Evidence map›Paper›PMID 31187950›Full record

Trial reportCroatian medical journal2019

Early results of intra-articular micro-fragmented lipoaspirate treatment in patients with late stages knee osteoarthritis: a prospective study.

Damir Hudetz, Igor Borić, Eduard Rod, Željko Jeleč, Barbara Kunovac, Ozren Polašek, Trpimir Vrdoljak, Mihovil Plečko, Andrea Skelin, Denis Polančec and 2 more

Abstract readClinical Trial
In one paragraph

Trial report in Croatian medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

56 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  9. Adipose-derived and bone marrow aspirate concentrate injections for osteoarthritis: A scoping review.PM & R : the journal of injury, function, and rehabilitation · 2026
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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

12 authors.

Damir HudetzDamir Hudetz, St Catherine Specialty Hospital, Bracak 8, 49210 Zabok, Croatia, ortohud@gmail.com.
Igor Borić
Eduard Rod
Željko Jeleč
Barbara Kunovac
Ozren Polašek
Trpimir Vrdoljak
Mihovil Plečko
Andrea Skelin
Denis Polančec
Lucija Zenić
Dragan Primorac

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo analyze clinical and functional effects of intra-articular injection of autologous micro-fragmented lipoaspirate (MLA) in patients with late stage knee osteoarthritis (KOA). Secondary aims included classifying cell types contributing to the treatment effect, performing detailed MRI-based classification of KOA, and elucidating the predictors for functional outcomes.

methodsThis prospective, non-randomized study was conducted from June 2016 to February 2018 and enrolled 20 patients with late stage symptomatic KOA (Kellgren Lawrence grade III, n=4; and IV, n=16) who received an intra-articular injection of autologous MLA in the index knee joint. At baseline radiological KOA grade and MRI were assessed in order to classify the morphology of KOA changes. Stromal vascular fraction cells obtained from MLA samples were stained with antibodies specific for cell surface markers. Patients were evaluated at baseline and 12-months after treatment with visual analog scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Knee Injury and Osteoarthritis Outcome Score (KOOS).

resultsThree patients (15%) received a total knee replacement and were not followed up completely. Seventeen patients (85%) showed a substantial pattern of KOOS and WOMAC improvement, significant in all accounts. KOOS score improved from 46 to 176% when compared with baseline, WOMAC decreased from 40 to 45%, while VAS rating decreased from 54% to 82% (all P values were <0.001). MLA contained endothelial progenitor cells, pericytes, and supra-adventitial adipose stromal cells as most abundant cell phenotypes.

conclusionThis study is among the first to show a positive effect of MLA on patients with late stages KOA.

Indexed as

Adipose TissueAdultAgedAged, 80 and overEndothelial Progenitor CellsHumansInjections, Intra-ArticularMagnetic Resonance ImagingMiddle AgedOsteoarthritis, KneePericytesProspective StudiesSeverity of Illness IndexStromal CellsTransplantation, AutologousTreatment Outcome

Identifiers

PMID31187950
PMCPMC6563172

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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.