Understanding Bone Healing Research Using Your Body's Own Fat Tissue

Luca Pennasilico, Caterina Di Bella, Sara Sassaroli, Alberto Salvaggio, Francesco Roggiolani, Angela Palumbo Piccionello · MDPI · 2023

Dogs Show Faster Bone Healing With Fat Tissue Injection

This clinical trial studied whether micro-fragmented adipose tissue (specially processed fat from your own body) could help bones heal faster after surgery. Researchers used dogs undergoing a common knee procedure as their subjects. Dogs make excellent study subjects for bone healing research because their bone biology closely resembles human bone biology.

Twenty dogs with torn knee ligaments received surgery to correct the problem. Half received an injection of their own processed fat tissue during surgery. The other half received surgery alone. Neither the researchers evaluating the X-rays nor the pet owners knew which treatment each dog received. This "blinding" helps ensure unbiased results.

X-Rays Reveal Significantly Better Healing at Four Weeks

The research team took X-rays before surgery, immediately after, and at four and eight weeks post-surgery. Two different scoring systems measured bone healing progress. Both systems showed the same encouraging pattern.

Dogs receiving the fat tissue injection scored significantly higher on bone healing at both the four-week and eight-week checkpoints. The differences were statistically meaningful, meaning they weren't due to random chance. This suggests the processed fat tissue actively contributed to faster bone repair.

No Complications Reported During the Trial

Safety is always a primary concern with any medical treatment. This trial reported no complications from the fat tissue injections. The fat was harvested from each dog's own thigh area during the same surgery. It was then processed using mechanical fragmentation—a method that breaks down the fat into tiny pieces while preserving the helpful cells inside.

Because the tissue comes from your own body (called "autologous" tissue), there is minimal risk of rejection or allergic reaction. The processing happens right in the operating room without chemicals or lengthy laboratory work.

Why Fat Tissue May Help Bones Heal

Fat tissue contains special cells called adipose stem cells. These cells can transform into bone-building cells when they receive the right signals from their surroundings. They also release natural growth factors and proteins that encourage healing.

When fat tissue is micro-fragmented, it keeps the stem cells in their natural environment alongside blood vessel support cells called pericytes. This preserved microenvironment appears to boost the tissue's healing potential compared to isolated cells alone.

Research Suggests Promise for Human Bone Healing

The researchers note that dogs serve as valuable models for developing treatments that may work in humans. This is because canine and human bones heal through similar biological processes. While this study focused on dogs, the results add to growing evidence that micro-fragmented adipose tissue supports tissue repair.

Previous research has shown benefits of this technology for wound healing, joint arthritis, and chronic conditions in humans. This study extends those findings to bone healing specifically. The authors describe the approach as safe, cost-effective, and minimally invasive.

What This Means for Your Treatment Decision

If you are considering regenerative medicine options for bone healing after knee surgery, this study offers several relevant insights:

  • The approach is safe. No complications occurred during this controlled trial.

  • Results appeared quickly. Measurable differences showed up within four weeks.

  • The procedure is practical. Fat can be harvested and processed during the same surgery without specialized laboratory equipment.

  • The science is sound. This was a properly designed trial with blinding and randomization.

However, this was an animal study with only twenty subjects. While encouraging, more research in human patients would strengthen these conclusions. Discuss with your physician whether this treatment approach might be appropriate for your specific situation.

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Source: Pennasilico et al., MDPI, 2023.

Original Publication

Effects of Autologous Microfragmented Adipose Tissue on Bone Healing: A Blinded, Prospective, Randomised Canine Clinical Trial

Luca Pennasilico, Caterina Di Bella, Sara Sassaroli, Alberto Salvaggio, Francesco Roggiolani, Angela Palumbo Piccionello · MDPI · 2023

The aim of this study was to evaluate the effects of autologous microfragmented adipose tissue (MFAT), obtained by mechanical fragmentation, on radiographic bone healing in dogs subjected to tibial plateau levelling osteotomy (TPLO). Twenty dogs with unilateral cranial cruciate disease were enrolled and randomly assigned to the treatment group (MFAT) or the control group (NT). The MFAT group underwent TPLO and autologous MFAT intra-articular administration while the NT group underwent TPLO alone. The adipose tissue was collected from the thigh region and MFAT was obtained by mechanical fragmentation at the end of the surgery. The patients were subjected to X-ray exam preoperatively, immediately postoperatively (T0) and at 4 (T1) and 8 (T2) weeks postoperatively. Two radiographic scores that had previously been described for the evaluation of bone healing after TPLO were used. A 12-point scoring system (from 0 = no healing to 12 = complete remodelling) was used at T0, T1 and T2, while a 5-point scoring system (from 0 = no healing to 4 = 76%-100% of healing) was used at T1 and T2. The median healing scores were significantly higher at T1 and T2 for the MFAT group compared with the NT group for the 12-point (p < 0.05) and 5-point (p < 0.05) scoring systems. The intra-articular injection of autologous microfragmented adipose tissue can accelerate bone healing after TPLO without complications.

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