Bohr Stefan, Rennekampff Hans Oliver, Pallua Norbert
1 Department of Plastic and Hand Surgery - Burn Center, University Clinics RWTH, Aachen, Germany.
Hand Surg. 2015 Oct;20(3):479-81. doi: 10.1142/S0218810415720259.
We report a novel, minimal invasive technique for the treatment of symptomatic arthritis of the carpometacarpal (CMC) joint of the thumb, here termed Cell-Enriched Liposaspirate Arthroplasty (CELA). For CELA, autologous fat tissue was harvested using standard liposuction technique followed by an extra-corporal cellular enrichment step. Finally, 1 ml of cell-enriched lipoaspirate was injected into the CMC-joint. Following CELA, the treated patient became pain free within five weeks with a follow-up of 12 months. We conclude that CELA performed on selected cases of arthritis of finger joints such as the basal joint of the thumb has the potential to greatly reduce or delay the necessity for more invasive procedures which tend to improve symptoms of pain at the cost of grip strength and range-of-motion.
我们报告了一种新颖的微创技术，用于治疗拇指腕掌（CMC）关节的症状性关节炎，在此称为富细胞脂肪抽吸物关节成形术（CELA）。对于CELA，使用标准抽脂技术采集自体脂肪组织，随后进行体外细胞富集步骤。最后，将1毫升富细胞脂肪抽吸物注入CMC关节。接受CELA治疗后，在12个月的随访中，治疗的患者在五周内疼痛消失。我们得出结论，对选定的手指关节关节炎病例（如拇指基部关节）进行CELA，有可能大大减少或延迟进行更具侵入性手术的必要性，而这些侵入性手术往往以握力和活动范围为代价来改善疼痛症状。
