Evidence map›Paper›PMID 35647785›Full record

ArticleThe American journal of sports medicine2022

Mesenchymal Stem Cell Delivery via Topographically Tenoinductive Collagen Biotextile Enhances Regeneration of Segmental Tendon Defects.

Phillip McClellan, Jason G Ina, Derrick M Knapik, Ilaha Isali, Greg Learn, Alexis Valente, Yujing Wen, Ruiqi Wen, James M Anderson, Robert J Gillespie and 1 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Rotator cuff repair and biologic augmentation-what do we know?JSES reviews, reports, and techniques · 2026
    Review
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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

11 authors at 2 institutions in 1 country.

Phillip McClellanDepartment of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Jason G InaDepartment of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Ohio, USA.
Derrick M KnapikDepartment of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Ohio, USA.
Ilaha IsaliDepartment of Urology, Case Western Reserve University, Cleveland, Ohio, USA.
Greg LearnDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Alexis ValenteDepartment of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Yujing WenDepartment of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Ruiqi WenDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
James M AndersonDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Robert J GillespieDepartment of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Ohio, USA.
Ozan AkkusDepartment of Mechanical and Aerospace Engineering, Case Western Reserve University, Cleveland, Ohio, USA.
Case Western Reserve University · USUniversity Hospitals of Cleveland · US

Funding

TRAINING PROGRAM IN MUSCULOSKELETAL RESEARCHT32AR007505 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI TRIOLO, RONALD J · 1986 to 2023
$6.3M
KUH-TN Training CoreTL1DK132770 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI Evi X. Stavrou · 2021 to 2026
$2.5M
Tendon Tissue Engineering by Electrochemically Aligned Collagen BioscaffoldsR01AR063701 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI AKKUS, OZAN · 2014 to 2018
$1.9M
NIAMS NIH HHS R01 AR063701NIAMS NIH HHS T32 AR007505NIDDK NIH HHS TL1 DK132770
6 · The paper itself

Abstract

backgroundSuccessful management of massive rotator cuff (RC) tendon tears represents a treatment challenge because of the limited intrinsic healing capacity of native tendons and the risk of repair failure. Biologic augmentation of massive RC tears utilizing scaffolds-capable of regenerating bulk tendon tissue to achieve a mechanically functional repair-represents an area of increasing clinical interest. PURPOSE: To investigate the histological and biomechanical outcomes after the use of a novel biologic scaffold fabricated from woven electrochemically aligned collagen (ELAC) threads as a suture-holding, fully load-bearing, defect-bridging scaffold with or without mesenchymal stem cells (MSCs) compared with direct repair in the treatment of critically sized RC defects using a rabbit model. STUDY

designControlled laboratory study.

methodsA total of 34 New Zealand White rabbits underwent iatrogenic creation of a critically sized defect (6 mm) in the infraspinatus tendon of 1 shoulder, with the contralateral shoulder utilized as an intact control. Specimens were divided into 4 groups: (1) gap-negative control without repair; (2) direct repair of the infraspinatus tendon-operative control; (3) tendon repair using ELAC; and (4) tendon repair using ELAC + MSCs. Repair outcomes were assessed at 6 months using micro-computed tomography, biomechanical testing, histology, and immunohistochemistry.

resultsSpecimens treated with ELAC demonstrated significantly less tendon retraction when compared with the direct repair group specimens (

conclusionThe application of MSCs to ELAC scaffolds improved biomechanical and histological outcomes when compared with direct repair for the treatment of critically sized defects of the RC in a rabbit model. CLINICAL RELEVANCE: This study demonstrates the feasibility of repairing segmental tendon defects with a load-bearing, collagen biotextile in an animal model, showing the potential applicability of RC repair supplementation using allogeneic stem cells.

Indexed as

Biological ProductsMesenchymal Stem CellsRotator Cuff InjuriesAnimalsBiomechanical PhenomenaCollagenHumansRabbitsRegenerationTendonsX-Ray MicrotomographyBiological ProductsCollagenbiologic healing enhancementrotator cuffstem cell therapytissue engineering

Identifiers

PMID35647785
PMCPMC10170307
OpenAlexW4281688610

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.