Evidence map›Paper›PMID 20058276›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2010

Collagen scaffold supplementation does not improve the functional properties of the repaired anterior cruciate ligament.

Braden C Fleming, Elise M Magarian, Sophia L Harrison, David J Paller, Martha M Murray

Abstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Cartilage Damage Is Related to ACL Stiffness in a Porcine Model of ACL Repair.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2019
    Article
  6. Review
  7. Ultrasound-Mediated Gene Delivery Enhances Tendon Allograft Integration in Mini-Pig Ligament Reconstruction.Molecular therapy : the journal of the American Society of Gene Therapy · 2018
    Article
  8. Anterior cruciate ligament repair - past, present and future.Journal of experimental orthopaedics · 2018
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Bio-enhanced repair of the anterior cruciate ligament.Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · 2015
    Article
  14. Article
  15. Article
  16. Article
  17. Biology of anterior cruciate ligament injury and repair: Kappa delta ann doner vaughn award paper 2013.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2013
    Article
  18. Article
  19. Anterior cruciate ligament surgery in the rabbit.Journal of orthopaedic surgery and research · 2013
    Article
  20. 2011 AOA Symposium: Tissue Engineering and Tissue Regeneration: AOA critical issues.The Journal of bone and joint surgery. American volume · 2013
    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

5 authors.

Braden C FlemingDepartment of Orthopaedics, Warren Alpert Medical School, Brown University, Providence, Rhode Island 02903, USA.
Elise M Magarian
Sophia L Harrison
David J Paller
Martha M Murray

Funding

The Effect of Age on Functional ACL HealingR01AR054099 · NIAMS · BOSTON CHILDREN'S HOSPITAL · PI MURRAY, MARTHA M · 2006 to 2013
$4.8M
Osteoarthritis following ACL reconstructionR01AR049199 · NIAMS · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI FLEMING, BRADEN C. · 2003 to 2007
$1.7M
A Novel Mechanism for Intra-articular NonunionR01AR052772 · NIAMS · BOSTON CHILDREN'S HOSPITAL · PI MURRAY, MARTHA M · 2007 to 2010
$1.4M
NIAMS NIH HHS AR049199NIAMS NIH HHS AR052772NIAMS NIH HHS AR054099NIAMS NIH HHS R01 AR049199NIAMS NIH HHS R01 AR052772NIAMS NIH HHS R01 AR054099
6 · The paper itself

Abstract

Primary suture anterior cruciate ligament (ACL) repair was abandoned in favor of reconstruction due to a high rate of clinical failures. However, the insertion of a collagen scaffold loaded with platelets into the wound at the time of suture repair ("enhanced primary repair") has been shown to improve functional healing in animal models. Our objectives were to determine if using a collagen scaffold alone (without platelets) would be sufficient to increase the structural properties of the repaired ACL and decrease postoperative knee laxity compared to suture repair without the scaffold. Eight Yucatan minipigs underwent bilateral ACL transection and suture repair. In one knee, the repair was augmented with a collagen scaffold (SCAFFOLD group) while the other had suture alone (SUTURE group). After 13 weeks of healing, knee joint laxity and the structural properties of the ACL were measured. The addition of the collagen scaffold to suture repair of a transected ACL did not significantly improve the mean anteroposterior knee laxity [SCAFFOLD vs. SUTURE: 6.1 +/- 1.4 vs. 4.4 +/- 2.0 mm (p = 0.07), 8.1 +/- 2.0 vs. 7.6 +/- 2.0 mm (p = 0.66), and 6.2 +/- 1.2 vs. 6.1 +/- 1.8 mm (p = 0.85) at 30 degrees, 60 degrees, and 90 degrees flexion, respectively]. Likewise, there were no significant differences in the structural properties [SCAFFOLD vs. SUTURE: 367 +/- 185.9 vs. 322 +/- 122.0N (p = 0.66) and 90.7 +/- 29.5 vs. 85.0 +/- 30.3N/mm (p = 0.74) for the yield load and linear stiffness, respectively]. The use of a collagen scaffold alone to enhance suture repair of the ACL was ineffective in this animal model. Future work will be directed at stimulating biological activity in the scaffold.

Indexed as

Suture TechniquesAnimalsAnterior Cruciate LigamentBiomechanical PhenomenaBlood PlateletsCollagenFemaleMaleSwineWound HealingCollagen

Identifiers

PMID20058276
PMCPMC2858260

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.