Autologous Fat Transplantation
Spies et al. provided an appealing review article on an important topic (1). As they mentioned, resection arthroplasty in advanced osteoarthritis of the basal joint of the thumb (rhizarthrosis) is the standard procedure. Many patients, however, request minimally invasive alternatives for the treatment of osteoarthritis of the basal joint of the thumb. In this context, intraarticular autologous fat transplantation for the treatment of osteoarthritis of the basal joint of the thumb as interposition arthroplasty would have deserved to be mentioned. After it was initially presented in 2014, a larger study showed in 50 patients that in Eaton and Littler stage 2 arthritis, the long-term results after 12 months are convincing and comparable to those of trapeziectomy—and that morbidity is minimal. Even though no randomized, controlled studies have been published to date, initial comparative studies versus cortisone injections (3) or trapeziectomy with tendon interposition (4) support the value to this alternative.
Prof. Dr. med. Christian Herold
HPC Oldenburg und DIAKO Bremen
Prof. Dr. med. Hans-Oliver Rennekampff
Plastische & Ästhetische Chirurgie, Verbrennungschirurgie
Klinik für Orthopädie, Unfall-, Hand-, und Wiederherstellungschirurgie
Dr. med. Sixtus Allert
Klinik für Plastische und Ästhetische Chirurgie – Handchirurgie
Sana Klinikum Hameln-Pyrmont, Hameln
Conflict of interest statement
Professor Herold and Professor Rennekampff received study support (third party funding) from Asclepios Medizintechnik. Professor Rennekampff is the guideline coordinator of the S2k guideline on autologous fat transplantation.
In 2012, the company human med (Schwerin) made a body jet for a study available to the Sana Klinikum Hameln Pyrmont hospital for three years, free of charge, which Professor Herold and Dr. Allert used for research.
|1.||Spies CK, Langer M, Hahn P, Müller LP, Unglaub F: The treatment of primary arthritis of the finger and thumb joint. Dtsch Arztebl Int 2018; 115: 269–75 VOLLTEXT|
|2.||Herold C, Rennekampff HO, Groddeck R, Allert S: Autologous fat transfer for thumb carpometacarpal joint osteoarthritis: a prospective study. Plast Reconstr Surg 2017; 140: 327–35 CrossRef MEDLINE|
|3.||Haas EM, Volkmer E, Giunta RE: Pilot study on the effects and benefits of autologous fat grafting in osteoarthritis of the CMC-1 joint compared to intraarticular cortisone injection: results after 3 months. Handchir Mikrochir Plast Chir 2017; 49: 288–96 MEDLINE|
|4.||Erne HC, Cerny MK, Ehrl D, et al.: Autologous fat injection versus lundborg resection arthroplasty for the treatment of trapeziometacarpal joint osteoarthritis. Plast Reconstr Surg 2018; 141: 119–24 CrossRef MEDLINE|