Evidence map›Paper›PMID 36765342›Full record

ArticleBMC surgery2023

The application of a novel hydrodynamic cavitation device to debride intra-articular monosodium urate crystals.

Hanlin Xu, Shengkun Li, Ling Cao, Xiaoxia Zhu, Yu Xue, Yu Huang, Yinghui Hua

Abstract read
In one paragraph

Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. The application of hydrodynamic cavitation technology and the synergistic effect of hybrid advanced oxidation processes: a review.Water science and technology : a journal of the International Association on Water Pollution Research · 2025
    Review
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.

Hanlin XuDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Shengkun LiDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Ling CaoDepartment of Rheumatology, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Xiaoxia ZhuDepartment of Rheumatology, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Yu XueDepartment of Rheumatology, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Yu HuangState Key Laboratory of Mechanical System and Vibration, School of Mechanical Engineering, Institute of Vibration Shock and Noise, Shanghai Jiao Tong University, 800 Dongchuan Road, Minhang District, Shanghai, 200240, China. yu_huang@sjtu.edu.cn.
Yinghui HuaDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, China. hua_cosm@aliyun.com.

Funding

National Natural Science Foundation of China 52072242Natural Science Foundation of Shanghai 19ZR1424500Science and Technology Commission of Shanghai Municipality 17441900900
6 · The paper itself

Abstract

introductionEfficient and complete debridement of intra-articular deposits of monosodium urate crystals is rarely achieved by existing arthroscopic tools such as shavers or radiofrequency ablation, while cavitation technology represents a prospective solution for the non-invasive clearance of adhesions at intra-articular interfaces.

methodsSimulation modeling was conducted to identify the optimal parameters for the device, including nozzle diameters and jet pressures. Gouty arthritis model was established in twelve rats that were equally and randomly allocated into a cavitation debridement group or a curette debridement group. A direct injection nozzle was designed and then applied on animal model to verify the effect of the cavitation jet device on the removal of crystal deposits. Image analysis was performed to evaluate the clearance efficiency of the cavitation device and the pathological features of surrounding tissue were collected in all groups.

resultsTo maximize cavitation with the practical requirements of the operation, an experimental rig was applied, including a 1 mm direct injection nozzle with a jet pressure of 2.0 MPa at a distance of 20 mm and a nitrogen bottle as high-pressure gas source. With regards to feasibility of the device, the clearance rates in the cavitation group were over 97% and were significantly different from the control group. Pathological examination showed that the deposition of monosodium urate crystals was removed completely while preserving the normal structure of the collagen fibers.

conclusionsWe developed a promising surgical device to efficiently remove intra-articular deposits of monosodium urate crystals. The feasibility and safety profile of the device were also verified in a rat model. Our findings provide a non-invasive method for the intraoperative treatment of refractory gouty arthritis.

Indexed as

Arthritis, GoutyAnimalsHydrodynamicsProspective StudiesRatsUric AcidUric AcidCavitation deviceGoutIntra-articular depositionMonosodium urate

Identifiers

PMID36765342
PMCPMC9912527

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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.