Evidence map›Paper›PMID 21463222›Full record

ArticleActa orthopaedica2011

The effect of both a thoracic trauma and a soft-tissue trauma on fracture healing in a rat model.

Lutz Claes, Anita Ignatius, Raimund Lechner, Florian Gebhard, Michael Kraus, Stefan Baumgärtel, Stefan Recknagel, Gert D Krischak

Open access · goldAbstract read
In one paragraph

Article in Acta orthopaedica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Polytrauma impairs fracture healing accompanied by increased persistence of innate inflammatory stimuli and reduced adaptive response.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
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  10. Fracture healing: mechanisms and interventions.Nature reviews. Rheumatology · 2015
    Review
  11. Delayed bone regeneration is linked to chronic inflammation in murine muscular dystrophy.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2014
    Article
  12. Article
  13. Review
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  15. Article
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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

8 authors at 2 institutions in 2 countries.

Lutz ClaesInstitute of Orthopaedic Research and Biomechanics, Center for Musculoskeletal Research, University of Ulm, Ulm, Germany. lutz.claes@uni-ulm.de
Anita Ignatius
Raimund Lechner
Florian Gebhard
Michael Kraus
Stefan Baumgärtel
Stefan Recknagel
Gert D Krischak
Orthopaedic Research · GBUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThere is some clinical evidence that fracture healing is impaired in multiply injured patients. Nothing is known, however, about the effects of various types of injuries and their contribution to a possible disturbance of the fracture-healing process. We investigated the effect of a thoracic trauma and an additional soft-tissue trauma on fracture healing in a rat tibia model.

methods3 groups of rats were operated: group A with a simple fracture of the tibia and fibula, group B with a fracture and an additional thoracic trauma, and group C with a fracture, thoracic trauma, and an additional soft-tissue trauma. The fracture and the soft-tissue injury were produced by a special guillotine-like device and the thoracic trauma by a blast wave generator. After one day, the serum level of IL-6 was quantified, and at the end of the study (28 days) the mechanical properties and the callus volume of the healed tibia were determined.

resultsIncreasing the severity of the injury caused IL-6 levels to more than double 1 day after injury. It halved the load to failure in mechanical tests and led to reduced callus volume after 28 days of healing.

interpretationFracture healing is impaired when additional thoracic trauma and soft tissue trauma occurs.

Indexed as

AnimalsFibulaFracture HealingInjury Severity ScoreInterleukin-6MaleModels, BiologicalMultiple TraumaRatsRats, WistarSoft Tissue InjuriesThoracic InjuriesTibial FracturesInterleukin-6

Identifiers

PMID21463222
PMCPMC3235295
OpenAlexW2017778044

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.