Evidence map›Paper›PMID 25126746›Full record

ArticlePloS one2014

Do cells contribute to tendon and ligament biomechanics?

Niels Hammer, Daniel Huster, Sebastian Fritsch, Carsten Hädrich, Holger Koch, Peter Schmidt, Freddy Sichting, Martin Franz-Xaver Wagner, Andreas Boldt

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-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

20 citing papers in PubMed, 45 citations in OpenAlex.

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  10. Strain Assessment of Deep Fascia of the Thigh During Leg Movement: AnFrontiers in bioengineering and biotechnology · 2020
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  19. Actin cytoskeleton contributes to the elastic modulus of embryonic tendon during early development.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2015
    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

9 authors at 2 institutions in 1 country.

Niels HammerInstitute of Anatomy, University of Leipzig, Faculty of Medicine, Leipzig, Germany.
Daniel HusterInstitute of Medical Physics and Biophysics, University of Leipzig, Faculty of Medicine, Leipzig, Germany.
Sebastian FritschInstitute of Materials Science and Engineering, Chemnitz University of Technology, Chemnitz, Germany.
Carsten HädrichInstitute of Forensic Medicine, University of Leipzig, Faculty of Medicine, Leipzig, Germany.
Holger KochTranslational Centre for Regenerative Medicine, University of Leipzig, Faculty of Medicine, Leipzig, Germany.
Peter SchmidtInstitute of Medical Physics and Biophysics, University of Leipzig, Faculty of Medicine, Leipzig, Germany.
Freddy SichtingInstitute of Sport Science, Department Human Locomotion, Chemnitz University of Technology, Chemnitz, Germany.
Martin Franz-Xaver WagnerInstitute of Materials Science and Engineering, Chemnitz University of Technology, Chemnitz, Germany.
Andreas BoldtTranslational Centre for Regenerative Medicine, University of Leipzig, Faculty of Medicine, Leipzig, Germany; Institute of Clinical Immunology, University of Leipzig, Faculty of Medicine, Leipzig, Germany.
Leipzig University · DEChemnitz University of Technology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcellular scaffolds are increasingly used for the surgical repair of tendon injury and ligament tears. Despite this increased use, very little data exist directly comparing acellular scaffolds and their native counterparts. Such a comparison would help establish the effectiveness of the acellularization procedure of human tissues. Furthermore, such a comparison would help estimate the influence of cells in ligament and tendon stability and give insight into the effects of acellularization on collagen. MATERIAL AND

methodsEighteen human iliotibial tract samples were obtained from nine body donors. Nine samples were acellularized with sodium dodecyl sulphate (SDS), while nine counterparts from the same donors remained in the native condition. The ends of all samples were plastinated to minimize material slippage. Their water content was adjusted to 69%, using the osmotic stress technique to exclude water content-related alterations of the mechanical properties. Uniaxial tensile testing was performed to obtain the elastic modulus, ultimate stress and maximum strain. The effectiveness of the acellularization procedure was histologically verified by means of a DNA assay.

resultsThe histology samples showed a complete removal of the cells, an extensive, yet incomplete removal of the DNA content and alterations to the extracellular collagen. Tensile properties of the tract samples such as elastic modulus and ultimate stress were unaffected by acellularization with the exception of maximum strain. DISCUSSION: The data indicate that cells influence the mechanical properties of ligaments and tendons in vitro to a negligible extent. Moreover, acellularization with SDS alters material properties to a minor extent, indicating that this method provides a biomechanical match in ligament and tendon reconstruction. However, the given protocol insufficiently removes DNA. This may increase the potential for transplant rejection when acellular tract scaffolds are used in soft tissue repair. Further research will help optimize the SDS-protocol for clinical application.

Indexed as

AdultBiomechanical PhenomenaElastic ModulusFemaleHumansLigamentsMaleMiddle AgedTendonsTensile StrengthYoung Adult

Identifiers

PMID25126746
PMCPMC4134275
OpenAlexW2004048431

What OpenQuestion holds

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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.