Evidence map›Paper›PMID 27829447›Full record

SynthesisBMC musculoskeletal disorders2016

Autologous bone graft in the treatment of post-traumatic bone defects: a systematic review and meta-analysis.

Matheus Lemos Azi, Alessandro Aprato, Irene Santi, Mauricio Kfuri, Alessandro Masse, Alexander Joeris

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 77 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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

77 citing papers in PubMed, 2 syntheses or guidelines pooled it, 153 citations in OpenAlex.

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  5. [One-stage debridement and internal fixation exchange combined with continuous local antibiotic irrigation in treatment of fracture-related infection].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
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  14. [Free latissimus dorsi myocutaneous flap transplantation combined with external fixation for bone and soft tissue defects around knee joint].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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  16. 3D-printed prosthesis for traumatic trapezium bone defect: a case report.Archives of orthopaedic and trauma surgery · 2025
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17 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

6 authors at 4 institutions in 4 countries.

Matheus Lemos AziManoel Victorino Hospital, Conselheiro Almeida Couto square S/N, 40050-410, Salvador, Bahia, Brazil. mlazi@hotmail.com.ORCID 0000-0002-4456-6423
Alessandro ApratoDepartment of Orthopaedic Surgery, San Luigi Hospital of Orbassano, University of Turin, Regione Gonzole n.10, 10043, Turin, Italy.
Irene SantiAO Clinical Investigation and Documentation, Stettbachstrasse 6, 8600, Dübendorf, Switzerland.
Mauricio KfuriDepartment of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus - Ribeirão Preto Medical School, University of São Paulo (FMRP-USP), Av. Bandeirantes 3900, 14048-900, Ribeirão Preto, São Paulo, Brazil.
Alessandro MasseDepartment of Orthopaedic Surgery, San Luigi Hospital of Orbassano, University of Turin, Regione Gonzole n.10, 10043, Turin, Italy.
Alexander JoerisAO Clinical Investigation and Documentation, Stettbachstrasse 6, 8600, Dübendorf, Switzerland.
AO Foundation · CHUniversity of Turin · ITHospital São Rafael · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis meta-analysis aimed to determine the bone union rate of bone defects treated with the different autologous bone graft techniques.

methodsThe PubMed and the Cochrane Library databases were searched using the terms: 'fracture' AND ('bone loss' OR 'defect' OR 'defects') AND 'bone graft', restricted to English language, to human species, and to a publication period from January 1999 to November 2014. Data were extracted by one of the reviewers and then checked by the second. A quality of evidence score and a methodology score were used. Heterogeneity was assessed. A random effects model approach was used to combine estimates.

resultsOut of 376 selected studies only 34 met the inclusion criteria. The summary pooled union rate was 91 % (95 % CI: 87-95 %) while union rate after additional procedures raised to 98 % (95 % CI 96-99 %). No association between union rate and bone defect size was found. (Univariable regression model: vascularized: P = 0.677; non-vascularized: 0.202. Multivariable regression model: vascularized: P = 0.381; non-vascularized: P = 0.226). Vascularized graft was associated with a lower risk of infection after surgery when compared to non-vascularized graft (95 % CI 0.03 to 0.23, p < 0.001).

conclusionThe results of this meta-analysis demonstrate the effectiveness of autologous graft for bone defects. Furthermore, from the available clinical evidence bone defect size does not seem to have an impact on bone union when treated with autologous bone graft techniques.

Indexed as

AllograftsBone TransplantationFractures, BoneFractures, UnunitedHumansOrthopedic ProceduresPlastic Surgery ProceduresSurgical Wound InfectionTransplantation, AutologousTreatment OutcomeBone graftBone reconstructionLarge bone defectsSegmental bone defect

Identifiers

PMID27829447
PMCPMC5103502
OpenAlexW2552693630

What OpenQuestion holds

Textmetadata
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.