Evidence map›Paper›PMID 28775273›Full record

ArticleScientific reports2017

Calcium and vitamin-D deficiency marginally impairs fracture healing but aggravates posttraumatic bone loss in osteoporotic mice.

Verena Fischer, Melanie Haffner-Luntzer, Katja Prystaz, Annika Vom Scheidt, Björn Busse, Thorsten Schinke, Michael Amling, Anita Ignatius

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
4.8field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Beyond the initial impact: a systematic review of post-traumatic bone loss and its mechanisms.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. [Adjunctive therapies in geriatric ankle fracture patients].Unfallchirurgie (Heidelberg, Germany) · 2026
    Review
  5. Article
  6. Bone regeneration during osteoporosis: a translationalFrontiers in bioengineering and biotechnology · 2025
    Article
  7. Article
  8. Review
  9. Fat as a Friend or Foe of the Bone.Current osteoporosis reports · 2024
    Review
  10. Article
  11. Is human immunodeficiency virus a risk factor for the development of nonunion?-a case-control study.OTA international : the open access journal of orthopaedic trauma · 2023
    Article
  12. Role of Mast-Cell-Derived RANKL in Ovariectomy-Induced Bone Loss in Mice.International journal of molecular sciences · 2023
    Article
  13. Review
  14. Effect of Vitamin D on Bone Regeneration: A Review.Medicina (Kaunas, Lithuania) · 2022
    Review
  15. Review
  16. Altered canalicular remodeling associated with femur fracture in mice.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Verena FischerInstitute of Orthopaedic Research and Biomechanics, University Medical Centre Ulm, Ulm, Germany.ORCID 0000-0001-7039-8008
Melanie Haffner-LuntzerInstitute of Orthopaedic Research and Biomechanics, University Medical Centre Ulm, Ulm, Germany.ORCID 0000-0002-3333-2613
Katja PrystazInstitute of Orthopaedic Research and Biomechanics, University Medical Centre Ulm, Ulm, Germany.
Annika Vom ScheidtDepartment of Osteology and Biomechanics, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Björn BusseDepartment of Osteology and Biomechanics, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-3099-8073
Thorsten SchinkeDepartment of Osteology and Biomechanics, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Michael AmlingDepartment of Osteology and Biomechanics, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Anita IgnatiusInstitute of Orthopaedic Research and Biomechanics, University Medical Centre Ulm, Ulm, Germany. anita.ignatius@uni-ulm.de.
Universität Hamburg · DEUniversität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Calcium and vitamin-D (Ca/VitD) deficiency is a major risk factor for osteoporosis. It may also contribute to the compromised bone healing frequently observed in osteoporotic patients, since calcium is essential for fracture-callus mineralization. Additionally, clinical data suggest systemic bone loss following fracture, which may aggravate osteoporosis and thus increase the risk for fragility fractures in osteoporotic patients further. However, the role of Ca/VitD in fracture healing and posttraumatic bone turnover has to date been poorly investigated. Here, we studied bone regeneration and posttraumatic bone turnover in C57BL/6 J mice with ovariectomy-induced osteoporosis. Mice were fed a standard or a Ca/VitD-deficient diet. Notably, fracture healing was only marginally disturbed in Ca/VitD-deficient mice. However, deficient mice displayed significantly increased serum parathyroid hormone levels and osteoclast activity, as well as reduced bone mass in the intact skeleton post-fracture, suggesting considerably enhanced calcium mobilization from the intact skeleton during bone regeneration. Ca/VitD supplementation initiated post-fracture prevented posttraumatic bone loss by reducing bone resorption and furthermore improved bone repair. These results imply that adequate Ca/VitD supply post-fracture is essential to provide sufficient calcium for callus-mineralization in order to prevent posttraumatic bone loss and to reduce the risk for secondary fractures in osteoporotic patients with Ca/VitD deficiency.

Identifiers

PMID28775273
PMCPMC5543125
OpenAlexW2741230488

What OpenQuestion holds

Textmetadata
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.