Evidence map›Paper›PMID 37198901›Full record

ArticleCartilage2023

Improved 2-Year Freedom from Arthroplasty in Patients with High-Risk SIFK Scores and Medial Knee Osteoarthritis Treated with an Implantable Shock Absorber versus Non-Operative Care.

Ayoosh Pareek, Chad W Parkes, Andreas H Gomoll, Aaron J Krych

Open access · hybridAbstract read
In one paragraph

Article in Cartilage, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.4field-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.

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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Surgical treatments of bone marrow lesions.Journal of experimental orthopaedics · 2026
    Review
  3. Implantable Shock Absorber: Breakthrough or Hype?Current reviews in musculoskeletal medicine · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. 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

4 authors at 2 institutions in 1 country.

Ayoosh PareekDepartment of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN, USA.
Chad W ParkesDepartment of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN, USA.
Andreas H GomollHospital for Special Surgery, New York, NY, USA.
Aaron J KrychDepartment of Orthopedic Surgery and Sports Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-3248-8007
Mayo Clinic in Arizona · USHospital for Special Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSubchondral insufficiency fracture of the knee (SIFK) is associated with high rates of osteoarthritis (OA) and arthroplasty. The implantable shock absorber (ISA) is an extra-capsular implant that unloads the medial knee compartment. This study compared the 2-year freedom from arthroplasty rates in subjects with medial knee OA and SIFK when treated with an ISA versus a matched cohort of patients treated non-surgically.

designThis retrospective case-control study compared 2-year conversion rates to arthroplasty in SIFK score-, age-, and body mass index (BMI)-matched control subjects without prior surgical history with ISA-implanted subjects from an ongoing prospective study. Baseline and final radiographs, and MRIs were reviewed for evaluation of meniscus or ligament injuries, insufficiency fractures, and subchondral edema. Kaplan-Meier analysis assessed survival.

resultsForty-two patients (21 Control: 21 ISA), mean age = 52.3 ± 8.7 years, BMI = 29.5 ± 3.9 kg/m

conclusionsISA intervention was strongly associated with avoidance of arthroplasty at a minimum 2 years, especially in patients with high-risk SIFK scores. SIFK severity scoring predicted relative risk of conversion to arthroplasty through at least 2 years in non-surgically treated subjects.

Indexed as

Arthroplasty, Replacement, KneeFractures, StressKnee FracturesOsteoarthritis, KneeAdultCase-Control StudiesFemaleHumansMaleMiddle AgedProspective StudiesRetrospective Studiesimplantable shock absorbermedial-compartment knee osteoarthritisspontaneous osteonecrosissubchondral insufficiency fracturetotal knee arthroplasty

Identifiers

PMID37198901
PMCPMC10416199
OpenAlexW4323664168

What OpenQuestion holds

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LicenceCC BY-NC
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.