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Stromal Vascular Fraction (SVF) Injection in the Treatment of Patellar Tendinopathy

Not Applicable
Active, not recruiting
Conditions
Tendinopathy
Patellar Tendinitis
Patellar Tendinopathy
Interventions
Procedure: Stromal Vascular Fraction injection
Registration Number
NCT04753853
Lead Sponsor
Istituto Ortopedico Rizzoli
Brief Summary

The aim of the study is the evaluation of clinical and radiological results after the treatment of patellar tendinopathy through the injection of autologous ultrasound-guided, intra- and peri-tendon stromal vascular fraction.

Detailed Description

After being informed about the study and potential risks, all patients giving written informed consent will be treated according to the study protocol.

Every patients will undergo to a single peri- and intra- tendon injection with Autologous Stromal Vascula Fraction (SVF).

At baseline and at every follow-ups patients will be evaluated clinically and radiologically.

In particular, clinical evaluation and questionnaires will be performed at baseline, 1, 3, 6, 12 and 24 months visits, Ultrasound will be performed at baseline, 6 and 12 months visits. MRI will be performed at baseline and 6 months visits.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Ultrasound or MRI signs of patellar tendon pathology
Exclusion Criteria
  • BMI > 30
  • Patients suffering from: rheumatic diseases, diabetes, infectious processes, epilepsy, severe osteoporosis
  • Patients undergoing intra-tendon infiltration of another substance within the previous 6 months;
  • Patients who had patellar tendon surgery within the previous 12 months;
  • Immunodepression
  • On going systemic inflammatory diseases (stabilized outcomes of such diseases are not considered absolute contraindications).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Stromal Vascular Fraction injectionStromal Vascular Fraction injectionintra- and peri-tendon ultrasound-guided injection of Stromal Vascular Fraction
Primary Outcome Measures
NameTimeMethod
Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaire6 months

VISA-P score is a questionnaire that assesses symptoms, simple tests of function, and the ability to play sports. It contains 8 questions about patellar tendinosis, max score for asymptomatic individual is 100; theoretical minimum is 0

Secondary Outcome Measures
NameTimeMethod
Victorian Institute of Sport Assessment-Patella (VISA-P) questionnaireBaseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)

VISA-P score is a questionnaire that assesses symptoms, simple tests of function, and the ability to play sports. It contains 8 questions about patellar tendinosis, max score for asymptomatic individual is 100; theoretical minimum is 0

EuroQol Visual Analogue Scale (EQ-VAS)Baseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)

EQ-VAS, which asks patients to indicate their overall health on a vertical visual analogue scale, ranging from "worst possible" to "best possible" health.

Tegner scoreBaseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)

Tegner's activity scale classifies the activity according to work and sports activities on a scale from 0 to 10. Zero represents disability because of knee problems and 10 represents soccer a national or international level.

MRI evaluationbaseline and 6 month

MRI performing and evaluation

ultrasoundbaseline, 6 and 12 months

ultrasound performing and thickness evaluation of the tendon

EQ-5D(EuroQol)Baseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)

the EQ-5D profile, asks patients to classify their health based on self-assessed levels of problems ("no", "some", "extreme") on five dimensions.

Visual Analog Scale - VASBaseline, 1, 3, 6, and 12 months (at 24 month the questionnaire will be performed by telephone)

Analogue scale represented by a line of 10 cm length, ranging from "absence of pain" to "the worst imaginable pain "

Trial Locations

Locations (1)

Istituto Ortopedico Rizzoli

🇮🇹

Bologna, Italy

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