Evidence map›Paper›PMID 20670444›Full record

Trial reportBMC musculoskeletal disorders2010

Association between expression of the bone morphogenetic proteins 2 and 7 in the repair of circumscribed cartilage lesions with clinical outcome.

Hagen Schmal, Philipp Niemeyer, Jörn Zwingmann, Fabian Stoffel, Norbert P Südkamp, Alexander T Mehlhorn

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 9% 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.

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

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Synovial cytokine expression in ankle osteoarthritis depends on age and stage.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015
    Trial
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  6. Correlation of bone morphogenetic protein-2 levels in serum and synovial fluid with disease severity of knee osteoarthritis.Medical science monitor : international medical journal of experimental and clinical research · 2015
    Article
  7. Correlation of synovial cytokine expression with quality of cells used for autologous chondrocyte implantation in human knees.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2014
    Article
  8. Regeneration of articular cartilage of the knee.Rheumatology international · 2013
    Review
  9. Autologous chondrocyte implantation in children and adolescents.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2013
    Article
  10. Article
  11. Article
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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

6 authors at 2 institutions in 1 country.

Hagen SchmalDepartment of Orthopedic Surgery, University of Freiburg Medical Center, Hugstetter Str 55, D-79106 Freiburg, Germany. hagen.schmal@freenet.de
Philipp Niemeyer
Jörn Zwingmann
Fabian Stoffel
Norbert P Südkamp
Alexander T Mehlhorn
University Medical Center Freiburg · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough there is much known about the role of BMPs in cartilage metabolism reliable data about the in vivo regulation in natural and surgically induced cartilage repair are still missing.

methodsLavage fluids of knee joints of 47 patients were collected during surgical therapy. 5 patients had no cartilage lesion and served as a control group, the other 42 patients with circumscribed cartilage defects were treated by microfracturing (19) or by an Autologous Chondrocyte Implantation (23). The concentrations of BMP-2 and BMP-7 were determined by ELISA. The clinical status was evaluated using the IKDC Score prior to and 1 year following the operation.

resultsHigh level expression in the control group was found for BMP-2, concentrations of BMP-7 remained below detection levels. No statistical differences could be detected in concentrations of BMP-2 or BMP-7 in the lavage fluids of knees with cartilage lesions compared to the control group. Levels of BMP-7 did not change after surgical cartilage repair, whereas concentrations of BMP-2 statistically significant increased after the intervention (p < 0.001). The clinical outcome following cartilage regenerating surgery increased after 1 year by 29% (p < 0.001). The difference of the IKDC score after 1 year and prior to the operation was used to quantify the degree of improvement following surgery. This difference statistically significant correlated with initial BMP-2 (R = 0.554, p < 0.001) but not BMP-7 (R = 0.031, n.s.) levels in the knee joints.

conclusionsBMP-2 seems to play an important role in surgically induced cartilage repair; synovial expression correlates with the clinical outcome.

Indexed as

AdolescentAdultAgedBone Morphogenetic Protein 2Bone Morphogenetic Protein 7Cartilage, ArticularCartilage DiseasesCell TransplantationChondrocytesFemaleHumansKnee JointMaleMiddle AgedPrognosisProspective StudiesBMP2 protein, humanBone Morphogenetic Protein 2Bone Morphogenetic Protein 7

Identifiers

PMID20670444
PMCPMC2920860
OpenAlexW2127334272

What OpenQuestion holds

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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.