Evidence mapPaperPMID 41234064Full record

ArticleTissue engineering. Part C, Methods2025

Early Anti-Inflammatory Effect of Bupivacaine-Meloxicam Therapy in a Rabbit Model of Arthrofibrosis.

Kareme D Alder, Mason F Carstens, Cole E Bothun, Oliver B Dilger, Ashley N Payne, Roman Thaler, Mark E Morrey, Joaquin Sanchez-Sotelo, Daniel J Berry, Amel Dudakovic and 1 more

Abstract read
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Article in Tissue engineering. Part C, Methods, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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4 · The record

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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

11 authors.

Kareme D AlderDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Mason F CarstensDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Cole E BothunDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Oliver B DilgerDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Ashley N PayneDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Roman ThalerDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Mark E MorreyDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Joaquin Sanchez-SoteloDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Daniel J BerryDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Amel DudakovicDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Matthew P AbdelDepartment of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

Funding

Musculoskeletal Research Training ProgramT32AR056950 · MAYO CLINIC ROCHESTER · 2025 to 2025
$286k
NIAMS NIH HHS R01 AR072597NIAMS NIH HHS T32 AR056950
6 · The paper itself

Abstract

Arthrofibrosis is a common complication following total knee arthroplasty and is the result of a dysregulated immuno-inflammatory cascade, which culminates in excessive scar deposition by myofibroblasts within the knee joint. Pharmacotherapies for arthrofibrosis are limited, with treatment reliant on manipulation under anesthesia or lysis of adhesions with or without component revision. Bupivacaine (a local anesthetic) and meloxicam (a nonsteroidal anti-inflammatory drug) combination therapy may exert antifibrotic properties by limiting inflammatory cell recruitment and the subsequent release of profibrotic cytokines. The purpose of this study was to evaluate the effects of this combination therapy in a rabbit model of arthrofibrosis by evaluating live and postsacrifice knee biomechanics and gene expression of posterior knee capsule tissue. Forty New Zealand white rabbits were equally divided into two experimental groups and prospectively studied to assess knee passive extension angles (PEA), terminal posterior capsular stiffness, and the inflammatory milieu of the posterior knee joint capsule. Experimental limbs with and without combination therapy showed similar live PEAs and terminal posterior capsular stiffness, with no significant differences between the groups. Gene expression analysis, however, revealed significant reduction in inflammatory genes but not profibrotic genes. In summary, bupivacaine and meloxicam combination therapy did not exert antifibrotic effects in a rabbit model of arthrofibrosis but significantly reduced the expression of inflammatory markers in the local environment of the posterior capsule.

Indexed as

Anti-Inflammatory AgentsBupivacaineThiazolesAnimalsDisease Models, AnimalFibrosisGene Expression RegulationKnee JointMaleMeloxicamRabbitsAnti-Inflammatory AgentsBupivacaineMeloxicamThiazolesantifibroticanti-inflammatoryarthrofibrosisposttraumatic joint contracturerabbit model

Identifiers

PMID41234064
PMCPMC13094741

What Socratic holds

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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.