Evidence map›Paper›PMID 32285971›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2020

Transection of the medial meniscus anterior horn results in cartilage degeneration and meniscus remodeling in a large animal model.

Sonia Bansal, Liane M Miller, Jay M Patel, Kyle D Meadows, Michael R Eby, Kamiel S Saleh, Anthony R Martin, Brendan D Stoeckl, Michael W Hast, Dawn M Elliott and 2 more

Open access · bronzeAbstract readValidation Study
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Multi-Scale Analysis of Regional Pathology in the Human Trapezium During Osteoarthritis Progression.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  4. Article
  5. Time-dependent changes in medial meniscus kinematics and attachment strength after anterior root injury and repair in a large animal model.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Internal tibial torsion is associated with medial meniscus posterior horn tears.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Editorial: Post-Traumatic Osteoarthritis After Meniscus Injury.Frontiers in bioengineering and biotechnology · 2022
    Article
  20. Impediments to Meniscal Repair: Factors at Play Beyond Vascularity.Frontiers in bioengineering and biotechnology · 2022
    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

12 authors at 2 institutions in 1 country.

Sonia BansalDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-7080-1311
Liane M MillerDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jay M PatelDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-4889-0818
Kyle D MeadowsDepartment of Biomedical Engineering, University of Delaware, Newark, Delaware.
Michael R EbyDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Kamiel S SalehDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Anthony R MartinDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Brendan D StoecklDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Michael W HastDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-0351-9196
Dawn M ElliottDepartment of Biomedical Engineering, University of Delaware, Newark, Delaware.ORCID 0000-0003-4792-1029
Miltiadis H ZgonisDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Robert L MauckDepartment of Orthopaedic Surgery, McKay Orthopaedic Research Laboratory, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-9537-603X
Philadelphia VA Medical Center · USUniversity of Delaware · US

Funding

Overall: Resource-based Center for Musculoskeletal Disorders Research (Overall Application)P30AR069619 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI LOUIS J SOSLOWSKY · 2016 to 2026
$9.1M
Dynamic Fibrous Scaffolds for Repairing Dense Connective TissuesR01AR056624 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Jason A Burdick, Robert L Mauck · 2009 to 2026
$7.5M
Training Program in Musculoskeletal ResearchT32AR007132 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Robert L Mauck, LOUIS J SOSLOWSKY · 1986 to 2026
$4.9M
Multi-scale biomechanics of engineered and native fibrous load-bearing tissueR01EB002425 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI ELLIOTT, DAWN M, MAUCK, ROBERT L · 2003 to 2017
$4.1M
Engineered Multi-Functional Nanofibrous Meniscus ImplantsI01RX000174 · VA · PHILADELPHIA VA MEDICAL CENTER · PI ESTERHAI, JOHN, MAUCK, ROBERT L · 2009 to 2018
–
NIAMS NIH HHS P30 AR069619NIAMS NIH HHS R01 AR056624NIAMS NIH HHS T32 AR007132NIBIB NIH HHS R01 EB002425RRD VA I01 RX000174
6 · The paper itself

Abstract

The meniscus plays a central load-bearing role in the knee joint. Unfortunately, meniscus injury is common and can lead to joint degeneration and osteoarthritis (OA). In small animal models, progressive degenerative changes occur with the unloading of the meniscus via destabilization of the medial meniscus (DMM). However, few large animal models of DMM exist and the joint-wide initiation of the disease has not yet been defined in these models. Thus, the goal of this study is to develop and validate a large animal model of surgically induced DMM and to use multimodal (mechanical, histological, and magnetic resonance imaging) and multiscale (joint to tissue level) quantitative measures to evaluate degeneration in both the meniscus and cartilage. DMM was achieved using an arthroscopic approach in 13 Yucatan minipigs. One month after DMM, joint contact area decreased and peak pressure increased, indicating altered load transmission as a result of meniscus destabilization. By 3 months, the joint had adapted to the injury and load transmission patterns were restored to baseline, likely due to the formation and maturation of a fibrovascular scar at the anterior aspect of the meniscus. Despite this, we found a decrease in the indentation modulus of the tibial cartilage and an increase in cartilage histopathology scores at 1 month compared to sham-operated animals; these deleterious changes persisted through 3 months. Over this same time course, meniscus remodeling was evident through decreased proteoglycan staining in DMM compared to sham menisci at both 1 and 3 months. These findings support that arthroscopic DMM results in joint degeneration in the Yucatan minipig and provide a new large animal testbed in which to evaluate therapeutics and interventions to treat post-traumatic OA that originates from a meniscal injury.

Indexed as

Models, AnimalAnimalsArthritis, ExperimentalArthroscopyCartilage, ArticularMagnetic Resonance ImagingMaleOsteoarthritisSwineSwine, MiniatureTibial Meniscus InjuriesX-Ray Microtomographycartilagedestabilizationkneemeniscusminipig

Identifiers

PMID32285971
PMCPMC7735384
OpenAlexW3015481699

What OpenQuestion holds

Textmetadata
LicenceTDM
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.