«Valutiamo tutte le tecnologie per assicurarci che siano pronte per l’uso da parte della FDA e che abbiano una forte evidenza scientifica. Credo che Lipogems sia la migliore tecnologia della classe di medicina riparativa, e sono affascinato dalle capacità curative dell’aggiunta del grasso elaborato con sistema Lipogems alle mie procedure ortopediche».
Questo un estratto delle dichiarazioni del Dott. Riley Wiliams, ortopedico di quello che da anni è considerato il miglior ospedale degli Stati Uniti, e direttore medico dei Brooklin Nets e dei New York Redbull, guru assoluto in sports medicine.
Lipogems: un passo da gigante per l’ortopedia
«Le cellule di tessuto adiposo sono facili da prelevare dal paziente e hanno un bassissimo rischio di rigetto e infezione. Lipogems si fonda su solide basi cliniche e studi scientifici. L’azienda sta entrando nel mondo dell’ortopedia in modo responsabile». Queste alcune parole di John Kennedy, anch’egli ortopedico dell’HSS hospital di NY e presidente dell’ISCRA (International Society of Cartilage Repair of the Ankle).
Lipogems: nuovo, ma ben testato
Non è una novità, il sistema Lipogems brevettato dal Prof. Tremolada nel 2010 è sempre più presente a livello internazionale, come una delle migliori tecnologie da utilizzare in campo ortopedico. Lipogems è oggi presente in decine di paesi al mondo e aiuta ogni giorno pazienti affetti da processi degenerativi su base artrosica a carico delle cartilagini articolari (condropatia degenerativa), la degenerazione e/o lesioni infiammatorie a carico dei menischi e di tutte le strutture tendinee e legamentose peri-articolari, che causano dolore e limitazione della funzionalità articolare. Particolarmente indicato per chi ha subito infortuni sportivi ai danni delle articolazioni.
Procedura semplice, rapida ed estremamente efficace
Una delle chiavi del successo di Lipogems è proprio la sua semplicità: l’intera procedura dura all’incirca un’ora e i tempi di recupero sono brevissimi. Dopo un’infiltrazione di grasso a livello dell’articolazione interessata, il paziente può tranquillamente uscire dalla clinica e ritornare alla vita di tutti i giorni.
In cosa consiste l’intervento? Durante il trattamento, il tessuto adiposo viene prelevato dalle riserve di grasso del paziente (generalmente dall’addome o dai fianchi), in seguito è minimamente processato in un sistema chiuso e subito dopo si eseguono le infiltrazioni articolari secondo la tecnica standard o sotto guida ecografica per identificare dettagliatamente la struttura target da infiltrare.
Di seguito l’articolo integrale tratto da PRNewswire
LIPOGEMS: Thousands of Orthopaedic Patients May Benefit From FDA-Cleared Technology Using Their Own Body Fat
NORCROSS, Ga., Sept. 5, 2018 /PRNewswire/ — An exciting medical technology that is FDA-cleared has been used by thousands of orthopaedic patients across the United States and is backed by strong scientific evidence. The state-of-the-art LIPOGEMS system relies on a patient’s own adipose (fat) cells to help support the healing process. The technology is being used by carefully selected, highly respected orthopaedic surgeons and physicians affiliated with major academic universities and private practices across the country.
Among those leading physicians is Riley Williams, MD of New York City’s renowned Hospital for Special Surgery. “Ours is the number one orthopaedic hospital in the United States. We strive to give our patients the best options available,” said Dr. Williams, a nationally recognized leader in sports medicine. “The use of reparative medicine in orthopaedics is rapidly expanding.”
“We evaluate all technologies to ensure they are cleared for use by the FDA and have strong scientific evidence. I believe LIPOGEMS is best in class reparative medicine technology, and I’m intrigued by the healing qualities of adding fat processed by the LIPOGEMS system to my orthopaedic procedures,” added Dr. Williams, the orthopaedic surgeon who is also Medical Director for both the NBA Brooklyn Nets and pro soccer’s New York Red Bulls.
Lipogems: One Giant Leap For Orthopaedics
“There is good evidence showing that other longtime, standard options traditionally offered to patients are not always the right option,” said John Kennedy, MD, FRCS, also an orthopaedic surgeon at the Hospital for Special Surgery and co-president of the International Society of Cartilage Repair of the Ankle, “For example, corticosteroids are often offered to patients with cartilage or soft tissue injuries, even though there is no evidence steroids will help repair or regenerate tissue and may in fact cause detrimental effects over time.” Kennedy continues,”My patients are all athletes whether they are 19 or 91 and are well educated in options available.”
“Fat contains from one-hundred to five-hundred times more reparative cells compared to other, similar tissues. And these cells are so powerful,” said Dr. Kennedy. “Fat derived cells are easy to harvest from the patient and have a low risk of rejection and infection. LIPOGEMS is based on convincing basic and clinical science. The company is entering the orthopaedics world the responsible way.”
Doctors are always looking to provide their patients with options. Dr. Kennedy underscores how important it is for him to consider patients’ everyday lives. “Nowadays, with the high stress and demands of work and family, having an orthopaedic condition really impacts a patient’s well-being—emotionally, financially, and physically.
Dr. Kennedy added that “LIPOGEMS gives patients a minimally invasive option that could be performed in the office and fits with their lifestyle and goals. Some patients have chosen LIPOGEMS over a major surgical procedure because they could not take time away from taking care of their families or the work or businesses.”
Dr. Williams added that he recognizes the growing importance of a patient’s own fat to help restore quality of life. “Patients are living longer and are also more active. They desire to exercise, maintain their activity levels, and improve quality of lifestyle in their later years. Medicine is forced to keep up with the patient demands and the load/forces placed on muscles, joints and tendons.”
“As a result,” the doctor continued, “we are understanding more about reparative medicine options. Fat has the highest concentration of reparative cells, compared to other, similar tissue. Plus, as people age, their fat cells do not decline in reparative effectiveness, unlike cells from other similar tissues. I believe cells from one’s own body are the best cells a patient can use.”
Dr. Williams asserts with confidence, that “Fat represents a fertile ground to help patients with the healing process.”
How It Works
The hour-long LIPOGEMS procedure is often performed right in a doctor’s office or added to the surgical procedure. Once a local anesthetic is applied, fat tissue and cells are easily extracted in a minimally-invasive procedure from either the belly or “love handles.” The LIPOGEMS technology uses a simple saline solution to safely and effectively cleanse the extracted cells, screening out impurities such as oil and blood.
The LIPOGEMS system resizes the extracted fat tissue to an optimal size in a process called “micro-fragmentation”. The freshly-washed cells are then injected into a tissue where the doctor feels that cushioning and support of a reparative process would be helpful—an injured knee, or shoulder, etc.
“Orthopaedic issues impact many, from young athletes to weekend warriors to professional athletes,” Dr. Williams added. “I offer this technology to patients who are suffering from orthopaedic issues and are in need to support or cushion in the area to repair, reconstruct, or replace damaged or injured tissue. If a patient suffers from multiple orthopaedic conditions, more fat may be removed and processed through the LIPOGEMS technology to help with those conditions at the same time.”
“From professional athletes to weekend warriors, I offer LIPOGEMS to give my patients another option to heal the natural way,” Dr. Williams revealed. “My experience with the professional leagues include the NBA, MLB, NFL, and MLS. Professional athletes load their bodies with a lot of high impact forces. They desire to remain durable and effective to be able to play their sports. They have a tight timeline for healing, and desire to speed up the healing process, if surgery is needed or a way to avoid invasive surgery, if possible.” Dr Kennedy echoes these sentiments stating “LIPOGEMS will not eliminate the need for surgery in the athlete or general population but it may reduce the need for surgery and may augment healing in those who do require surgery.”
“For all of my patients, I’m dedicated to providing the best possible course of treatment to meet their lifestyle goals,” Dr. Williams said.
The Proof is Here
Micro-fragmented fat possesses strong basic and clinical evidence to support its use in orthopaedics.
“We always evaluate the science behind the technologies that we use at the Hospital for Special Surgery,” Dr. Kennedy asserted. “Evidence-based medicine is extremely important, and we did our own due diligence behind this technology. When it comes to LIPOGEMS, the evidence is strong and growing—and that’s why we offer it to our patients.
“All of our patients,” Dr. Kennedy added, “are enrolled in a database so we can evaluate the outcomes.”
Equally impressed by the LIPOGEMS system is Diego Correa, MD, PhD, Assistant Professor, Department of Orthopaedics (Division of Sports Medicine) & Diabetes Research Institute- Cell Transplant Center at the University of Miami’s Miller School of Medicine, “There is continuously growing interest among researchers and physicians to understand the basic science foundations of reparative medicine,” Dr. Correa said, “and how such innovative approaches may be translated into clinical solutions.
“Micro-fragmented fat is gaining popularity, as it has strong basic scientific support with the clinical counterpart also growing fast. We still have a lot to discover, understand and learn about this fascinating area of medicine, but we are certainly committed to doing it by drawing basic and clinical research closer to each other.”
Patients: Beware of Stem Cell Ads and Injection Clinics
With the explosion of news coverage on stem cell advances, questionable organizations have sprung up to capitalize on the frenzy. Dr. Kennedy says, in effect, orthopaedic patient beware:
“The American Academy of Orthopaedic Surgeons has a committee evaluating the use of injections and reparative medicine options. Many people that offer these options are actually NOT orthopaedic physicians and offer technologies that are NOT FDA-cleared. It is important to see an orthopaedic physician for your orthopaedic issues.”
“I encourage patients to check out their doctor and be discerning about stem cell ads and injection clinics offering to ‘grow your own cartilage.’ There is a lot of vagueness and a lack of clarity on just what reparative medicine is. If it sounds too good to be true, then it probably is.”
Dr. Williams added: “Also please check to ensure that the technology is cleared for use by the FDA as many of these injection centers are using non-compliant technologies. Also, these injection centers may charge a lot of money for the procedure.”
Looking for LIPOGEMS?
In the United States, the LIPOGEMS technology is available from the top orthopaedic physicians from the best orthopaedic institutions from around the world. Besides board certified orthopaedic surgeons, this select group includes doctors specially trained in physical medicine and rehabilitation; sports medicine physicians; and surgeons who specialize in sports medicine and total joint, foot and ankle.