Evidence map›Paper›PMID 30717200›Full record

SynthesisInternational journal of molecular sciences2019

Are the Biological and Biomechanical Properties of Meniscal Scaffolds Reflected in Clinical Practice? A Systematic Review of the Literature.

Chanuka D S Ranmuthu, Charindu K I Ranmuthu, Jodie C Russell, Disha Singhania, Wasim S Khan

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of molecular sciences, 2019. 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. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

5 authors.

Chanuka D S RanmuthuSchool of Clinical Medicine, Addenbrooke's Hospital, University Of Cambridge, Cambridge CB2 0SP, UK. cdsr2@cam.ac.uk.
Charindu K I RanmuthuSchool of Clinical Medicine, Addenbrooke's Hospital, University Of Cambridge, Cambridge CB2 0SP, UK. ckir2@cam.ac.uk.
Jodie C RussellSchool of Clinical Medicine, Addenbrooke's Hospital, University Of Cambridge, Cambridge CB2 0SP, UK. jcr64@cam.ac.uk.
Disha SinghaniaSchool of Clinical Medicine, Addenbrooke's Hospital, University Of Cambridge, Cambridge CB2 0SP, UK. ds781@cam.ac.uk.
Wasim S KhanDivision of Trauma & Orthopaedic Surgery, Addenbrooke's Hospital, University of Cambridge, Cambridge CB2 0QQ, UK. wk280@cam.ac.uk.ORCID 0000-0003-3106-5424

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this PRISMA review was to assess whether the CMI and Actifit scaffolds, when used in clinical practice, improve clinical outcomes and demonstrate the ideal biological and biomechanical properties of scaffolds: being chondroprotective, porous, resorbable, able to mature and promote regeneration of tissue. This was done by only including studies that assessed clinical outcome and used a scale to assess both integrity of the scaffold and its effects on articular cartilage via MRI. A search was performed on PubMed, EMBASE, Scopus and clinicaltrials.gov. 2457 articles were screened, from which eight studies were selected: four used Actifit, three used CMI and one compared the two. All studies reported significant improvement in at least one clinical outcome compared to baseline. Some studies suggested that the scaffolds appeared to show porosity, mature, resorb and/or have possible chondroprotective effects, as assessed by MRI. The evidence for clinical translation is limited by differences in study methodology and small sample sizes, but is promising in terms of improving clinical outcomes in the short to mid-term. Higher level evidence, with MRI and histological evaluation of the scaffold and articular cartilage, is now needed to further determine whether these scaffolds exhibit these useful properties.

Indexed as

Absorbable ImplantsAdultArthroscopyBiomechanical PhenomenaCollagenFemaleHumansKnee InjuriesMagnetic Resonance ImagingMaleMenisci, TibialPolyestersPolyurethanesPorosityResearch DesignTibial Meniscus InjuriesCollagenPolyestersPolyurethaneshumanskneemeniscusscaffold

Identifiers

PMID30717200
PMCPMC6386938

What OpenQuestion holds

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Registered trials

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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.