Evidence map›Paper›PMID 23063782›Full record

ArticleBone2013

The role of oxygen during fracture healing.

Chuanyong Lu, Neema Saless, Xiaodong Wang, Arjun Sinha, Sebastian Decker, Galateia Kazakia, Huagang Hou, Benjamin Williams, Harold M Swartz, Thomas K Hunt and 2 more

Abstract read
In one paragraph

Article in Bone, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

63 citing papers in PubMed, 121 citations in OpenAlex.

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  11. When broken bones need air: Erythrocytes step in to heal.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  12. Erythroid precursors regulate local oxygen tension and repair outcomes in the bone marrow niche.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
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  16. Review
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Chuanyong LuDepartment of Orthopaedic Surgery, Orthopaedic Trauma Institute, San Francisco General Hospital, University of California at San Francisco, 1001 Potrero Ave., San Francisco, CA 94110, USA.
Neema Saless
Xiaodong Wang
Arjun Sinha
Sebastian Decker
Galateia Kazakia
Huagang Hou
Benjamin Williams
Harold M Swartz
Thomas K Hunt
Theodore Miclau
Ralph S Marcucio
San Francisco General Hospital · USDartmouth College · USUniversity of California, San Francisco · US

Funding

Functional roles of muscle in bone repairR01AR057344 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MICLAU, THEODORE · 2010 to 2014
$1.7M
Biology of stable and non-stable fracture repairR01AR053645 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MICLAU, THEODORE · 2006 to 2010
$1.6M
Measurement of pO2 in tissues in vivo and in vitroP01CA091597 · NCI · DARTMOUTH COLLEGE · PI SWARTZ, HAROLD M · 2002 to 2002
$1.0M
ROLE OF ANGIOGENESIS IN BONE REPAIRK08AR002164 · NIAMS · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI MICLAU, THEODORE · 2000 to 2004
$574k
NCI NIH HHS P01 CA091597NIAMS NIH HHS K08 AR002164NIAMS NIH HHS K08-AR002164NIAMS NIH HHS R01 AR053645NIAMS NIH HHS R01 AR057344NIAMS NIH HHS R01-AR057344NIAMS NIH HHS R1-AR053645-01
6 · The paper itself

Abstract

Oxygen affects the activity of multiple skeletogenic cells and is involved in many processes that are important for fracture healing. However, the role of oxygen in fracture healing has not been fully studied. Here we systematically examine the effects of oxygen tension on fracture healing and test the ability of hyperoxia to rescue healing defects in a mouse model of ischemic fracture healing. Mice with tibia fracture were housed in custom-built gas chambers and groups breathed a constant atmosphere of 13% oxygen (hypoxia), 21% oxygen (normoxia), or 50% oxygen (hyperoxia). The influx of inflammatory cells to the fracture site, stem cell differentiation, tissue vascularization, and fracture healing were analyzed. In addition, the efficacy of hyperoxia (50% oxygen) as a treatment regimen for fracture nonunion was tested. Hypoxic animals had decreased tissue vascularity, decreased bone formation, and delayed callus remodeling. Hyperoxia increased tissue vascularization, altered fracture healing in un-complicated fractures, and improved bone repair in ischemia-induced delayed fracture union. However, neither hypoxia nor hyperoxia significantly altered chondrogenesis or osteogenesis during early stages of fracture healing, and infiltration of macrophages and neutrophils was not affected by environmental oxygen after bone injury. In conclusion, our results indicate that environmental oxygen levels affect tissue vascularization and fracture healing, and that providing oxygen when fractures are accompanied by ischemia may be beneficial.

Indexed as

AnimalsCell DifferentiationEnzyme-Linked Immunosorbent AssayFracture HealingMiceOxygenStem CellsVascular Endothelial Growth Factor AOxygenVascular Endothelial Growth Factor A

Identifiers

PMID23063782
PMCPMC4827706
OpenAlexW2169842119

What OpenQuestion holds

Textmetadata
LicenceTDM
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.