Evidence map›Paper›PMID 31508990›Full record

SynthesisCartilage2021

Systematic Review and Meta-Analysis of the Clinical Evidence on the Use of Autologous Matrix-Induced Chondrogenesis in the Knee.

Matthias R Steinwachs, Justus Gille, Martin Volz, Sven Anders, Roland Jakob, Laura De Girolamo, Piero Volpi, Alfredo Schiavone-Panni, Sven Scheffler, Eric Reiss and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cartilage, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
–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

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

  1. Pooled it
  2. A randomized controlled trial demonstrating sustained benefit of autologous matrix-induced chondrogenesis (AMICEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Trial
  3. Article
  4. Treatment Options for Focal Cartilage Lesions of the Knee.Deutsches Arzteblatt international · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. AMIC achieves sustained clinical improvement in isolated patellar cartilage defects over 5 years, correlating with MRI.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

11 authors.

Matthias R SteinwachsSportClinic Zurich Hirslanden Clinic, Zurich, Switzerland.ORCID 0000-0002-2287-1654
Justus GilleUniversity of Schleswig-Holstein, Campus Luebeck, Luebeck, Germany.
Martin VolzSportklinik Ravensburg, Ravensburg, Germany.
Sven AndersUniversitat Regensburg, Bad Abbach, Germany.
Roland JakobMotier, Switzerland.
Laura De GirolamoIRCCS Istituto Ortopedico Galeazzi, Milano, Italy.
Piero VolpiHumanitas Hospital, Rozzano, Milano, Italy.
Alfredo Schiavone-PanniUniversity Campagna Luigi Vanvitelli, Roma, Italy.
Sven SchefflerPrivate Practice for Joint Surgery, Berlin, Germany.
Eric ReissOrthoPraxis, Zofingen, Switzerland.
Udo WittmannConsult AG Statistical Services, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA systematic review and meta-analysis of Autologous Matrix-Induced Chondrogenesis (AMIC®) outcomes for grade III/IV chondral and osteochondral lesions of the knee treated with Chondro-Gide®.

designStudies with a minimum follow-up of 1 year providing clinical results of AMIC repair in the knee were included based on PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Methodological quality was assessed by the modified Coleman Methodology Score (mCMS). The meta-analysis was comparing pain VAS (Visual Analog Scale), Lysholm score, and IKDC score (International Knee Documentation Committee) between baseline and follow-up after 1 or 2 years and after >3 years.

resultsTwelve studies (375 patients) were included. The mCMS demonstrated a suboptimal study design (ranking between 52 and 80). The mean age was 36.2 years (14-70 years). The mean defect size was 4.24 cm

conclusionsThe AMIC procedure significantly improved the clinical status and functional scoring versus preoperative values. Evidence was obtained in a non-selected patient population, corresponding to real-life treatment of knee chondral and osteochondral defects. The evidence is sufficient to recommend AMIC in this indication.

Indexed as

ChondrogenesisAdolescentAdultAgedArthroplasty, SubchondralCartilage, ArticularCollagenFemaleFractures, StressGuided Tissue RegenerationHumansIntra-Articular FracturesKnee InjuriesMaleMiddle AgedPatellofemoral JointCollagenautologous matrix-induced chondrogenesis (AMIC®)cartilageChondro-Gide®kneemicrofracture

Identifiers

PMID31508990
PMCPMC8808829

What OpenQuestion holds

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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.