Evidence map›Paper›PMID 42278268›Full record

ReviewInternational journal of molecular sciences2026

Current State of Orthobiologics in Treatment of Knee Osteoarthritis-Future Directions.

Woojin Lee, Qing Zhao Ruan, Jamal J Hasoon, Ronald J Kulich, Timothy R Deer, Dawood Sayed, Franzes Anne Z Liongson, Elizabeth Hatfield, Maged Guirguis, Alan D Kaye and 3 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2026. 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

13 authors.

Woojin LeeWarren Alpert Medical School, Brown University, Providence, RI 02912, USA.
Qing Zhao RuanWarren Alpert Medical School, Brown University, Providence, RI 02912, USA.
Jamal J HasoonDepartment of Anesthesia, Critical Care, and Pain Medicine, McGovern Medical School, UTHealth, Houston, TX 77030, USA.ORCID 0000-0001-8227-1864
Ronald J KulichDepartment of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.
Timothy R DeerSpine and Nerve Center of the Virginias, West Virginia University, Health Sciences Campus, Charleston, WV 25301, USA.
Dawood SayedDepartment of Anesthesiology, The University of Kansas School of Medicine, Kansas City, KS 66045, USA.ORCID 0000-0001-8867-2140
Franzes Anne Z LiongsonDepartment of Anesthesiology, Perioperative Care, and Pain Medicine, NYU Grossman School of Medicine, New York, NY 10016, USA.ORCID 0009-0005-7095-9078
Elizabeth HatfieldDepartment of Oral & Maxillofacial Surgery/Hospital Dentistry, University of Michigan School of Dentistry, Ann Arbor, MI 48104, USA.ORCID 0009-0002-7545-1722
Maged GuirguisDepartment of Interventional Pain, Oschner Health System, New Orleans, LA 70115, USA.
Alan D KayeDepartment of Anesthesiology, Louisiana State University Health Sciences Center Shreveport, Shreveport, LA 71103, USA.ORCID 0000-0003-2464-0187
Zachary L McCormickUniversity Orthopaedic Center, Salt Lake City, UT 84108, USA.ORCID 0000-0003-4250-8745
Robert Jason YongDepartment of Anesthesiology, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0001-6960-9621
Christopher L RobinsonDivision of Pain Medicine, Department of Anesthesiology and Critical Care, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.ORCID 0000-0002-6276-9056

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the population ages, the incidence and prevalence of musculoskeletal degeneration, such as osteoarthritis, increase. While the currently accepted treatment options provide symptomatic and functional improvement, they do not halt the progression of osteoarthritis. This results in the eventual need for surgery for many patients with advanced osteoarthritis. Due to the seemingly inevitable progression of OA, many clinicians and researchers have shifted their focus to regenerative therapies. Orthobiologics, a specific type of regenerative therapy designed to treat orthopedic conditions, has been gaining traction in recent years due to the utilization of autologous biological substances and synthetic peptides in healing musculoskeletal injuries and degenerative conditions. Orthobiologics can be distinguished into one of four classes: cell-based, biologic fluids-based, matrix-based, molecular-based, and based on their composition. In this review, key examples of each class, mechanism of action, and current clinical data for each agent are examined. Limitations of current orthobiologics involve a lack of standardization in the preparation and administration of each agent, as well as uniformity in assessment endpoints across different clinical studies. Lastly, we will discuss future directions of orthobiologics as a therapy for the treatment of osteoarthritis.

Indexed as

Biological TherapyOsteoarthritis, KneeAnimalsHumansPlatelet-Rich PlasmaRegenerative Medicineknee osteoarthritisorthobiologicsplatelet-rich plasmaregenerative medicine

Identifiers

PMID42278268
PMCPMC13256887

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Registered trials

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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.