Evidence map›Paper›PMID 40052182›Full record

ArticleOrthopaedic journal of sports medicine2025

Preoperative Platelet-Rich Plasma Injections Decrease Inflammatory and Chondrodegenerative Biomarkers in Patients With Acute Anterior Cruciate Ligament Tears: A Pilot Randomized Controlled Trial.

Adam W Anz, Eric A Branch, Steve E Jordan, Roger V Ostrander, Brett J Kindle, James C Presley, Joshua G Hackel, Emily Maggi, Hillary A Plummer

Registry-linked trialAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04088227 (Effect of Platelet Rich Plasma Injections on Inflammatory and Chondrodegenerative Biomarkers in Patients With Acute Anterior Cruciate Ligament Tears), which is not on this 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.

NCT04088227 phase2completednot on this map

Effect of Platelet Rich Plasma Injections on Inflammatory and Chondrodegenerative Biomarkers in Patients With Acute Anterior Cruciate Ligament Tears

TypeinterventionalSponsorAndrews Research & Education FoundationRan2019 to 2023Enrolled24ConditionsAnterior Cruciate Ligament Tear, Anterior Cruciate Ligament RuptureArmsExperimental Group, Control Group
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

9 authors.

Adam W AnzDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.
Eric A BranchDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.ORCID https://orcid.org/0000-0002-7641-5080
Steve E JordanDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.
Roger V OstranderDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.
Brett J KindleDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.
James C PresleyDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.
Joshua G HackelDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.
Emily MaggiDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.
Hillary A PlummerDepartment of Research, Andrews Institute Center for Regenerative Medicine, Andrews Research & Education Foundation (AREF), Gulf Breeze, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Posttraumatic osteoarthritis occurs at an alarming rate after anterior cruciate ligament (ACL) injury and reconstruction (ACLR). Purpose/Hypothesis: The purpose of this pilot randomized controlled trial was to evaluate the preoperative effect of a 2-injection series of platelet-rich plasma (PRP) on the progression of inflammatory and chondrodegenerative biomarkers before ACLR. It was hypothesized that preoperative PRP injections would decrease the chondrotoxicity of the presurgical knee fluid. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 24 participants were randomized to either a control or an intervention group. Both groups received joint aspirations within the first 10 days after ACL injury (visit 1). In addition to joint aspiration at visit 1, the PRP group received a leukocyte-poor, nonactivated PRP injection at visit 1 and an additional PRP injection 5 to 12 days after the initial visit (visit 2). Joint fluid samples were harvested in both groups at the time of ACLR (visit 3). The joint fluid and PRP samples were subject to inflammatory and chondrodegenerative biomarker analysis for the following: interleukin (IL)-1ß, IL-10, IL-6, granulocyte-macrophage colony-stimulating factor, IL-5, interferon (IFN)-γ, tumor necrosis factor-α, IL-2, IL-4, and IL-8. Results: The final analysis was completed on 8 participants in the control group and 8 in the intervention group. At visit 1, no significant differences were observed in cytokine concentrations between the control and intervention groups. Between visits 1 and 3, the control group demonstrated significant decreases in IL-8 ( Conclusion: Intervention with aspiration combined with a 2-injection series of leukocyte-poor PRP in the acute ACL-injured knee resulted in a significant reduction in effusion inflammatory markers, whereas the control aspiration (without PRP injections) did not show such marker reduction. Registration: NCT04088227 (ClinicalTrials.gov identifier).

Indexed as

anterior cruciate ligamentanterior cruciate ligament reconstructionplatelet-rich plasmaposttraumatic osteoarthritis

Identifiers

PMID40052182
PMCPMC11881934

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Registered trials

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.