Evidence map›Paper›PMID 22528382›Full record

ArticleClinical orthopaedics and related research2012

Quantifying massive allograft healing of the canine femur in vivo and ex vivo: a pilot study.

Brandon G Santoni, Nicole Ehrhart, Ricardo Betancourt-Benitez, Christopher A Beck, Edward M Schwarz

Abstract read
In one paragraph

Article in Clinical orthopaedics and related research, 2012. 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
0.6field-weighted citation impact, top 29% 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, 7 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

5 authors at 4 institutions in 1 country.

Brandon G SantoniPhillip Spiegel Orthopaedic Research Laboratory, Foundation for Orthopaedic Research and Education, Tampa, FL, USA.
Nicole Ehrhart
Ricardo Betancourt-Benitez
Christopher A Beck
Edward M Schwarz
University of Rochester · USColorado State University · USFoundation for Orthopaedic Research and Education · USUniversity of Rochester Medical Center · US

Funding

Translating PTH Therapy as an Adjuvant for Structural AllograftingP50AR054041 · NIAMS · UNIVERSITY OF ROCHESTER · PI O'KEEFE, REGIS J · 2006 to 2016
$15.7M
PTH Effects of Craniofacial AllograftsR01DE019902 · NIDCR · UNIVERSITY OF ROCHESTER · PI GAZIT, DAN, SCHWARZ, EDWARD M. · 2009 to 2019
$5.0M
Engineering scarless repair of flexor tendon injuriesR01AR056696 · NIAMS · UNIVERSITY OF ROCHESTER · PI AWAD, HANI A, BENOIT, DANIELLE S. · 2009 to 2019
$3.6M
The University of Rochester Core Center for Musculoskeletal Biology and MedicineP30AR061307 · NIAMS · UNIVERSITY OF ROCHESTER · PI SCHWARZ, EDWARD M. · 2011 to 2015
$3.0M
Intubation Mechanics of the Stable and Unstable Cervical SpineR01EB012048 · NIBIB · COLORADO STATE UNIVERSITY · PI HINDMAN, BRADLEY JAY, PUTTLITZ, CHRISTIAN · 2011 to 2014
$1.3M
NIAMS NIH HHS AR054041NIAMS NIH HHS AR056696NIAMS NIH HHS AR061307NIAMS NIH HHS P30 AR061307NIAMS NIH HHS P50 AR054041NIAMS NIH HHS R01 AR056696NIBIB NIH HHS 1R01EB012048-01A1NIBIB NIH HHS R01 EB012048NIDCR NIH HHS DE019902NIDCR NIH HHS R01 DE019902
6 · The paper itself

Abstract

backgroundAllograft integration in segmental osseous defects is unpredictable. Imaging techniques have not been applied to investigate angiogenesis and bone formation during allograft healing in a large-animal model. QUESTIONS/PURPOSES: We used dynamic contrast-enhanced (DCE)-MRI and cone beam (CB)-CT to quantify vascularity and bone volume in a canine femoral allograft model and determined their relationship with biomechanical testing and histomorphometry.

methodsFemoral ostectomy was performed in three dogs and reconstructed with a 5-cm allograft and compression plate. At 0.5, 3, and 6 months, we performed DCE-MRI to quantify vascular permeability (Ktrans) and perfused fraction and CB-CT to quantify bone volume. We also performed posteuthanasia torsional testing and dynamic histomorphometry of the grafted and nonoperated femurs.

resultsDCE-MRI confirmed the avascular nature of allograft healing (perfused fraction, 2.08%-3.25%). CB-CT demonstrated new bone formation at 3 months (26.2, 3.7, and 2.2 cm(3)) at the graft-host junctions, which remodeled down at 6 months (14.0, 2.2, and 2.0 cm(3)). The increased bone volume in one subject was confirmed with elevated Ktrans (0.22) at 3 months. CB-CT-identified remodeled bone at 6 months was corroborated by histomorphometry. Allografted femurs recovered only 40% of their strength at 6 months.

conclusionsCB-CT and DCE-MRI can discriminate differences in angiogenesis and bone formation in the canine allograft model, which has potential to detect a small (32%) drug or device effect on biomechanical healing with only five animals per group.

Indexed as

Orthopedic ProceduresWound HealingAnimalsBiomechanical PhenomenaBone PlatesBone ScrewsCone-Beam Computed TomographyDogsFemurMagnetic Resonance ImagingNeovascularization, PhysiologicOsseointegrationOsteogenesisOsteotomyPilot ProjectsRecovery of Function

Identifiers

PMID22528382
PMCPMC3830092
OpenAlexW1997130210

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.