saline Solution Injections, and Dry Needling: A Systematic Review.
Systematic Review with a reported sample of 674 on Osteoarthritis, Cartilage Damage, Tendon Injury, Ankle Injury, published in Arthroscopy (2025) — summary generated from the PubMed abstract.
- 2025
- n = 674
Arthroscopy - Level ASystematic Review
Poor consideration of tissue loading in randomised trials of MSC interventions for tendon pathology: A systematic review using the TIDieR framework.
Systematic Review on Tendon Injury, Rotator Cuff, published in J Exp Orthop (2025) — summary generated from the PubMed abstract.
- 2025
J Exp Orthop - Level ASystematic Review
Mesenchymal Stromal Cells for the Enhancement of Surgical Flexor Tendon Repair in Animal Models: A Systematic Review and Meta-Analysis.
Systematic Review on Tendon Injury, Chronic Inflammation, Immune Modulation, published in Bioengineering (Basel) (2024) — summary generated from the PubMed abstract.
- 2024
Bioengineering (Basel) - Level ASystematic Review
Evidence for Utilization of Injectable Biologic Augmentation in Primary Rotator Cuff Repair: A Systematic Review of Data From 2010 to 2022.
Systematic Review on Tendon Injury, Rotator Cuff, published in Orthop J Sports Med (2023) — summary generated from the PubMed abstract.
- 2023
Orthop J Sports Med - Level ASystematic Review
Efficacy of Adipose-Derived Mesenchymal Stem Cells and Stromal Vascular Fraction Alone and Combined to Biomaterials in Tendinopathy or Tendon Injury: Systematic Review of Current Concepts.
Systematic Review on Tendon Injury, Scar, published in Medicina (Kaunas) (2023) — summary generated from the PubMed abstract.
- 2023
Medicina (Kaunas)