Evidence map›Paper›PMID 35893418›Full record

ArticleJournal of clinical medicine2022

Macroscopic Synovial Inflammation Correlates with Symptoms and Cartilage Lesions in Patients Undergoing Arthroscopic Partial Meniscectomy: A Clinical Study.

Eleonora Olivotto, Giovanni Trisolino, Elisa Belluzzi, Antonello Lazzaro, Alessandro Strazzari, Assunta Pozzuoli, Augusto Cigolotti, Pietro Ruggieri, Andrea Evangelista, Francesca Ometto and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 35 citations in OpenAlex.

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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

16 authors at 3 institutions in 2 countries.

Eleonora OlivottoRAMSES Laboratory, RIT Department, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0000-0002-6726-3177
Giovanni TrisolinoReconstructive Hip and Knee Joint Surgery, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0000-0002-0361-9920
Elisa BelluzziMusculoskeletal Pathology and Oncology Laboratory, Department of Surgery, Oncology and Gastroenterology, University of Padova, 35128 Padova, Italy.ORCID 0000-0003-1129-2574
Antonello LazzaroOrthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology, University-Hospital of Padova, 35128 Padova, Italy.
Alessandro StrazzariReconstructive Hip and Knee Joint Surgery, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Assunta PozzuoliMusculoskeletal Pathology and Oncology Laboratory, Department of Surgery, Oncology and Gastroenterology, University of Padova, 35128 Padova, Italy.ORCID 0000-0001-9905-0363
Augusto CigolottiOrthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology, University-Hospital of Padova, 35128 Padova, Italy.
Pietro RuggieriOrthopedics and Orthopedic Oncology, Department of Surgery, Oncology and Gastroenterology, University-Hospital of Padova, 35128 Padova, Italy.ORCID 0000-0001-9617-9882
Andrea EvangelistaGeneral Affairs Unit, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Francesca OmettoRheumatology Unit, Department of Medicine, University-Hospital of Padova, 35128 Padova, Italy.
Stefano StallonePediatric Orthopedic and Traumatology, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0000-0003-2561-8096
Steven R GoldringHospital for Special Surgery, Weill Cornell Medical College, New York, NY 10021, USA.
Mary B GoldringHospital for Special Surgery, Weill Cornell Medical College, New York, NY 10021, USA.ORCID 0000-0001-5407-9293
Roberta RamondaRheumatology Unit, Department of Medicine, University-Hospital of Padova, 35128 Padova, Italy.ORCID 0000-0002-9683-8873
Brunella GrigoloRAMSES Laboratory, RIT Department, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.ORCID 0000-0002-3990-6745
Marta FaveroRheumatology Unit, Department of Medicine, University-Hospital of Padova, 35128 Padova, Italy.
University of Padua · ITIstituto Ortopedico Rizzoli · ITHospital for Special Surgery · US

Funding

CARISBO 23411/SARS/GL/fmiMinistero della Salute GR-2010-2317593
6 · The paper itself

Abstract

backgroundThe aim of the study was to examine the relationship among patients' characteristics, intraoperative pathology and pre/post-operative symptoms in a cohort of patients undergoing arthroscopic partial meniscectomy for symptomatic meniscal tears.

methodsClinical data were collected (age, sex, body mass index, time to surgery, trauma). Intraoperative cartilage pathology was assessed with Outerbridge score. Meniscal tears were graded with the ISAKOS classification. Synovial inflammation was scored using the Macro-score. Patient symptoms were assessed pre/post-operatively using the KOOS instrument.

resultsIn the series of 109 patients (median age 47 years), 50% of the meniscal tears were traumatic; 85% of patients showed mild to moderate synovitis; 52 (47.7%) patients had multiple cartilage defects and 31 (28.4%) exhibited a single focal chondral lesion. Outerbridge scores significantly correlated with patient age, BMI and synovial inflammation. There was a correlation between severity of chondral pathology and high-grade synovial hyperplasia. Pre-operative KOOS correlated with BMI, meniscal degenerative changes and symptom duration. Obesity, time to surgery, presence of high-grade synovial hyperplasia and high-grade cartilage lesions were independent predictors of worse post-operative pain and function.

conclusionWe demonstrated that pre-operative symptoms and post-operative outcomes correlate with synovitis severity and cartilage pathology, particularly in old and obese patients that underwent arthroscopic partial meniscectomy. Importantly, patients with a degenerative meniscal pattern and with longer time to surgery experienced more severe cartilage damage and, consequentially, pain and dysfunction. These findings are fundamental to identify patients suitable for earlier interventions.

Indexed as

arthroscopic partial meniscectomycartilage degradationmacroscopic scoremeniscal tearosteoarthritispost-operative outcomessynovial inflammation

Identifiers

PMID35893418
PMCPMC9330366
OpenAlexW4288068912

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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.