Evidence map›Paper›PMID 33505222›Full record

ArticleMediators of inflammation2021

Elevation of Inflammatory Cytokines and Proteins after Intra-Articular Ankle Fracture: A Cross-Sectional Study of 47 Ankle Fracture Patients.

That Minh Pham, Lars Henrik Frich, Kate Lykke Lambertsen, Søren Overgaard, Hagen Schmal

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% 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.

NCT03769909 unknown statusnot on this map

Inhibition of Inflammation for Prevention of Posttraumatic Osteoarthritis After Acute Intraarticular Fractures

TypeobservationalSponsorUniversity of Southern DenmarkRan2017 to 2022Enrolled62ConditionsAnkle Fractures, Intra-Articular Fractures, Osteoarthritis
NCT05652881 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Does Joint Lavage Reduce Intraarticular Inflammation in High-energy Tibial Pilon Fractures?

TypeinterventionalSponsorUnited States Naval Medical Center, San DiegoRan2023 to 2025Enrolled40ConditionsPost-traumatic, Arthrosis, Tibial Fractures, Post-Traumatic Osteoarthritis of AnkleArmsJoint Lavage
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Synovial inflammation in osteoarthritis progression.Nature reviews. Rheumatology · 2022
    Review
  9. 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

5 authors at 1 institution in 2 countries.

That Minh PhamDepartment of Orthopedics and Traumatology, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0001-5433-8312
Lars Henrik FrichDepartment of Orthopedics and Traumatology, Odense University Hospital, Odense, Denmark.
Kate Lykke LambertsenDepartment of Neurobiology Research, Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0001-9276-4902
Søren OvergaardDepartment of Orthopedics and Traumatology, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0001-6829-4787
Hagen SchmalDepartment of Orthopedics and Traumatology, Odense University Hospital, Odense, Denmark.
University of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntra-articular fractures are the leading etiology for posttraumatic osteoarthritis (PTOA) in the ankle. Elevation of proinflammatory cytokines following intra-articular fracture may lead to synovial catabolism and cartilage degradation. We aimed to compare cytokine levels in injured and healthy ankle joints, examine the longer-term cytokine levels in fractured ankles, and investigate the association between cytokine levels in fractured ankles and plasma. MATERIALS AND

methodsIn this cross-sectional study, synovial fluid (SF) and plasma of forty-seven patients with acute intra-articular ankle fractures and eight patients undergoing implant removal were collected prior to surgery. We determined concentrations of sixteen inflammatory cytokines, two cartilage degradation proteins, and four metabolic proteins and compared the levels in acutely injured ankles with those of the healthy contralateral side or during metal removal. Cytokine levels in injured ankles were also compared to serum cytokine levels. Nonparametric Wilcoxon rank-sum and Spearman tests were used for statistical analysis, and a

resultsCompared to the healthy ankles, the synovial fluid in ankles with acute intra-articular fracture had elevated levels of several proinflammatory cytokines and proteases (IL-1

conclusionsWe show that an acute ankle fracture is followed by an inflammatory reaction and cartilage degeneration. These data contribute to the current understanding of the protein regulation behind the development of PTOA and is a further step towards supplementing the current surgical treatment. This cross-sectional study was "retrospectively registered" on the 31th October 2017 at ClinicalTrials.gov (NCT03769909). The registration was carried out after inclusion of the first patient and prior to finalization of patient recruitment and statistical analyses: https://clinicaltrials.gov/ct2/show/NCT03769909?term=NCT03769909&draw=2&rank=1.

Indexed as

AdultAnkle FracturesAnkle JointCross-Sectional StudiesCytokinesHumansMiddle AgedProteinsRetrospective StudiesCytokinesProteins

Identifiers

PMID33505222
PMCPMC7811423
OpenAlexW3120625051

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.