Evidence map›Paper›PMID 28174539›Full record

ReviewFrontiers in physiology2016

A Concert between Biology and Biomechanics: The Influence of the Mechanical Environment on Bone Healing.

Vaida Glatt, Christopher H Evans, Kevin Tetsworth

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
9.1field-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

89 citing papers in PubMed, 181 citations in OpenAlex.

  1. Smart crutch tipsEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Trial
  2. Trial
  3. Fracture nonunion: classification, evaluation and management strategies-a structured approach for higher orthopaedic examinations.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. RibXcar with Dots Point Technique: The Science of Fracture as a Safety Principle.Plastic and reconstructive surgery. Global open · 2026
    Article
  10. Article
  11. Rate of fibular non-union in patients with tibial shaft fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  12. Review
  13. Review
  14. Article
  15. Refining predictive biomechanics for orthopedic healing.Journal of orthopaedic translation · 2026
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

29 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

3 authors at 3 institutions in 2 countries.

Vaida GlattDepartment of Orthopaedic Surgery, University of Texas Health Science Center San AntonioSan Antonio, TX, USA; Orthopaedic Research Centre of AustraliaBrisbane, QLD, Australia.
Christopher H EvansRehabilitation Medicine Research Center, Mayo Clinic Rochester, NY, USA.
Kevin TetsworthOrthopaedic Research Centre of AustraliaBrisbane, QLD, Australia; Department of Orthopaedic Surgery, Royal Brisbane and Women's HospitalHerston, QLD, Australia.
Mayo Clinic in Arizona · USRoyal Brisbane and Women's Hospital · AUThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In order to achieve consistent and predictable fracture healing, a broad spectrum of growth factors are required to interact with one another in a highly organized response. Critically important, the mechanical environment around the fracture site will significantly influence the way bone heals, or if it heals at all. The role of the various biological factors, the timing, and spatial relationship of their introduction, and how the mechanical environment orchestrates this activity, are all crucial aspects to consider. This review will synthesize decades of work and the acquired knowledge that has been used to develop new treatments and technologies for the regeneration and healing of bone. Moreover, it will discuss the current state of the art in experimental and clinical studies concerning the application of these mechano-biological principles to enhance bone healing, by controlling the mechanical environment under which bone regeneration takes place. This includes everything from the basic principles of fracture healing, to the influence of mechanical forces on bone regeneration, and how this knowledge has influenced current clinical practice. Finally, it will examine the efforts now being made for the integration of this research together with the findings of complementary studies in biology, tissue engineering, and regenerative medicine. By bringing together these diverse disciplines in a cohesive manner, the potential exists to enhance fracture healing and ultimately improve clinical outcomes.

Indexed as

bone healing/biomechanicsbone repair/regenerationdynamyzation/reverse dynamizationexternal/internal fracture fixationfixation stabilityfracture fixationlarge bone defectsmechanical environment

Identifiers

PMID28174539
PMCPMC5258734
OpenAlexW2581605418

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.