Evidence map›Paper›PMID 25348836›Full record

ReviewTissue engineering. Part B, Reviews2015

Biological strategies for improved osseointegration and osteoinduction of porous metal orthopedic implants.

Eric Alexander Lewallen, Scott M Riester, Carolina A Bonin, Hilal Maradit Kremers, Amel Dudakovic, Sanjeev Kakar, Robert C Cohen, Jennifer J Westendorf, David G Lewallen, Andre J van Wijnen

Open access · greenAbstract readReview
In one paragraph

Review in Tissue engineering. Part B, Reviews, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
10.0field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 181 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Radio-clinical outcomes of a novel highly porous acetabular cup in primary THA in the Indian population: a follow-up study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Amorphous TiOBiomedical materials (Bristol, England) · 2024
    Article
  16. Article
  17. Article
  18. Review
  19. Journal of functional biomaterials · 2023
    Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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

10 authors at 2 institutions in 2 countries.

Eric Alexander Lewallen1 Department of Orthopedic Surgery, Mayo Clinic , Rochester, Minnesota.
Scott M Riester
Carolina A Bonin
Hilal Maradit Kremers
Amel Dudakovic
Sanjeev Kakar
Robert C Cohen
Jennifer J Westendorf
David G Lewallen
Andre J van Wijnen
Mayo Clinic · USUniversity of Fort Lauderdale · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
Musculoskeletal Research Training ProgramT32AR056950 · NIAMS · MAYO CLINIC ROCHESTER · PI Jennifer J Westendorf · 2009 to 2026
$7.0M
Molecular Control of Bone FormationR01AR049069 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI WESTENDORF, JENNIFER J · 2003 to 2021
$5.8M
Runx2 and Axin2 Interactions During Bone FormationR01DE020194 · NIDCR · MAYO CLINIC ROCHESTER · PI WESTENDORF, JENNIFER J · 2010 to 2014
$2.1M
NCATS NIH HHS UL1 TR000135NIAMS NIH HHS R01 AR049069NIAMS NIH HHS T32 AR056950NIDCR NIH HHS R01 DE020194
6 · The paper itself

Abstract

The biological interface between an orthopedic implant and the surrounding host tissue may have a dramatic effect upon clinical outcome. Desired effects include bony ingrowth (osseointegration), stimulation of osteogenesis (osteoinduction), increased vascularization, and improved mechanical stability. Implant loosening, fibrous encapsulation, corrosion, infection, and inflammation, as well as physical mismatch may have deleterious clinical effects. This is particularly true of implants used in the reconstruction of load-bearing synovial joints such as the knee, hip, and the shoulder. The surfaces of orthopedic implants have evolved from solid-smooth to roughened-coarse and most recently, to porous in an effort to create a three-dimensional architecture for bone apposition and osseointegration. Total joint surgeries are increasingly performed in younger individuals with a longer life expectancy, and therefore, the postimplantation lifespan of devices must increase commensurately. This review discusses advancements in biomaterials science and cell-based therapies that may further improve orthopedic success rates. We focus on material and biological properties of orthopedic implants fabricated from porous metal and highlight some relevant developments in stem-cell research. We posit that the ideal primary and revision orthopedic load-bearing metal implants are highly porous and may be chemically modified to induce stem cell growth and osteogenic differentiation, while minimizing inflammation and infection. We conclude that integration of new biological, chemical, and mechanical methods is likely to yield more effective strategies to control and modify the implant-bone interface and thereby improve long-term clinical outcomes.

Indexed as

Bone SubstitutesModels, BiologicalOsseointegrationProstheses and ImplantsAnimalsHumansOrthopedicsPorosityBone Substitutes

Identifiers

PMID25348836
PMCPMC4390115
OpenAlexW2104757650

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.