Evidence map›Paper›PMID 34314533›Full record

ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2022

Biomechanical analysis of a centralization procedure for extruded lateral meniscus after meniscectomy in porcine knee joints.

Yuji Kohno, Hideyuki Koga, Nobutake Ozeki, Junpei Matsuda, Mitsuru Mizuno, Hisako Katano, Ichiro Sekiya

Open access · hybridAbstract read
In one paragraph

Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% 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, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Biomechanics of Meniscus Tears and Repair Techniques.Current reviews in musculoskeletal medicine · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. 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
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review of the Development of Meniscus Centralization.Current reviews in musculoskeletal medicine · 2024
    Review
  14. Effect of inside-out meniscal repair on meniscal dimension in meniscal tear patients.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024
    Article
  15. Article
  16. Article
  17. Meniscal Extrusion: Diagnosis, Etiology, and Treatment Options.Current reviews in musculoskeletal medicine · 2023
    Review
  18. Article
  19. Article
  20. Biomechanical analysis of a centralization procedure for extruded lateral meniscus after meniscectomy in porcine knee joints.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 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

7 authors at 1 institution in 1 country.

Yuji KohnoCenter for Stem Cells and Regenerative Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Hideyuki KogaDepartment of Joint Surgery and Sports Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Nobutake OzekiCenter for Stem Cells and Regenerative Medicine, Tokyo Medical and Dental University, Tokyo, Japan.ORCID 0000-0002-2927-7930
Junpei MatsudaCenter for Stem Cells and Regenerative Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Mitsuru MizunoCenter for Stem Cells and Regenerative Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Hisako KatanoCenter for Stem Cells and Regenerative Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Ichiro SekiyaCenter for Stem Cells and Regenerative Medicine, Tokyo Medical and Dental University, Tokyo, Japan.ORCID 0000-0002-6331-722X
Tokyo Medical and Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The recently developed arthroscopic centralization for lateral meniscal extrusion has obtained satisfactory short-term clinical and radiological results and improves the meniscus biomechanical properties. However, the effectiveness of treatment for meniscus extrusion after partial meniscectomy still requires elucidation. This study investigated the effect of centralization with modifications from a mechanical viewpoint. Porcine knee joints (N = 6) were set in a universal tester under the following conditions: (1) Intact; (2) Meniscectomy: Inner half of the posterior half meniscus was removed; (3) Extrusion: Posterior meniscus was dislocated laterally by transecting the posterior root and the meniscotibial ligament; (4) Centralization-1: Centralization procedure using one anchor; (5) Centralization-2: Centralization procedure using two anchors; and (6) Centralization-ad: Centralization with capsular advancement using two anchors. Load distributions and contact pressure in the meniscus and tibial cartilage were evaluated with an axial compressive force of 200 N. After meniscectomy, the tibial cartilage load increased and that of the medial margin of the posterior part of the meniscus decreased. When the meniscus was extruded, the load was concentrated only on the tibial cartilage. Centralization-1 increased the load on the meniscus, while Centralization-2 further increased the meniscus load but decreased the tibial cartilage load. Centralization-ad further decreased the load on the tibial plateau. The average contact pressure of the tibial cartilage was significantly higher in the Extrusion group than in the Intact group or the Centralization-ad group. From a biomechanical viewpoint, centralization with capsular advancement was the most effective of the tested procedures for treatment for an extruded meniscus after partial meniscectomy.

Indexed as

Menisci, TibialTibial Meniscus InjuriesAnimalsBiomechanical PhenomenaKnee JointMeniscectomySwinecentralization with capsular advancementload distribution analysismeniscal extrusion after meniscectomy

Identifiers

PMID34314533
PMCPMC9292650
OpenAlexW3187072506

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.