Evidence map›Paper›PMID 27060078›Full record

ArticleBMC musculoskeletal disorders2016

A new model of implant-related osteomyelitis in the metaphysis of rat tibiae.

Norbert Harrasser, Johannes Gorkotte, Andreas Obermeier, Susanne Feihl, Melanie Straub, Julia Slotta-Huspenina, Ruediger von Eisenhart-Rothe, Walter Moser, Philipp Gruner, Michael de Wild and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

19 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The Application of Rat Models inPathogens (Basel, Switzerland) · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Anti-Staphylococcal Activity ofAntibiotics (Basel, Switzerland) · 2023
    Article
  11. Review of immunological plasma markers for longitudinal analysis of inflammation and infection in rat models.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Innovations in osteomyelitis research: A review of animal models.Animal models and experimental medicine · 2021
    Review
  17. Article
  18. Therapeutics and delivery vehicles for local treatment of osteomyelitis.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020
    Review
  19. Review
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

12 authors at 5 institutions in 2 countries.

Norbert HarrasserClinic of Orthopedics and Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany. norbert.harrasser@outlook.de.
Johannes GorkotteClinic of Orthopedics and Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Andreas ObermeierClinic of Orthopedics and Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Susanne FeihlInstitute for Medical Microbiology and Immunology, Technical University of Munich, Trogerstr. 30, 81675, Munich, Germany.
Melanie StraubInstitute of Pathology, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Julia Slotta-HuspeninaInstitute of Pathology, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Ruediger von Eisenhart-RotheClinic of Orthopedics and Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Walter MoserAtesos medical AG, Schachenallee 29, CH-5000, Aarau, Switzerland.
Philipp GrunerMedicoat AG, Almuesenacherstrasse 2a, CH-5506, Maegenwil, Switzerland.
Michael de WildUniversity of Applied Sciences and Arts Northwestern Switzerland (FHNW), School of Life Sciences, CH-4132, Muttenz, Switzerland.
Hans GollwitzerClinic of Orthopedics and Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Rainer BurgkartClinic of Orthopedics and Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Technical University of Munich · DEKlinikum rechts der Isar · DEFHNW University of Applied Sciences and Arts · CHMedicoat (Switzerland) · CHSIS Medical (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnimal models serve as an important tool to understand peri-implant infection. Most of the models use high bacterial loads (>10(4) colony forming units, CFU) to provide high infection rates. Therefore these animals evolve rather similarly, making comparison between groups and statistical analysis possible. On the other hand, to mimic clinical constellation of surgery-related infections the use of low amounts of bacteria would be more advantageous.

methodsWe developed a metaphyseal rat model of peri-implant bone infection with low amount of bacterial loads (10(2) and 10(3) CFU of Staphylococcus aureus) and investigated osseointegration of the implants coated with hydroxyapatite (HA) and low-dosed HA-silver (HA-Ag). Non-infected implants served as controls. After 6 weeks rats were sacrificed and implants evaluated for osseointegration and infection.

resultsInfection of implanted devices was reliably induced, independently whether 10(2) or 10(3) CFU of S. aureus were inoculated and HA or HA-Ag coated implants were used. No systemic infection was present in any of the animals at the time of sacrifice, and no animal developed acute infection requiring premature sacrifice. All CFU counts of the implant and the bone at sacrifice were significantly higher than the inoculated load (p < .05). All sterilely inserted implants showed excellent osseointegration and no infection.

conclusionsOur present study of a rat tibia model reliably induced osteomyelitis in the metaphysis with low-doses of bacteria. The addition of low-dosed Ag to the implant coating was not able to reduce the infection rates. The results demonstrate that it is possible to develop a model of implant-related osteomyelitis in rats with low amounts of bacteria to better mimic clinical constellations. No other promoters of infection besides insertion of the screw implant were used in this model.

Indexed as

Disease Models, AnimalStaphylococcus aureusAnimalsBone ScrewsMaleOsteomyelitisRatsRats, WistarStaphylococcal InfectionsImplant-associated infectionsMetaphysisRatScrewStaphylococcus aureus

Identifiers

PMID27060078
PMCPMC4826501
OpenAlexW2312711326

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.