Evidence map›Paper›PMID 40453479›Full record

ArticleJournal of experimental orthopaedics2025

The effects of radiofrequency on cartilage: A systematic review of preclinical evidence in animals and humans.

Umile Giuseppe Longo, Daniela Lo Presti, Youssef Raffoul Arab Orozco, Dario Neyjat, Sergio De Salvatore, Francesca De Tommasi, Margaux D'Hooghe, Alessandro de Sire, Kristian Samuelsson

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. 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. 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

9 authors.

Umile Giuseppe LongoFondazione Policlinico Universitario Campus Bio-Medico Roma Italy.
Daniela Lo PrestiDepartment of Medicine and Surgery, Research Unit of Orthopaedic and Trauma Surgery Università Campus Bio-Medico di Roma.
Youssef Raffoul Arab OrozcoDepartment of Medicine and Surgery, Research Unit of Orthopaedic and Trauma Surgery Università Campus Bio-Medico di Roma.
Dario NeyjatDepartment of Medicine and Surgery, Research Unit of Orthopaedic and Trauma Surgery Università Campus Bio-Medico di Roma.
Sergio De SalvatoreIRCCS Ospedale Pediatrico Bambino Gesù Rome Italy.ORCID https://orcid.org/0000-0002-9111-3638
Francesca De TommasiDepartment of Medicine and Surgery, Research Unit of Orthopaedic and Trauma Surgery Università Campus Bio-Medico di Roma.
Margaux D'HoogheDepartment of Medicine University of Navarra Pamplona Spain.
Alessandro de SireDepartment of Medical and Surgical Sciences University of Catanzaro "Magna Grecia" Catanzaro Italy.
Kristian SamuelssonDepartment of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID https://orcid.org/0000-0001-5383-3370

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Radiofrequency works by applying continuous waveforms which ablate the surface of the cartilage. Despite its utility, the limits and possible risks of this technology have not been thoroughly investigated in the literature. This review aims to systematically summarise the most recent studies regarding the effects of the various radiofrequency on cartilage and compare the side effects they may bring. Methods: A search following the PRISMA guidelines was conducted on scientific databases: Web of Science, Embase CINAHL, ProQuest and Medline from May 2021 to January 2025. The databases were searched from their inception to September 2023. Only articles in English were included. In vivo, ex vivo, cadaveric, and in vitro studies were all included. To assess the risk of bias, Rob2 and ROBINS-I were used. Results: Twenty-eight studies were included in this systematic review. The level of evidence of the included studies ranged from level II to III. The most analysed specimen was human tissue, followed by swine, ovine, bovine, equine, canine and rabbit. Cartilage damage was reported in most of the articles. Monopolar radiofrequency was considered safer than bipolar radiofrequency. However, controversial results were found on the superiority of radiofrequency energy to mechanical debridement. Conclusion: This review shows that there is not enough evidence to precisely identify the possible dangers or benefits that may come from the use of radiofrequency energy on cartilage. Therefore, the real risks of radiofrequency are not fully explored. Further research needs to include radiofrequency energy in the clinical and surgical environment. Level of Evidence: Level II, evidence from one or more well designs randomised control trials (RCT).

Indexed as

ablationbipolarcartilagemonopolarradiofrequency

Identifiers

PMID40453479
PMCPMC12126756

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.