Evidence map›Paper›PMID 24405567›Full record

ArticleClinical biomechanics (Bristol, Avon)2014

An animal model to evaluate skin-implant-bone integration and gait with a prosthesis directly attached to the residual limb.

Brad J Farrell, Boris I Prilutsky, Robert S Kistenberg, John F Dalton, Mark Pitkin

Abstract read
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed, 32 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 1 institution in 1 country.

Brad J FarrellSchool of Applied Physiology, Center for Human Movement Science, Georgia Institute of Technology, Atlanta, GA, USA.
Boris I PrilutskySchool of Applied Physiology, Center for Human Movement Science, Georgia Institute of Technology, Atlanta, GA, USA. Electronic address: boris.prilutsky@ap.gatech.edu.
Robert S KistenbergSchool of Applied Physiology, Center for Human Movement Science, Georgia Institute of Technology, Atlanta, GA, USA.
John F DaltonGeorgia Hand, Shoulder & Elbow, Atlanta, GA, USA.
Mark PitkinTufts University School of Medicine, Boston, MA, USA; Poly-Orth International, Sharon, MA, USA.
Tufts University · US

Funding

Training Movement Scientists: Focus on Prosthetics and OrthoticsT32HD055180 · NICHD · GEORGIA INSTITUTE OF TECHNOLOGY · PI NICHOLS, T. RICHARD · 2008 to 2017
$1.9M
Manufacturing technology for skin integrated composite prosthetic pylonR44HD057492 · NICHD · POLY-ORTH INTERNATIONAL · PI PITKIN, MARK · 2009 to 2010
$750k
NICHD NIH HHS R44 HD057492NICHD NIH HHS R44HD057492NICHD NIH HHS T32 HD055180NICHD NIH HHS T32-HD055180
6 · The paper itself

Abstract

backgroundDespite the number of advantages of bone-anchored prostheses, their use in patients is limited due to the lack of complete skin-implant integration. The objective of the present study was to develop an animal model that would permit both detailed investigations of gait with a bone-anchored limb prosthesis and histological analysis of the skin-implant-bone interface after physiological loading of the implant during standing and walking.

methodsFull-body mechanics of walking in two cats were recorded and analyzed before and after implantation of a percutaneous porous titanium pylon into the right tibia and attachment of a prosthesis. The rehabilitation procedures included initial limb casting, progressively increasing loading on the implant, and standing and locomotor training. Detailed histological analysis of bone and skin ingrowth into implant was performed at the end of the study.

findingsThe two animals adopted the bone-anchored prosthesis for standing and locomotion, although loads on the prosthetic limb during walking decreased by 22% and 62%, respectively, 4months after implantation. The animals shifted body weight to the contralateral side and increased propulsion forces by the contralateral hindlimb. Histological analysis of the limb implants demonstrated bone and skin ingrowth.

interpretationThe developed animal model to study prosthetic gait and tissue integration with the implant demonstrated that porous titanium implants may permit bone and skin integration and prosthetic gait with a bone-anchored prosthesis. Future studies with this model will help optimize the implant and prosthesis properties.

Indexed as

Artificial LimbsModels, AnimalOsseointegrationSkin Physiological PhenomenaAnimalsCatsGaitHindlimbHumansMalePostureProsthesis ImplantationSuture AnchorsTitaniumTitaniumBone-anchored prosthesesHistologyOsseointegrationPorous percutaneous titanium implantProsthetic gaitSkin–implant–bone interface

Identifiers

PMID24405567
PMCPMC3959271
OpenAlexW2079199220

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.