Lipoaspiration and Processing to Create Microfragmented Adipose Tissue

Background: Orthobiologics are increasingly used to treat musculoskeletal (MSK) conditions. Adipose may be a useful source of autologous cells for orthobiologic interventions. The lipoaspiration and processing techniques necessary obtain these not traditionally taught in most orthopedic training programs. Therefore, the goal this video is review technique adipose harvest preparation create microfragmented tissue (MFAT). Indications: Currently, all MFAT applications off-label. In practice, commonly osteoarthritis tendon disease. Technique Description: After local anesthesia administered, 17-gauge trochar inserted into subcutaneous adipose, tumescent solution injected. 5-minute waiting period, separate attached Autopose double-syringe (Arthrex; Naples, Florida) adipose. Lipoaspiration performed by moving device back forth fan-like pattern. 20 mL lipoaspirate has been harvested from first site, process repeated on contralateral side. 40 harvested, removed decanted 3 5 minutes. Then, 10 sterile saline injected using Luer lock attachment. This rinse second time. Once excess fluid removed, capped, outer syringe slowly pushed down move through resizing filter. inner contains final product. Discussion/Conclusion: Lipoaspirate simple that can clinic or operating room MFAT. provides unique population beneficial treating MSK pathology.