Evidence map›Paper›PMID 27422025›Full record

Trial reportBMC musculoskeletal disorders2016

Norwegican Cartilage Project - a study protocol for a double-blinded randomized controlled trial comparing arthroscopic microfracture with arthroscopic debridement in focal cartilage defects in the knee.

Tommy Frøseth Aae, Per-Henrik Randsborg, Anne Berg Breen, Håvard Visnes, Søren Vindfeld, Einar Andreas Sivertsen, Sverre Løken, Jan Brinchmann, Heidi Andreassen Hanvold, Asbjørn Årøen

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02637505 (Focal Cartilage Defects in the Knee - A Randomized Controlled Trial Comparing Arthroscopic Microfracture With Arthroscopic Debridement), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 23% 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.

NCT02637505 nacompletednot on this map

Focal Cartilage Defects in the Knee - A Randomized Controlled Trial Comparing Arthroscopic Microfracture With Arthroscopic Debridement

TypeinterventionalSponsorUniversity Hospital, AkershusRan2016 to 2024Enrolled66ConditionsKnee Injury, Cartilage InjuryArmsArthroscopic microfracture (MF), Arthroscopic debridement (AD)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Surgical interventions for symptomatic mild to moderate knee osteoarthritis.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

10 authors at 8 institutions in 2 countries.

Tommy Frøseth AaeDepartment of Orthopedic Surgery, Kristiansund Hospital, Kristiansund, Norway. tommy.aae@gmail.com.
Per-Henrik RandsborgDepartment of Orthopedic Surgery, Akershus University Hospital, Lørenskog, Norway.
Anne Berg BreenDepartment of Orthopedic Surgery, Ålesund Hospital, Ålesund, Norway.
Håvard VisnesDepartment of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway.
Søren VindfeldDepartment of Orthopedic Surgery, Haraldsplass Deaconess Hospital, Deaconess, Norway.
Einar Andreas SivertsenDepartment of Orthopedic Surgery, Diakonhjemmet Hospital, Diakonveien, Norway.
Sverre LøkenDepartment of Orthopedics, Oslo University Hospital, Oslo, Norway.
Jan BrinchmannDepartment of Immunology and Norwegian Center for Stem Cell Research, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Heidi Andreassen HanvoldDepartment of Physiotherapy, Akershus University Hospital, Lørenskog, Norway.
Asbjørn ÅrøenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Akershus University Hospital · NOOslo University Hospital · NOÅlesund Hospital · NODeaconess Hospital · USDiakonhjemmet Hospital · NOHaukeland University Hospital · NOKristiansund Sykehus · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFocal lesions to the articular cartilage in the knee might have demolishing consequences to the knee. There exists a wide range of possible surgical procedures targeting these injuries, however no significant differences have been found between these procedures. This may support that the improvement is a result of rehabilitation, and not the surgery itself. Arthroscopic microfracture (MF) treatment has gained popularity, and has become the treatment of choice in patients with knee cartilage defects globally. In this study we want to increase knowledge, both clinical and economic, about arthroscopic microfracture (AF) compared to arthroscopic debridement (AD) and physical rehabilitation both in the short run, and in the long run. METHODS/

designTo compare arthroscopic microfracture with arthroscopic debridement and physiotherapy for the treatment of focal cartilage lesions in the knee, a long-term, double-blinded, randomized controlled multicenter trial will be conducted. A total of 114 men and non-pregnant women with a symptomatic focal full thickness cartilage lesion in the knee less than 2 cm2 will be included in the study. The two treatment allocations will receive identical rehabilitation, which is made up of 3 phases: accommodation, rehabilitation and return to activity. Follow up is 24 months, where all will be invited to participate in late follow ups after 5 and 10 years. The Knee Injury and Osteoarthritis Outcome Score (KOOS) knee-related quality of life (QoL) subscore is the primary endpoint. Clinical parameters, questionnaires and radiologic modalities (Magnetic Resonance Imaging (MRI) and x-ray) will be used as secondary endpoints. DISCUSSION: This is an ongoing multicenter study with a high level of evidence to compare arthroscopic microfracture with arthroscopic debridement and physiotherapy for the treatment of isolated symptomatic full thickness cartilage lesions in the knee joint.

trial registrationClinicalTrials.gov ID: NCT02637505 (December 15, 2015).

Indexed as

Physical Therapy ModalitiesAdultArthroplasty, SubchondralArthroscopyCartilage, ArticularCartilage DiseasesDebridementDouble-Blind MethodFollow-Up StudiesHumansKnee JointMagnetic Resonance ImagingMiddle AgedPostoperative ComplicationsQuality of LifeRadiography

Identifiers

PMID27422025
PMCPMC4947343
OpenAlexW2463609314

What OpenQuestion holds

Textmetadata
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.