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01-01-2019 | Original Paper

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

Authors: Ilaria Roato, Dimas Carolina Belisario, Mara Compagno, Aurora Lena, Alessandro Bistolfi, Luca Maccari, Federico Mussano, Tullio Genova, Laura Godio, Giuseppe Perale, Matteo Formica, Irene Cambieri, Carlotta Castagnoli, Tiziana Robba, Lamberto Felli, Riccardo Ferracini

Published in: International Orthopaedics | Issue 1/2019

Abstract

Purpose

Osteoarthritis (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.

Methods

The 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.

Results

The 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.

Conclusions

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

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Title: Concentrated adipose tissue infusion for the treatment of knee osteoarthritis: clinical and histological observations
Authors: Ilaria Roato
Dimas Carolina Belisario
Mara Compagno
Aurora Lena
Alessandro Bistolfi
Luca Maccari
Federico Mussano
Tullio Genova
Laura Godio
Giuseppe Perale
Matteo Formica
Irene Cambieri
Carlotta Castagnoli
Tiziana Robba
Lamberto Felli
Riccardo Ferracini
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 1/2019
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-4192-4

At a glance: The STEP trials

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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