Evidence map›Paper›PMID 27104208›Full record

ArticleOrthopaedic journal of sports medicine2016

The Effects of Anterior Cruciate Ligament Deficiency on the Meniscus and Articular Cartilage: A Novel Dynamic In Vitro Pilot Study.

Justin W Arner, James N Irvine, Liying Zheng, Tom Gale, Eric Thorhauer, Margaret Hankins, Ermias Abebe, Scott Tashman, Xudong Zhang, Christopher D Harner

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.8field-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.

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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Meniscal repair: The current state and recent advances in augmentation.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2021
    Pooled it
  2. Article
  3. Posterior Horn Meniscus Centroid Position Is Altered Soon After Noncontact ACL Injury in Males and Females.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  4. Article
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Meniscal substitution, a developing and long-awaited demand.Journal of experimental orthopaedics · 2020
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Kinematic outcomes following ACL reconstruction.Current reviews in musculoskeletal medicine · 2016
    Review
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

10 authors at 1 institution in 1 country.

Justin W ArnerDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
James N IrvineDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Liying ZhengDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Tom GaleDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Eric ThorhauerDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Margaret HankinsUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Ermias AbebeDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Scott TashmanDepartment of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Xudong ZhangDepartment of Mechanical Engineering, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Christopher D HarnerDepartment of Orthopaedic Surgery, University of Texas at Houston, Houston, Texas, USA.
University of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnterior cruciate ligament (ACL) injury increases the risk of meniscus and articular cartilage damage, but the causes are not well understood. Previous in vitro studies were static, required extensive knee dissection, and likely altered meniscal and cartilage contact due to the insertion of pressure sensing devices. HYPOTHESIS: ACL deficiency will lead to increased translation of the lateral meniscus and increased deformation of the medial meniscus as well as alter cartilage contact location, strain, and area. STUDY

designDescriptive laboratory study.

methodsWith minimally invasive techniques, six 1.0-mm tantalum beads were implanted into the medial and lateral menisci of 6 fresh-frozen cadaveric knees. Dynamic stereo x-rays (DSXs) were obtained during dynamic knee flexion (from 15° to 60°, simulating a standing squat) with a 46-kg load in intact and ACL-deficient states. Knee kinematics, meniscal movement and deformation, and cartilage contact were compared by novel imaging coregistration.

resultsDuring dynamic knee flexion from 15° to 60°, the tibia translated 2.6 mm (P = .05) more anteriorly, with 2.3° more internal rotation (P = .04) with ACL deficiency. The medial and lateral menisci, respectively, translated posteriorly an additional 0.7 mm (P = .05) and 1.0 mm (P = .03). Medial and lateral compartment cartilage contact location moved posteriorly (2.0 mm [P = .05] and 2.0 mm [P = .04], respectively).

conclusionThe lateral meniscus showed greater translation with ACL deficiency compared with the medial meniscus, which may explain the greater incidences of acute lateral meniscus tears and chronic medial meniscus tears. Furthermore, cartilage contact location moved further posteriorly than that of the meniscus in both compartments, possibly imparting more meniscal stresses that may lead to early degeneration. This new, minimally invasive, dynamic in vitro model allows the study of meniscus function and cartilage contact and can be applied to evaluate different pathologies and surgical techniques. CLINICAL RELEVANCE: This novel model illustrates that ACL injury may lead to significant meniscus and cartilage abnormalities acutely, and these parameters are dynamically measurable while maintaining native anatomy.

Indexed as

cartilage contactkneemeniscal deformationmeniscal movementmeniscus

Identifiers

PMID27104208
PMCPMC4826955
OpenAlexW2332275337

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.