Evidence map›Paper›PMID 26605189›Full record

ArticleMuscles, ligaments and tendons journal

Percutaneous injections of Platelet rich plasma for treatment of intrasubstance meniscal lesions.

Fabian Blanke, Patrick Vavken, Maximilian Haenle, Lutz von Wehren, Geert Pagenstert, Martin Majewski

Registry-linked trialAbstract read
In one paragraph

Article in Muscles, ligaments and tendons journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02872753 (Intra-operative ACP Injection Following Partial Meniscectomy), which is 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
2.7field-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.

NCT02872753 phase4completednot on this map

Intra-operative ACP Injection Following Partial Meniscectomy: a Randomized Controlled Trial

TypeinterventionalSponsorIstituto Ortopedico RizzoliRan2017 to 2023Enrolled90ConditionsMeniscectomyArmsACP, Standard Meniscectomy
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  13. Single- and double-dose of platelet-rich plasmaWorld journal of orthopedics · 2019
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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.

Fabian BlankeDepartment of Orthopaedic Sports Medicine and Arthroscopic Surgery, Hessing Stiftung Augsburg, Germany.
Patrick VavkenUniversity Hospital Basel, Switzerland.
Maximilian HaenleDepartment of Orthopaedic Sports Medicine and Arthroscopic Surgery, Hessing Stiftung Augsburg, Germany.
Lutz von WehrenUniversity Hospital Basel, Switzerland.
Geert PagenstertUniversity Hospital Basel, Switzerland.
Martin MajewskiUniversity Hospital Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionmanagement of intrasubstance meniscal lesions is still controversial. Intrasubstance meniscal lesions can lead to reduced sports activity and meniscal rupture. Physical therapy is often not satisfactory. Therefore new treatment methods are requested. Platelet Rich Plasma (PRP) has the ability to regenerate tissue; this was proved in several experimental studies. Whether percutaneous injections of PRP are effective in intrasubstance meniscal lesions is unknown. We hypothesize that percutaneous PRP injections lead to pain relief and halt of progression on MRI over 6 months in patients with grade 2 meniscal lesions. MATERIALS AND

methodsten recreational athletes with intrasubstance meniscal lesions (grade II according to Reicher) proven by MR-Imaging (MRI) were treated by percutaneous injections of PRP in the affected meniscal area. Three sequential injections in seven day intervals were performed in every patient. All injections were performed with image converter. Follow-up MRI was done six months after last injection in every patient. Level of sports activity and amount of pain at athletic loads according to numeric rating scale (NRS-11) were noted in each patient before injections and at the time of follow up MRI after six months. The t-test was used to determine statistical differences.

resultsfour of ten patients (40%) showed decrease of meniscal lesion in follow up MRI after six months. Nine of ten patients (90%) complained about short episodes of heavy pain after the injections with average NRS-Score of 7.9 at daily loads after the last injection. Six of ten patients (60%) showed Improvement of NRS-Score at final follow up. Average NRS-Score improved significantly (p=0.027) from 6.9 before injections to 4.5 six month after treatment. Six of ten patients (60%) reported increase of sports activity compared to the situation before injections. In four patients (40%) additional surgical treatment was necessary because of persistent knee pain or progression of meniscal lesion.

conclusionspercutaneous injections of PRP have the ability to achieve pain relief and halt of progression on MRI over 6 months in patients with grade 2 meniscal lesions. Therefore it could be considered as a treatment option in patients with persisting pain. LEVEL OF EVIDENCE: IV.

Indexed as

grade IIintrasubstancemeniscal lesionpercutaneousPRP

Identifiers

PMID26605189
PMCPMC4617215
OpenAlexW2178050939

What OpenQuestion holds

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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.