U.O. Ortopedia Bentivoglio, IRCCS Istituto Ortopedico Rizzoli, Bentivoglio (BO), Italy.
II Clinic of Orthopaedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Musculoskelet Surg. 2024 Jun;108(2):215-224. doi: 10.1007/s12306-024-00816-2. Epub 2024 Apr 11.
Osteoarthrosis is a degenerative musculoskeletal disease that presents a major public health problem, due to the increasing average age of the active population, as well as the increasing percentage of obesity or overweight of the general population. New therapeutic approaches have been developed, such as regenerative medicine that uses mesenchymal stromal cells taken from adipose tissue. This study analyzed the clinical potential benefits of using autologous adipose tissue to treat patients with moderate-severe knee osteoarthritis.In 2021, a total of 50 knees, affected by moderate-severe knee osteoarthritis, were treated with an intra-articular injection of micro-fragmented subcutaneous adipose tissue. Patients were submitted to the KOOS questionnaire before the operation and one year after the operation and VAS pain score at time 0, 3, 6, 12 months.Of the 50 patients treated, 2 patients were excluded from the study. Of the remaining 48 patients, improvements have been achieved in all subclasses of KOOS. In particular, VAS score proves that improvements are more considerable starting from the 3rd month after surgery.The results obtained in this study show the safety and potential benefit of the use of autologous micro-fragmented adipose on people who are affected by moderate-severe knee osteoarthritis.
骨关节炎是一种退行性肌肉骨骼疾病,由于活跃人口的平均年龄不断增加,以及普通人群中肥胖或超重的比例不断增加,因此成为一个主要的公共卫生问题。已经开发出了新的治疗方法,例如使用源自脂肪组织的间充质基质细胞的再生医学。本研究分析了使用自体脂肪组织治疗中重度膝关节骨关节炎患者的临床潜在益处。
2021 年,共对 50 例膝关节中重度骨关节炎患者进行了关节内注射微粉碎皮下脂肪治疗。患者在手术前和手术后一年接受 KOOS 问卷和 VAS 疼痛评分(在 0、3、6、12 个月时)。
在接受治疗的 50 名患者中,有 2 名患者被排除在研究之外。在剩下的 48 名患者中,KOOS 的所有亚类都有改善。特别是 VAS 评分表明,从手术后 3 个月开始,改善更为显著。
本研究的结果表明,在中重度膝关节骨关节炎患者中使用自体微粉碎脂肪是安全且有潜在益处的。