Evidence map›Paper›PMID 38525803›Full record

ArticleAnimal models and experimental medicine2024

The efficacy of vitamin E in preventing arthrofibrosis after joint replacement.

Yingfang Fan, Jean Yuh, Sashank Lekkala, Mehmet D Asik, Andrew Thomson, Madeline McCanne, Mark A Randolph, Antonia F Chen, Ebru Oral

Open access · diamondAbstract read
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Article in Animal models and experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Yingfang FanHarris Orthopaedic Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-2550-7954
Jean YuhHarris Orthopaedic Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0009-0000-6251-1760
Sashank LekkalaHarris Orthopaedic Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-6638-9029
Mehmet D AsikHarris Orthopaedic Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-9154-2697
Andrew ThomsonHarris Orthopaedic Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0009-0003-2884-8353
Madeline McCanneHarris Orthopaedic Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0009-0004-4782-0855
Mark A RandolphDepartment of Orthopaedic Surgery, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-0877-9832
Antonia F ChenDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-2040-8188
Ebru OralHarris Orthopaedic Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0001-5761-719X
Harvard University · USMassachusetts General Hospital · USBrigham and Women's Hospital · US

Funding

Harris Orthopedic LaboratoryRuth Jackson Orthopedic Society
6 · The paper itself

Abstract

backgroundArthrofibrosis is a joint disorder characterized by excessive scar formation in the joint tissues. Vitamin E is an antioxidant with potential anti-fibroblastic effect. The aim of this study was to establish an arthrofibrosis rat model after joint replacement and assess the effects of vitamin E supplementation on joint fibrosis.

methodsWe simulated knee replacement in 16 male Sprague-Dawley rats. We immobilized the surgical leg with a suture in full flexion. The control groups were killed at 2 and 12 weeks (n = 5 per group), and the test group was supplemented daily with vitamin E (0.2 mg/mL) in their drinking water for 12 weeks (n = 6). We performed histological staining to investigate the presence and severity of arthrofibrosis. Immunofluorescent staining and α2-macroglobulin (α2M) enzyme-linked immunosorbent assay (ELISA) were used to assess local and systemic inflammation. Static weight bearing (total internal reflection) and range of motion (ROM) were collected for functional assessment.

resultsThe ROM and weight-bearing symmetry decreased after the procedure and recovered slowly with still significant deficit at the end of the study for both groups. Histological analysis confirmed fibrosis in both lateral and posterior periarticular tissue. Vitamin E supplementation showed a moderate anti-inflammatory effect on the local and systemic levels. The vitamin E group exhibited significant improvement in ROM and weight-bearing symmetry at day 84 compared to the control group.

conclusionsThis model is viable for simulating arthrofibrosis after joint replacement. Vitamin E may benefit postsurgical arthrofibrosis, and further studies are needed for dosing requirements.

Indexed as

FibrosisRange of Motion, ArticularRats, Sprague-DawleyVitamin EAnimalsArthroplasty, Replacement, KneeDisease Models, AnimalJoint DiseasesMaleRatsVitamin Earthrofibrosisrange of motiontotal knee arthroplastyvitamin E

Identifiers

PMID38525803
PMCPMC11079150
OpenAlexW4393154031

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.