Evidence map›Paper›PMID 26328626›Full record

ArticleBMC musculoskeletal disorders2015

Pulsed electromagnetic fields combined with a collagenous scaffold and bone marrow concentrate enhance osteochondral regeneration: an in vivo study.

Francesca Veronesi, Matteo Cadossi, Gianluca Giavaresi, Lucia Martini, Stefania Setti, Roberto Buda, Sandro Giannini, Milena Fini

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% 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.

NCT05922618 nacompletednot on this mapstarted 2023, after this paper: background citation

PEMFS in Patients With CRPS-I of the Foot and Ankle: a Randomized Controlled Trial

TypeinterventionalSponsorAzienda Ospedaliero-Universitaria Consorziale Policlinico di BariRan2023 to 2025Enrolled28ConditionsPain, Joint, Complex Regional Pain Syndromes, Ankle Disease, Foot DiseasesArmsI-One
NCT06040957 narecruitingnot on this mapstarted 2024, after this paper: background citation

Bone Marrow vs Adipose Tissue as a Cell Source for Infiltrative Treatment of Knee Osteoarthritis: Randomized Clinical Trial

TypeinterventionalSponsorIstituto Ortopedico RizzoliRan2024 to 2027Enrolled204ConditionsKnee OsteoarthritisArmsBone marrow aspirate concentrate injection, intra-articular injection of Minimally manipulated adipose tissue
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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  12. Electrical stimulation-based bone fracture treatment, if it works so well why do not more surgeons use it?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020
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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

8 authors at 3 institutions in 1 country.

Francesca VeronesiDepartment Rizzoli RIT, Laboratory of Biocompatibility Innovative Technologies and Advanced Therapies, Via Di Barbiano 1/10, 40136, Bologna, Italy. francesca.veronesi@ior.it.
Matteo CadossiI Orthopaedics and Trauma Clinic, Rizzoli Orthopaedic Institute, Via Di Barbiano 1/10, 40136, Bologna, Italy. matteocadossi@hotmail.com.
Gianluca GiavaresiDepartment Rizzoli RIT, Laboratory of Biocompatibility Innovative Technologies and Advanced Therapies, Via Di Barbiano 1/10, 40136, Bologna, Italy. gianluca.giavaresi@ior.it.
Lucia MartiniDepartment Rizzoli RIT, Laboratory of Biocompatibility Innovative Technologies and Advanced Therapies, Via Di Barbiano 1/10, 40136, Bologna, Italy. lucia.martini@ior.it.
Stefania SettiIGEA S.p.A., via Parmenide 10/A, 41012, Carpi, Modena, Italy. s.setti@igeamedical.com.
Roberto BudaI Orthopaedics and Trauma Clinic, Rizzoli Orthopaedic Institute, Via Di Barbiano 1/10, 40136, Bologna, Italy. roberto.buda@ior.it.
Sandro GianniniUniversity of Bologna, Bologna, Italy. sandro.giannini@ior.it.
Milena FiniDepartment Rizzoli RIT, Laboratory of Biocompatibility Innovative Technologies and Advanced Therapies, Via Di Barbiano 1/10, 40136, Bologna, Italy. milena.fini@ior.it.
Istituto Ortopedico Rizzoli · ITInterventi Geo Ambientali (Italy) · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study aimed to evaluate the combined effect of Pulsed Electromagnetic Field (PEMF) biophysical stimulation and bone marrow concentrate (BMC) in osteochondral defect healing in comparison to the treatment with scaffold alone.

methodsAn osteochondral lesion of both knees was performed in ten rabbits. One was treated with a collagen scaffold alone and the other with scaffold seeded with BMC. Half of the animals were stimulated by PEMFs (75 Hz, 1.5 mT, 4 h/day) and at 40 d, macroscopic, histological and histomorphometric analyses were performed to evaluate osteochondral defect regeneration.

resultsRegarding cartilage, the addition of BMC to the scaffold improved cell parameters and the PEMF stimulation improved both cell and matrix parameters compared with scaffold alone. The combination of BMC and PEMFs further improved osteochondral regeneration: there was an improvement in macroscopic, cartilage cellularity and matrix parameters and a reduction in the percentage of cartilage under the tidemark. Epiphyseal bone healing improved in all the osteochondral defects regardless of treatment, although PEMFs alone did not significantly improve the reconstruction of subchondral bone in comparison to treatment with scaffold alone.

conclusionsResults show that BMC and PEMFs might have a separate effect on osteochondral regeneration, but it seems that they have a greater effect when used together. Biophysical stimulation is a non-invasive therapy, free from side effects and should be started soon after BMC transplantation to increase the quality of the regenerated tissue. However, because this is the first explorative study on the combination of a biological and a biophysical treatment for osteochondral regeneration, future preclinical and clinical research should be focused on this topic to explore mechanisms of action and the correct clinical translation.

Indexed as

Tissue ScaffoldsAnimalsBone Marrow CellsBone Marrow TransplantationBone RegenerationCartilage, ArticularCollagenElectromagnetic FieldsMagnetic Field TherapyMaleRabbitsCollagen

Identifiers

PMID26328626
PMCPMC4557597
OpenAlexW1954708272

What OpenQuestion holds

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LicenceCC BY
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.