Ignite Creation Date:
2024-05-06 @ 12:16 PM
Last Modification Date:
2024-10-26 @ 12:56 PM
Study NCT ID:
NCT03714659
Status:
COMPLETED
Last Update Posted:
2019-09-25
First Post:
2018-10-17
Brief Title:
Autologous Micro-fragmented Adipose Tissue for Meniscal Tears
Sponsor:
New Jersey Regenerative Institute LLC
Organization:
New Jersey Regenerative Institute LLC
Study Overview
Official Title:
Clinical Evaluation of Autologous Micro-fragmented Adipose Tissue as a Treatment Option for Meniscus Tears
Status:
COMPLETED
Status Verified Date:
2019-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The menisci of the knee are essential fibro-cartilaginous structures that contribute in static weight bearing distributing compressive forces during joint movement joint lubrication joint stabilization and proprioception The menisci are commonly torn interfering with these vital functions with an estimated mean annual incidence as high as 60-70 per 100000 knee injuries When torn the odds of developing future osteoarthritis within 2 years of follow-up can be as high as 592 The management of meniscal tears remains a challenge given the poor intrinsic healing capacity of tears occurring in the inner avascular portion of the meniscus where direct surgical repair techniques are commonly unsuccessful Autologous adipose tissue injection has recently emerged as a promising new treatment for joint pain and soft tissue injury Adipose can be used to provide cushioning and filling of structural defects and has been shown to have an abundance of bioactive elements and regenerative perivascular cells pericytesThe aim of this study is to explore the potential of Lipogems micro-fragmented adipose tissue as a meaningful treatment option for meniscus tears Patients treated with MFAT with intra-meniscal injections under continuous ultrasound guidance are expected to report clinically meaningful improvements in knee pain and knee function after one year Knee pain and function will be measured using a numerical pain scale NPS and the Knee Injury and Osteoarthritis Outcome Scale KOOS
Detailed Description:
This is a prospective pilot study to evaluate the safety and efficacy of autologous micro fragmented adipose tissue Lipogems injection under continuous ultrasound guidance for knee pain secondary to meniscal tears 20 subjects will be enrolled who present for evaluation and treatment of knee pain with associated meniscal tear despite prior conservative management Failure of conservative management was defined as persistent pain despite the use of anti-inflammatory or other medications for pain physical therapy corticosteroid injections or hyaluronic acid injections This also included patients who were told that they were a candidate for arthroscopic surgery by an orthopedic surgeon due to failure of conservative measures Micro-fragmented adipose tissue will be obtained by using a minimal manipulation technique in a closed system Lipogems without the addition of enzymes or any additives 1-2 mLs of micro-fragmented adipose tissue will be injected directly into visualized meniscal tears using continues ultrasound guidance The remaining injectate will be administer into the knee joint by lateral suprapatellar approach Post-injection guidelines including weight bearing restrictions--non-weightbearing with crutches for one week then weight bearing as tolerated for simple daily activities--refraining from running and jumping activities and refraining from repetitive flexion beyond 90 degrees for 4 weeks total If there was no significant pain swelling joint-line tenderness and near full range of motion unrestricted activities were allowed at the 6-8-week time-frame Complications of both the harvest and injection sites were recorded via questionnaire at 1 and 4-week follow-up Subjects were seen for initial follow-up at 4 weeks They then completed surveys at 3 6 and 12 months including the Knee Injury and Osteoarthritis Outcome Scale KOOS subscales and the numerical pain scale NPS The NPS is one of the most common measures of pain intensity and is used frequently in both research and clinical practice The scale is a well validated and reliable for determining change in pain over time Pain is rated on an 11-point scale 0-10 with 0 representing no pain and 10 representing worst imaginable pain It is well suited to this study given ease of administration in person or in online survey format The minimum clinically important difference MCID for patients with knee pain secondary to osteoarthritis has been established as 2 The KOOS is also widely used in research and clinical practice including in large-scale databases and registries It is intended to be used in the setting of knee pain or injury that can result in post-traumatic osteoarthritis including meniscus tears It can be used over short and long-term intervals and to asses change over time It consists of 5 subscales Pain other Symptoms Function in daily living ADL Function in Sport and recreation SportRec and knee related Quality of life QOL The re-test reliability has also been well established in patients with knee injuries and the MCID has been established as 8-10
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
True
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
True
Is an FDA AA801 Violation?:
None