Evidence map›Paper›PMID 29157219›Full record

ArticleBMC musculoskeletal disorders2017

A new multiple trauma model of the mouse.

Stefanie Fitschen-Oestern, Sebastian Lippross, Tim Klueter, Matthias Weuster, Deike Varoga, Mersedeh Tohidnezhad, Thomas Pufe, Stefan Rose-John, Hagen Andruszkow, Frank Hildebrand and 3 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-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

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Polytrauma impairs fracture healing accompanied by increased persistence of innate inflammatory stimuli and reduced adaptive response.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Stefanie Fitschen-OesternDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Arnold-Heller Straße 7, 24105, Campus Kiel, Kiel, Germany. Stefanie_Oestern@hotmail.com.
Sebastian LipprossDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Arnold-Heller Straße 7, 24105, Campus Kiel, Kiel, Germany.
Tim KlueterDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Arnold-Heller Straße 7, 24105, Campus Kiel, Kiel, Germany.
Matthias WeusterDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Arnold-Heller Straße 7, 24105, Campus Kiel, Kiel, Germany.
Deike VarogaDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Arnold-Heller Straße 7, 24105, Campus Kiel, Kiel, Germany.
Mersedeh TohidnezhadDepartment of Anatomy and Cell Biology, RWTH Aachen University, Wendlingweg 2, D-52074, Aachen, Germany.
Thomas PufeDepartment of Anatomy and Cell Biology, RWTH Aachen University, Wendlingweg 2, D-52074, Aachen, Germany.
Stefan Rose-JohnDepartment of Biochemistry, Medical Faculty, Olshausenstr. 40, 24098, Kiel, Germany.
Hagen AndruszkowDepartment of Trauma Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
Frank HildebrandDepartment of Trauma Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
Nadine SteubesandDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Arnold-Heller Straße 7, 24105, Campus Kiel, Kiel, Germany.
Andreas SeekampDepartment of Trauma Surgery, University Medical Center of Schleswig-Holstein, Arnold-Heller Straße 7, 24105, Campus Kiel, Kiel, Germany.
Claudia NeunaberDepartment of Trauma Surgery, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
RWTH Aachen University · DEKiel University · DE

Funding

AO F379014
6 · The paper itself

Abstract

backgroundBlunt trauma is the most frequent mechanism of injury in multiple trauma, commonly resulting from road traffic collisions or falls. Two of the most frequent injuries in patients with multiple trauma are chest trauma and extremity fracture. Several trauma mouse models combine chest trauma and head injury, but no trauma mouse model to date includes the combination of long bone fractures and chest trauma. Outcome is essentially determined by the combination of these injuries. In this study, we attempted to establish a reproducible novel multiple trauma model in mice that combines blunt trauma, major injuries and simple practicability.

methodsNinety-six male C57BL/6 N mice (n = 8/group) were subjected to trauma for isolated femur fracture and a combination of femur fracture and chest injury. Serum samples of mice were obtained by heart puncture at defined time points of 0 h (hour), 6 h, 12 h, 24 h, 3 d (days), and 7 d.

resultsA tendency toward reduced weight and temperature was observed at 24 h after chest trauma and femur fracture. Blood analyses revealed a decrease in hemoglobin during the first 24 h after trauma. Some animals were killed by heart puncture immediately after chest contusion; these animals showed the most severe lung contusion and hemorrhage. The extent of structural lung injury varied in different mice but was evident in all animals. Representative H&E-stained (Haematoxylin and Eosin-stained) paraffin lung sections of mice with multiple trauma revealed hemorrhage and an inflammatory immune response. Plasma samples of mice with chest trauma and femur fracture showed an up-regulation of IL-1β (Interleukin-1β), IL-6, IL-10, IL-12p70 and TNF-α (Tumor necrosis factor- α) compared with the control group. Mice with femur fracture and chest trauma showed a significant up-regulation of IL-6 compared to group with isolated femur fracture.

conclusionsThe multiple trauma mouse model comprising chest trauma and femur fracture enables many analogies to clinical cases of multiple trauma in humans and demonstrates associated characteristic clinical and pathophysiological changes. This model is easy to perform, is economical and can be used for further research examining specific immunological questions.

Indexed as

Disease Models, AnimalMice, Inbred C57BLAnimalsFemoral FracturesHemoglobinsHumansInterleukinsLungMaleMiceMultiple TraumaMyocardiumThoracic InjuriesTumor Necrosis Factor-alphaUp-RegulationWeight LossHemoglobinsInterleukinsTumor Necrosis Factor-alpha

Identifiers

PMID29157219
PMCPMC5697084
OpenAlexW2769351021

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.