Evidence map›Paper›PMID 30148163›Full record

ArticleBioMed research international2018

Partial Anterior Cruciate Ligament Ruptures: Advantages by Intraligament Autologous Conditioned Plasma Injection and Healing Response Technique-Midterm Outcome Evaluation.

Matthias Koch, Felix Mayr, Leonard Achenbach, Werner Krutsch, Siegmund Lang, Franz Hilber, Johannes Weber, Christian G Pfeifer, Rebecca Woehl, Jürgen Eichhorn and 3 more

Abstract read
In one paragraph

Article in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Clinical Use of Biologics in the Knee Lesions: Does the Patient Benefit?Current reviews in musculoskeletal medicine · 2019
    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

13 authors.

Matthias KochUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.
Felix MayrUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.
Leonard AchenbachSporthopaedicum Straubing, Regensburg, Hildegard von Bingen Strasse 1, 93053 Regensburg, Germany.
Werner KrutschUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.ORCID 0000-0002-3099-1402
Siegmund LangUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.ORCID 0000-0003-0459-9092
Franz HilberUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.
Johannes WeberUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.
Christian G PfeiferUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.ORCID 0000-0002-1403-0476
Rebecca WoehlUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.
Jürgen EichhornSporthopaedicum Straubing, Regensburg, Hildegard von Bingen Strasse 1, 93053 Regensburg, Germany.
Johannes ZellnerUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.ORCID 0000-0001-5385-9378
Michael NerlichUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.
Peter AngeleUniversity Medical Centre Regensburg, Department of Trauma Surgery, Franz Josef Strauss Allee 11, 93042 Regensburg, Germany.ORCID 0000-0002-3190-8666

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The historical treatment options for partial anterior cruciate ligament (ACL) ruptures were conservative therapy or ACL reconstruction by injured bundle or entire ACL replacement. In awareness of the regenerative potential of biologic agents such as mesenchymal stem cells or platelet rich plasma (PRP), the healing response technique was developed to preserve the injured ACL with better outcomes than the conservative therapy. Further improvement of this technique seems to be obtained by the additional application of PRP products. Thus, the aim of this study was to evaluate the midterm outcome after intraligament autologous conditioned plasma (ACP) by a clinical, scoring, and functional performance assessment. 42 patients were evaluated in this study. The failure rate was 9.5%. Outcome evaluation showed good to excellent results. The scores were IKDC subjective 83.2 (SD 14.5), Lysholm 85.5 (SD 15.5), Tegner 4.7 (SD 1.7), and Cincinnati 85.4 (SD 15.5) after a mean follow-up of 33 months. Clinical examination showed stable Lachman test, negative pivot shift phenomenon, and a significant reduction in AP-laxity compared to preoperative status (rolimeter preoperative: 1.9 (SD1.4); postoperative 0.6 (SD1.8), p=0.001) in all patients. Functional performance testing showed no significant differences between the injured and healthy side. Return to sport was achieved after a mean of 5.8 months (SD 3.6) in 71.1% of the included patients. In summary, this new treatment option revealed in midterm follow-up promising results to treat partial ACL lesions with a reduced need for conversion to ACL reconstruction and with a high percentage of return to preinjury sport activity.

Indexed as

PlasmaAdultAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionFemaleFollow-Up StudiesHumansKnee JointMaleMiddle AgedRupture, SpontaneousTreatment Outcome

Identifiers

PMID30148163
PMCPMC6083554

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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.