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Comparison of SVF Injection With and Without Microfracture in Moderate Knee Osteoarthritis

Key facts

Who runs it
Istanbul University
Where
Türkiye1 site in 1 countryChoose a country to see its sites
Trial code
Status
Completed
People taking part
50 people enrolled
Started
2 Feb 2023
Ended
3 May 2025
Type of study
Interventional, 2 groups
Treatments tested
  • Arthroscopic Microfracture Combined with Autologous SVF Injection
  • Arthroscopic Debridement Followed by Autologous SVF Injection
Record updated
22 September 2025

Who can take part

Age
49 years to 71 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 7 criteriaShow less

Who can take part

  • Patients with stage II-III osteoarthritis of the knee
  • Patients with a mechanical axis deviation not exceeding 15 mm on the anteroposterior orthoroentgenogram x-ray

Who cannot take part

  • Patients with a history of intra-articular injections within the last 6 months
  • Patients with a history of knee joint surgery
  • Patients with deformities on anteroposterior and lateral x-ray examinations
  • Patients with a BMI greater than 35 kg/m2
  • Patients diagnosed with secondary gonarthrosis (Rheumatoid arthritis, secondary to trauma)

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

This prospective, randomized controlled clinical trial aims to evaluate the clinical and radiological effects of combining stromal vascular fraction (SVF) therapy with arthroscopic microfracture in patients with knee osteoarthritis. A total of 50 patients with symptomatic gonarthrosis were randomly assigned to either receive arthroscopic debridement and intra-articular SVF injection alone or SVF injection combined with arthroscopic debridement, microfracture. The primary outcome measures include changes in VAS, WOMAC, and Lysholm scores at 3, 6, 12, and 24 months. Radiological assessment was performed using the Whole-Organ Magnetic Resonance Imaging Score (WORMS) system. The study hypothesis is that the combination therapy will result in superior clinical and cartilage regeneration outcomes compared to SVF treatment alone.

The 2 groups in the trial

  • Microfracture Plus SVF GroupTreatment being tested

    Participants underwent arthroscopic debridement and microfracture, followed by intra-articular injection of autologous stromal vascular fraction (SVF) derived from adipose tissue.

    Treatment: Arthroscopic Microfracture Combined with Autologous SVF Injection

  • SVF Only GroupTreatment being tested

    Participants underwent only arthroscopic debridement. Following this, autologous SVF derived from adipose tissue was injected intra-articularly, without performing microfracture.

    Treatment: Arthroscopic Debridement Followed by Autologous SVF Injection

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Effect of Arthroscopic Microfracture Combined With Stromal Vascular Fraction Therapy on Clinical and Radiological Outcomes in Gonarthrosis: A Prospective Randomized Controlled Trial
Record updated
22 September 2025