Evidence map›Paper›PMID 30219996›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019

Should orthopedic surgeons consider reducing the negative effects of Outerbridge grade 2 patellofemoral chondral lesion on early postoperative recovery during anterior cruciate ligament reconstruction.

Hakan Sofu, Yalkin Camurcu, Ahmet Issin, Hanifi Ucpunar, Seckin Ozcan, Serda Duman

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. PRP does not improve the objective outcomes of anterior cruciate ligament reconstruction: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Pooled it
  2. Review
  3. 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

6 authors at 3 institutions in 1 country.

Hakan SofuDepartment of Orthopedics and Traumatology, Bahcelievler Medicalpark Hospital, Istinye University, Istanbul, Turkey. hakansofu@yahoo.com.
Yalkin CamurcuErzincan University Faculty of Medicine, Başbağlar mahallesi, 24030, Erzincan, Turkey.
Ahmet IssinErzincan University Faculty of Medicine, Başbağlar mahallesi, 24030, Erzincan, Turkey.
Hanifi UcpunarErzincan University Faculty of Medicine, Başbağlar mahallesi, 24030, Erzincan, Turkey.
Seckin OzcanErzincan University Faculty of Medicine, Başbağlar mahallesi, 24030, Erzincan, Turkey.
Serda DumanDiyarbakir Selahaddin Eyyubi State Hospital, Diyarbakir, Turkey.
Erzincan University · TRDiyarbakır Askeri Hastanesi · TRIstinye University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to comparatively evaluate the effectiveness of intra-articular PRP and HA injections applied as the treatment of Outerbridge grade 2 chondral lesions in patellofemoral joint during arthroscopic ACL reconstruction.

methodsThe clinical and radiographic data of 61 patients between 18 and 45 years of age were evaluated. The patients were separated into three groups. Hyaluronic acid injection was applied in 22 knees (Group 1), PRP injection was applied in 18 knees (Group 2), and 21 knees did not have any specific treatment except ACL reconstruction (Group 3). All patients were followed clinically at least for 12 months. Clinical examination of the operated knee, visual analogue scale (VAS) score, Lysholm knee score, and Tegner activity scale were the outcome measures. Routine X-ray and MRI were also performed for all patients at 12-month postoperative follow-up visit.

resultsAlthough the mean VAS and Lysholm scores at 3-month follow-up were better in Group 1 and 2 than Group 3, the efficacy of intra-articular PRP on healing process regarding progression of the mean VAS and Lysholm scores through 6- and 12-month follow-ups was significantly better and longer than HA. No statistically significant differences were detected according to Tegner activity scale between the groups at 3 and 6 months; however, Group 2 had better activity level than both Group 1 (p < 0.001) and 3 (p < 0.001) at the end of 12 months after surgery.

conclusionIntra-articular PRP injection applied as the treatment of concomitant Outerbridge grade 2 chondral lesion in patellofemoral joint during ACL reconstruction revealed better and durable clinical outcomes via decreasing the potentially negative effects of chondral pathology on postoperative healing with respect to HA injection. LEVEL OF EVIDENCE: III-retrospective comparative study.

Indexed as

Platelet-Rich PlasmaAdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionArthroscopyCartilage, ArticularFemaleHumansHyaluronic AcidInjections, Intra-ArticularLysholm Knee ScoreMagnetic Resonance ImagingMalePatellofemoral JointPostoperative PeriodRadiographyHyaluronic AcidViscosupplementsAnterior cruciate ligamentCartilagePatellofemoral joint

Identifiers

PMID30219996
OpenAlexW2891180653

What OpenQuestion holds

Textmetadata
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.