Evidence map›Paper›PMID 30311059›Full record

ArticleInternational orthopaedics2019

Concentrated adipose tissue infusion for the treatment of knee osteoarthritis: clinical and histological observations.

Ilaria Roato, Dimas Carolina Belisario, Mara Compagno, Aurora Lena, Alessandro Bistolfi, Luca Maccari, Federico Mussano, Tullio Genova, Laura Godio, Giuseppe Perale and 6 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 3% of its field
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

47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  13. Age and synovitis affect the results of the treatment of knee osteoarthritis with Microfragmented Autologous Fat Tissue.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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  20. Stromal Vascular Fraction for Osteoarthritis of the Knee Regenerative Engineering.Regenerative engineering and translational medicine · 2022
    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

16 authors at 5 institutions in 2 countries.

Ilaria RoatoCenter for Research and Medical Studies, A.O.U. Città della Salute e della Scienza, Turin, Italy. roato78@libero.it.ORCID http://orcid.org/0000-0003-3029-4743
Dimas Carolina BelisarioCenter for Research and Medical Studies, A.O.U. Città della Salute e della Scienza, Turin, Italy.
Mara CompagnoCenter for Research and Medical Studies, A.O.U. Città della Salute e della Scienza, Turin, Italy.
Aurora LenaDepartment of Traumatology and Rehabilitation, C.T.O. Hospital-A.O.U. Città della Salute e della Scienza, Turin, Italy.
Alessandro BistolfiDepartment of Traumatology and Rehabilitation, C.T.O. Hospital-A.O.U. Città della Salute e della Scienza, Turin, Italy.
Luca MaccariDepartment of Surgical Sciences (DISC), Orthopaedic Clinic-IRCCS A.O.U, San Martino, Genoa, Italy.
Federico MussanoDepartment of Surgical Sciences, University of Turin, Turin, Italy.
Tullio GenovaDepartment of Life Sciences & Systems Biology, University of Turin, Turin, Italy.
Laura GodioPathology Unit, A.O.U. Città della Salute e della Scienza of Turin, Turin, Italy.
Giuseppe PeraleIndustrie Biomediche Insubri SA, Mezzovico-Vira, Switzerland.
Matteo FormicaDepartment of Surgical Sciences (DISC), Orthopaedic Clinic-IRCCS A.O.U, San Martino, Genoa, Italy.
Irene CambieriSkin Bank, Department of General and Specialized Surgery, A.O.U. Città della Salute e della Scienza, Turin, Italy.
Carlotta CastagnoliSkin Bank, Department of General and Specialized Surgery, A.O.U. Città della Salute e della Scienza, Turin, Italy.
Tiziana RobbaDepartment of Imaging and Radio-diagnostic, C.T.O. Hospital-A.O.U. Città della Salute e della Scienza, Turin, Italy.
Lamberto FelliDepartment of Surgical Sciences (DISC), Orthopaedic Clinic-IRCCS A.O.U, San Martino, Genoa, Italy.
Riccardo FerraciniDepartment of Surgical Sciences (DISC), Orthopaedic Clinic-IRCCS A.O.U, San Martino, Genoa, Italy.
Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITOspedale Policlinico San Martino · ITCTO Hospital · ITUniversity of Turin · ITUniversity of Applied Sciences and Arts of Southern Switzerland · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOsteoarthritis (OA) is characterized by articular cartilage degeneration and subchondral bone sclerosis. OA can benefit of non-surgical treatments with collagenase-isolated stromal vascular fraction (SVF) or cultured-expanded mesenchymal stem cells (ASCs). To avoid high manipulation of the lipoaspirate needed to obtain ASCs and SVF, we investigated whether articular infusions of autologous concentrated adipose tissue are an effective treatment for knee OA patients.

methodsThe knee of 20 OA patients was intra-articularly injected with autologous concentrated adipose tissue, obtained after centrifugation of lipoaspirate. Patients' articular functionality and pain were evaluated by VAS and WOMAC scores at three, six and 18 months from infusion. The osteogenic and chondrogenic ability of ASCs contained in the injected adipose tissue was studied in in vitro primary osteoblast and chondrocyte cell cultures, also plated on 3D-bone scaffold. Knee articular biopsies of patients previously treated with adipose tissue were analyzed. Immunohistochemistry (IHC) and scanning electron microscopy (SEM) were performed to detect cell differentiation and tissue regeneration.

resultsThe treatment resulted safe, and all patients reported an improvement in terms of pain reduction and increase of function. According to the osteogenic or chondrogenic stimulation, ASCs expressed alkaline phosphatase or aggrecan, respectively. The presence of a layer of newly formed tissue was visualized by IHC staining and SEM. The biopsy of previously treated knee joints showed new tissue formation, starting from the bone side of the osteochondral lesion.

conclusionsOverall our data indicate that adipose tissue infusion stimulates tissue regeneration and might be considered a safe treatment for knee OA.

Indexed as

Mesenchymal Stem Cell TransplantationAdipose TissueAgedArthroscopyFemaleHumansInjections, Intra-ArticularKnee JointMaleMiddle AgedOsteoarthritis, KneeTransplantation, AutologousAdipose tissueKnee osteoarthrytisMesenchymal stem cellRegenerative medicine

Identifiers

PMID30311059
OpenAlexW2897900195

What OpenQuestion holds

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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 OpenQuestion graph.