Evidence map›Paper›PMID 32728431›Full record

ArticleBone & joint research2020

Anti-fibrotic effects of the antihistamine ketotifen in a rabbit model of arthrofibrosis.

Meagan E Tibbo, Afton K Limberg, Christopher G Salib, Travis W Turner, Alex R McLaury, Anthony G Jay, Jacob W Bettencourt, Jodi M Carter, Brad Bolon, Daniel J Berry and 4 more

Open access · goldAbstract read
In one paragraph

Article in Bone & joint research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.3field-weighted citation impact, top 7% 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, 29 citations in OpenAlex.

  1. Trial
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  4. Article
  5. New Clues to the Challenge of Knee Arthrofibrosis: From Molecules to Therapies.The Journal of the American Academy of Orthopaedic Surgeons · 2026
    Review
  6. Article
  7. An Abbreviated Rabbit Knee Model of Joint Contracture.Tissue engineering. Part C, Methods · 2025
    Article
  8. Efficacy of ADIPOR1 and ADIPOR2 peptide-agonist AdipoRon in preventing contracture in a rabbit model of arthrofibrosis.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
    Article
  9. Article
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  11. Review
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  14. Review
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  19. Article
  20. Arthroscopic management of elbow stiffness.Journal of experimental orthopaedics · 2021
    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

14 authors at 2 institutions in 1 country.

Meagan E TibboDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Afton K LimbergDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Christopher G SalibDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Travis W TurnerDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Alex R McLauryDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Anthony G JayDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Jacob W BettencourtDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Jodi M CarterDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Brad BolonGEMpath, Inc., Longmont, Colorado, USA.
Daniel J BerryDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Mark E MorreyDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Joaquin Sanchez-SoteloDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Andre J van WijnenDepartment of Orthopedic Surgery and Department of Biochemistry & Molecular Biology, Mayo Clinic, Rochester, Minnesota, USA.
Matthew P AbdelDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic · USNewPath Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsArthrofibrosis is a relatively common complication after joint injuries and surgery, particularly in the knee. The present study used a previously described and validated rabbit model to assess the biomechanical, histopathological, and molecular effects of the mast cell stabilizer ketotifen on surgically induced knee joint contractures in female rabbits.

methodsA group of 12 skeletally mature rabbits were randomly divided into two groups. One group received subcutaneous (SQ) saline, and a second group received SQ ketotifen injections. Biomechanical data were collected at eight, ten, 16, and 24 weeks. At the time of necropsy, posterior capsule tissue was collected for histopathological and gene expression analyses (messenger RNA (mRNA) and protein).

resultsAt the 24-week timepoint, there was a statistically significant increase in passive extension among rabbits treated with ketotifen compared to those treated with saline (p = 0.03). However, no difference in capsular stiffness was detected. Histopathological data failed to demonstrate a decrease in the density of fibrous tissue or a decrease in α-smooth muscle actin (α-SMA) staining with ketotifen treatment. In contrast, tryptase and α-SMA protein expression in the ketotifen group were decreased when compared to saline controls (p = 0.007 and p = 0.01, respectively). Furthermore, there was a significant decrease in α-SMA (

conclusionCollectively, these data suggest that ketotifen mitigates the severity of contracture formation in a rabbit model of arthrofibrosis.

Indexed as

Acquired idiopathic stiffnessArthrofibrosisJoint fibrosisKetotifenMyofibroblastTotal knee arthroplasty

Identifiers

PMID32728431
PMCPMC7376284
OpenAlexW3036671812

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.