Evidence map›Paper›PMID 30916475›Full record

SynthesisInternational wound journal2019

Autologous lipotransfer for bone defects secondary to osteomyelitis: A report of a novel method and systematic review of the literature.

Katharina B Reinisch, Grzegorz Zuk, Dimitri A Raptis, Marco Bueter, Merlin Guggenheim, Tilman Stasch, Adrian F Palma

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 3 institutions in 2 countries.

Katharina B ReinischDepartment of General Surgery and Traumatology, GZO Spital Wetzikon, Wetzikon, Switzerland.
Grzegorz ZukDepartment of General Surgery and Traumatology, GZO Spital Wetzikon, Wetzikon, Switzerland.
Dimitri A RaptisDepartment of Visceral and Transplant Surgery, University Hospital Zurich, Zurich, Switzerland.
Marco BueterDepartment of Visceral and Transplant Surgery, University Hospital Zurich, Zurich, Switzerland.
Merlin GuggenheimDepartment of Hand Surgery and Plastic Surgery, University Hospital Zurich, Zurich, Switzerland.
Tilman StaschPrivate Practice in Plastic und Hand Surgery, Valentis Clinic, Nairobi, Kenya.
Adrian F PalmaDepartment of Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.
University Hospital of Zurich · CHGZO Spital Wetzikon · CHLVCT Health · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autologous bone grafting is the gold standard in patients with bone defects but is associated with significant pain and donor site morbidity. Autologous lipotransfer (fat grafting or lipofilling) has become very popular in the therapy of chronic wounds. Mesenchymal stem cells from adipose tissue are known for their regenerative, reparative, and immunomodulatory effects. This case study and review evaluates the use of autologous lipotransfer for chronic osteomyelitis in a 26-year-old patient. A 26-year-old female suffering from chronic tibial osteomyelitis was initially treated with surgical debridement and antibiotics followed by lipoharvest and autologous lipofilling. MRI and computed tomography scans were performed at 2 and 6 weeks and 6 months postoperatively. A formal systematic review of clinical trials investigating autologous lipotransfer for osteomyelitis was conducted. The patient remained asymptomatic without recurrence, and the bone defect cavity showed vascularised adipose tissue after 6 weeks, with early signs of osteogenesis. The highest foot and ankle disability index was 100. The systematic review identified 266 studies after duplicates were removed. After screening for eligibility, seven manuscripts were further assessed, with none meeting the inclusion criteria. This is the first study to report the successful use of autologous lipotransfer with early signs of osteogenesis in a patient suffering from chronic osteomyelitis. Autologous lipotransfer is relatively simple, safe, and minimally invasive, making it a potential alternative to current treatments. Further research is required to assess the safety, feasibility, and efficacy of autologous fat grafting and the mechanism of osteogenesis.

Indexed as

Adipose TissueAdultBone DiseasesFemaleHumansOsteomyelitisPlastic Surgery ProceduresTransplantation, AutologousTreatment Outcomeautologous fat graftingbone defectslipofillingosteomyelitis

Identifiers

PMID30916475
PMCPMC7948694
OpenAlexW2922901144

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.