Evidence map›Paper›PMID 19322789›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2009

Enhanced flexor tendon healing through controlled delivery of PDGF-BB.

Stavros Thomopoulos, Rosalina Das, Matthew J Silva, Shelly Sakiyama-Elbert, Frederick L Harwood, Emmanouil Zampiakis, H Mike Kim, David Amiel, Richard H Gelberman

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07659600 (Performance of Autologous Platelet-rich Plasma Injection for Tendon Regeneration in Partial Supraspinatus Tears), which is not on this map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07659600 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Performance of Autologous Platelet-rich Plasma Injection for Tendon Regeneration in Partial Supraspinatus Tears

TypeinterventionalSponsorUniversidade Nova de LisboaRan2026 to 2029Enrolled100ConditionsPartial Supraspinatus Tear, Rotator Cuff Tears (RCTs), Rotator Cuff InjuryArmsPlatelet-Rich Plasma (PRP) Injections
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 109 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. The effects of NF-κB suppression on the early healing response following intrasynovial tendon repair in a canine model.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    Article
  7. Drug Delivery Approaches to Improve Tendon Healing.Tissue engineering. Part B, Reviews · 2023
    Review
  8. Article
  9. Review
  10. Superior mechanical recovery in male and female MRL/MpJ tendons is associated with a unique genetic profile.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021
    Article
  11. Review
  12. Review
  13. Glycosaminoglycan-based biomaterials for growth factor and cytokine delivery: Making the right choices.Journal of controlled release : official journal of the Controlled Release Society · 2019
    Review
  14. Insulin-like growth factor 1 signaling in tenocytes is required for adult tendon growth.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
    Article
  15. Review
  16. The cellular basis of fibrotic tendon healing: challenges and opportunities.Translational research : the journal of laboratory and clinical medicine · 2019
    Review
  17. Effect of connective tissue growth factor delivered via porous sutures on the proliferative stage of intrasynovial tendon repair.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2018
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Stavros ThomopoulosDepartment of Orthopaedic Surgery, Washington University, St. Louis, Missouri, USA. ThomopoulosS@wustl.edu
Rosalina Das
Matthew J Silva
Shelly Sakiyama-Elbert
Frederick L Harwood
Emmanouil Zampiakis
H Mike Kim
David Amiel
Richard H Gelberman
Washington University in St. Louis · USUniversity of California, San Diego · US

Funding

FLEXOR TENDON: RESTORATION OF THE GLIDING SURFACER01AR033097 · NIAMS · WASHINGTON UNIVERSITY · PI GELBERMAN, RICHARD H · 1987 to 2010
$3.7M
NIAMS NIH HHS 5R01AR033097NIAMS NIH HHS R01 AR033097
6 · The paper itself

Abstract

A fibrin/heparin-based delivery system was used to provide controlled delivery of platelet derived growth factor BB (PDGF-BB) in an animal model of intrasynovial flexor tendon repair. We hypothesized that PDGF-BB, administered in this manner, would stimulate cell proliferation and matrix remodeling, leading to improvements in the sutured tendon's functional and structural properties. Fifty-six flexor digitorum profundus tendons were injured and repaired in 28 dogs. Three groups were compared: (1) controlled delivery of PDGF-BB using a fibrin/heparin-based delivery system; (2) delivery system carrier control; and (3) repair- only control. The operated forelimbs were treated with controlled passive motion rehabilitation. The animals were euthanized at 7, 14, and 42 days, at which time the tendons were assessed using histologic (hyaluronic acid content, cellularity, and inflammation), biochemical (total DNA and reducible collagen crosslink levels), and biomechanical (gliding and tensile properties) assays. We found that cell activity (as determined by total DNA, collagen crosslink analyses, and hyaluronic acid content) was accelerated due to PDGF-BB at 14 days. Proximal interphalangeal joint rotation and tendon excursion (i.e., tendon gliding properties) were significantly higher for the PDGF-BB-treated tendons compared to the repair-alone tendons at 42 days. Improvements in tensile properties were not achieved, possibly due to suboptimal release kinetics or other factors. In conclusion, PDGF-BB treatment consistently improved the functional but not the structural properties of sutured intrasynovial tendons through 42 days following repair.

Indexed as

Angiogenesis Inducing AgentsAnimalsBecaplerminBiomechanical PhenomenaCell DivisionDisease Models, AnimalDogsDrug Delivery SystemsFibrinForelimbPlatelet-Derived Growth FactorProto-Oncogene Proteins c-sisRange of Motion, ArticularTendon InjuriesTensile StrengthWound HealingAngiogenesis Inducing AgentsBecaplerminFibrinPlatelet-Derived Growth FactorProto-Oncogene Proteins c-sis

Identifiers

PMID19322789
PMCPMC2916020
OpenAlexW2136278518

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.