Level C· Early human research exploring benefits

Clinical use of autologous adipose-derived stromal vascular fraction cell injections for hip osteoarthritis

Onoi Y., Matsumoto T., Sobajima S., Kuroda R.

42 hip osteoarthritis patients received a single intra-articular injection averaging 3.8 × 10⁷ SVF cells, with at least six months of follow-up.

Level C· Early human research exploring benefitsEvidence level of this study

Early human evidence such as case series or small samples is exploring possible benefits.

  • Level A · Stronger Clinical Evidence
  • Level B · Emerging clinical evidence with positive signals
  • Level C · Early human research exploring benefits
  • Level D · Scientific groundwork from lab and animal studies
  • Emerging · Emerging topic under active research
Read the A–D evidence level guide
Study type
Prospective Study
Journal
Regenerative Therapy (2023)
Country
Japan
Sample size
42
Follow-up
At least 6 months
PMID
37363753
DOI
10.1016/j.reth.2023.06.006

What was studied

Short-term clinical outcomes of SVF cell therapy for hip osteoarthritis.

Methods

  • • SVF harvested from abdominal or buttock fat using a Celution 800/CRS system (mean viability 90.8%).
  • • Assessed with the Harris Hip Score and Japanese Orthopaedic Association hip disease evaluation.

Key findings

  • • Hip function scores improved over short-term follow-up.
  • • Participants spanned KL grades II–IV.

Limitations

  • • No control group and small sample size.
  • • Only six months of follow-up.

What this study does not prove

  • • This study does not prove SVF is an approved treatment or a replacement for standard care.
  • • Limited follow-up cannot indicate long-term outcomes.

Clinical interpretation

Preliminary evidence for the hip, an area with far less data than the knee.

Evidence level: Early human research exploring benefits

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