Evidence map›Paper›PMID 42483241›Full record

ReviewIndian journal of orthopaedics2026

Glucagon-Like Peptide-1 Receptor Agonists in Orthopedics: A Scoping Review of Emerging Applications.

Anil Regmi, Bishwa Bandhu Niraula, Abdus Sami, Karthikeyan P Iyengar, Surakshya Baral, Vijay Kumar Jain

Abstract readReview
In one paragraph

Review in Indian journal of orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Anil RegmiDepartment of Orthopaedics, Charak Memorial Hospital, Pokhara, Nepal.ORCID 0000-0002-9182-4851
Bishwa Bandhu NiraulaDepartment of Orthopaedics, B & B Hospital, Gwarkho, Lalitpur Nepal.ORCID 0000-0003-3482-4705
Abdus SamiDepartment of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences Dr. Ram Manohar Lohia Hospital, New Delhi, 110001 India.
Karthikeyan P IyengarDepartment of Orthopaedics, Southport and Ormskrik Hospital Mersey and West Lancashire Teaching, NHS Trust, Southport, PR8 6PN UK.
Surakshya BaralDepartment of Internal Medicine, Sinai Hospital of Baltimore, Baltimore, MD USA.
Vijay Kumar JainDepartment of Orthopaedics, Atal Bihari Vajpayee Institute of Medical Sciences Dr. Ram Manohar Lohia Hospital, New Delhi, 110001 India.ORCID 0000-0003-4164-7380

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are currently being utilized extensively to treat obesity and type 2 diabetes. Recent data suggest their broad applications in the field of orthopedics, due to their beneficial effects on bone metabolism, cartilage preservation, and surgical outcomes. The current scoping review attempts to thoroughly assess the role of GLP-1 RAs in orthopedic care by synthesizing the most recent data on their effects on bone health, cartilage preservation, arthroplasty outcomes, and spine surgery. Methods: A comprehensive scoping review was conducted in accordance with PRISMA-ScR guidelines. A systematic search of meta-analyses and systematic reviews of GLP-1 RAs in orthopedic-relevant outcomes, including orthopedic applications, was performed on three different databases (PubMed, Embase, and Scopus) on September 9, 2025, using specific keywords. Data on study design, population, intervention, comparator, and outcomes were extracted and narratively synthesized to draw conclusions. Results: Eight reviews assessed bone and fracture outcomes, showing that liraglutide reduced fracture risk and improved bone formation markers, while exenatide had mixed effects. Long-term GLP-1 RA use (> 52 weeks) improved lumbar spine and femoral neck bone mineral density (BMD) and reduced fracture incidence. Three reviews evaluated cartilage and joint outcomes, reporting slower cartilage loss, fewer knee surgeries, and symptomatic improvements, with semaglutide showing consistent pain relief and functional gains. In arthroplasty, GLP-1 RA use was associated with reduced periprosthetic joint infection and lower readmission rates, particularly in diabetic and obese patients. In spine surgery, evidence suggested potential reductions in pseudarthrosis but mixed findings for complications and readmissions. Conclusion: GLP-1 RAs demonstrate promise in bone health, cartilage preservation, and perioperative orthopedic outcomes. However, evidence remains limited by heterogeneity, short follow-up, and underrepresentation of non-diabetic populations. Graphical Abstract:

Indexed as

Bone densityBone metabolismCartilageDiabetes mellitus, type 2Glucagon-like peptide-1 receptor agonistsOrthopedics

Identifiers

PMID42483241
PMCPMC13385562

What OpenQuestion holds

Textmetadata
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.