Evidence map›Paper›PMID 31588257›Full record

ArticleOrthopedic reviews2019

Adjuvant therapies for the enhancement of microfracture technique in cartilage repair.

Nikitas Schizas, Olga Savvidou, Ioannis Triantafyllopoulos, Stamatios Papadakis, Ismene Dontas, Panayiotis Papagelopoulos

Abstract read
In one paragraph

Article in Orthopedic reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Nikitas SchizasLaboratory for the Research of Musculoskeletal System, Medical School, National and Kapodistrian University of Athens.
Olga SavvidouFirst Department of Orthopedic Surgery, Medical School, National and Kapodistrian University of Athens.
Ioannis TriantafyllopoulosLaboratory for the Research of Musculoskeletal System, Medical School, National and Kapodistrian University of Athens.
Stamatios PapadakisSecond Department of Orthopedic Surgery, KAT Hospital, Kifissia, Greece.
Ismene DontasLaboratory for the Research of Musculoskeletal System, Medical School, National and Kapodistrian University of Athens.
Panayiotis PapagelopoulosFirst Department of Orthopedic Surgery, Medical School, National and Kapodistrian University of Athens.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The classic technique of microfracture does not promote hyaline cartilage restoration. Subchondral bone perforations lead to the formation of a clot containing pluripotent progenitor cells and finally the cartilage defect is filled by fibrocartilage tissue. Researchers have focused on enhancing the quality of the newly formed tissue in cartilage defects after microfracture arthroscopic surgery. Adjuvant treatments are categorized in four main groups: scaffolds, pharmaceutical agents, growth factors and combinations of the aforementioned. Several experimental studies utilize pharmaceutical or biological agents in combination with microfracture, to improve the quality of the regenerated cartilage. The mechanism of action of the agents used is either to exert a chondroprotective effect on the newly formed fibrocartilage tissue, or to induce the recruitment of mesenchymal stem cells towards chondrogenesis instead of osteogenesis during microfracture repair. Additionally, scaffolds have been used for both release of the biological agents and mechanical support of the newly formed blood clot. This review highlights current data regarding the combination of microfracture technique with adjuvant treatments in order to ameliorate the final outcome.

Indexed as

adjuvant treatmentscartilage repairfibrocartilagegrowth factorsMicrofracturepharmaceutical agentsscaffolds

Identifiers

PMID31588257
PMCPMC6776922

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.