Evidence map›Paper›PMID 25786823›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Is meniscal allograft transplantation chondroprotective? A systematic review of radiological outcomes.

Nick A Smith, Benjamin Parkinson, Charles E Hutchinson, Matthew L Costa, Tim Spalding

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 1% 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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Meniscal allograft transplantation after meniscectomy: clinical effectiveness and cost-effectiveness.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Collagen-Based Scaffolds for Meniscal Repair and Regeneration.Journal of tissue engineering and regenerative medicine · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Autologous semitendinosus tendon graft could function as a meniscal transplant.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  16. Human meniscus allograft augmentation by allogeneic mesenchymal stromal/stem cell injections.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  17. Article
  18. Review
  19. Satisfactory clinical results and low failure rate of medial collagen meniscus implant (CMI) at a minimum 20 years of follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    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

5 authors at 3 institutions in 1 country.

Nick A SmithUniversity of Warwick, Clinical Sciences Research Laboratories, Clifford Bridge Road, Coventry, West Midlands, CV2 2DX, UK. nickasmith@doctors.net.uk.
Benjamin ParkinsonUniversity Hospitals Coventry and Warwickshire (UHCW), Clifford Bridge Road, Coventry, CV2 2DX, UK.
Charles E HutchinsonUniversity of Warwick, Clinical Sciences Research Laboratories, Clifford Bridge Road, Coventry, West Midlands, CV2 2DX, UK.
Matthew L CostaUniversity of Warwick, Clinical Sciences Research Laboratories, Clifford Bridge Road, Coventry, West Midlands, CV2 2DX, UK.
Tim SpaldingUniversity Hospitals Coventry and Warwickshire (UHCW), Clifford Bridge Road, Coventry, CV2 2DX, UK.
University Hospitals Coventry and Warwickshire NHS Trust · GBUniversity Hospital Coventry · GBUniversity of Warwick · GB

Funding

Arthritis Research UK 20149
6 · The paper itself

Abstract

purposeThe primary aim of this systematic review was to examine the hypothesis that meniscal allograft transplantation is chondroprotective by identifying and appraising studies that have assessed the progression of osteoarthritis following meniscal allograft transplantation. The secondary aim was to identify and appraise radiological measures of meniscal allograft integrity following surgery.

methodsClinical studies on human participants undergoing meniscal allograft transplantation with a minimum follow-up of 6 months were included. The primary outcome measure was any radiological osteoarthritis progression measure. Secondary outcomes included magnetic resonance measures of meniscal integrity including meniscal size, shape, healing, extrusion and signal intensity.

resultsThirty-eight studies with 1056 allografts were included. The weighted mean joint space loss was 0.032 mm at 4.5 years across 11 studies. Other radiological classification systems were reported in small numbers and with variable progression rates. Meniscal extrusion was present in nearly all cases, but was not associated with clinical or other radiological outcomes. Meniscal healing rates were high, although the size, shape and signal intensity were commonly altered from that of the native meniscus. The quality of the included studies was low, with a high risk of bias.

conclusionThere is some evidence to support the hypothesis that meniscal allograft transplantation reduces the progression of osteoarthritis, although it is unlikely to be as effective as the native meniscus. If this is proven, there may be a role for prophylactic meniscal allograft transplantation in selected patients. Well-designed randomised controlled trials are needed to further test this hypothesis. LEVEL OF EVIDENCE: Systematic review of studies, Level IV.

Indexed as

AdultArthroplasty, Replacement, KneeDisease ProgressionFemaleHumansKnee JointMaleMenisci, TibialMiddle AgedOsteoarthritis, KneePostoperative ComplicationsRadiographyTransplantation, HomologousWound HealingChondroprotectionMeniscal allograft transplantationMeniscusOsteoarthritis

Identifiers

PMID25786823
OpenAlexW2024311143

What OpenQuestion holds

Textmetadata
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.