Evidence map›Paper›PMID 30611115›Full record

ArticleBiomaterials2019

Individual response variations in scaffold-guided bone regeneration are determined by independent strain- and injury-induced mechanisms.

Natalie Reznikov, Oliver R Boughton, Shaaz Ghouse, Anne E Weston, Lucy Collinson, Gordon W Blunn, Jonathan R T Jeffers, Justin P Cobb, Molly M Stevens

Open access · hybridAbstract read
In one paragraph

Article in Biomaterials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 82 citations in OpenAlex.

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  19. Current interpretations on theBiomaterials and biosystems · 2021
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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

9 authors at 3 institutions in 1 country.

Natalie ReznikovDepartment of Materials, Department of Bioengineering and Institute for Biomedical Engineering, Faculty of Engineering, Imperial College London, United Kingdom.
Oliver R BoughtonDepartment of Surgery and Cancer, Faculty of Medicine, Imperial College London, United Kingdom.
Shaaz GhouseDepartment of Mechanical Engineering, Faculty of Engineering, Imperial College London, United Kingdom.
Anne E WestonThe Francis Crick Institute, United Kingdom.
Lucy CollinsonThe Francis Crick Institute, United Kingdom.
Gordon W BlunnDepartment of Materials and Tissue, Faculty of Medical Sciences, University College London, United Kingdom.
Jonathan R T JeffersDepartment of Mechanical Engineering, Faculty of Engineering, Imperial College London, United Kingdom.
Justin P CobbDepartment of Surgery and Cancer, Faculty of Medicine, Imperial College London, United Kingdom. Electronic address: j.cobb@imperial.ac.uk.
Molly M StevensDepartment of Materials, Department of Bioengineering and Institute for Biomedical Engineering, Faculty of Engineering, Imperial College London, United Kingdom. Electronic address: m.stevens@imperial.ac.uk.
Imperial College London · GBThe Francis Crick Institute · GBUniversity College London · GB

Funding

Cancer Research UK FC001999Medical Research Council MR/R015651/1The Dunhill Medical Trust DMT/RCS602Wellcome Trust 098411Wellcome Trust FC001999
6 · The paper itself

Abstract

This study explored the regenerative osteogenic response in the distal femur of sheep using scaffolds having stiffness values within, and above and below, the range of trabecular bone apparent modulus. Scaffolds 3D-printed from stiff titanium and compliant polyamide were implanted into a cylindrical metaphyseal defect 15 × 15 mm. After six weeks, bone ingrowth varied between 7 and 21% of the scaffold pore volume and this was generally inversely proportional to scaffold stiffness. The individual reparative response considerably varied among the animals, which could be divided into weak and strong responders. Notably, bone regeneration specifically within the interior of the scaffold was inversely proportional to scaffold stiffness and was strain-driven in strongly-responding animals. Conversely, bone regeneration at the periphery of the defect was injury-driven and equal in all scaffolds and in all strongly- and weakly-responding animals. The observation of the strain-driven response in some, but not all, animals highlights that scaffold compliance is desirable for triggering host bone regeneration, but scaffold permanence is important for the load-bearing, structural role of the bone-replacing device. Indeed, scaffolds may benefit from being nonresorbable and mechanically reliable for those unforeseeable cases of weakly responding recipients.

Indexed as

Bone RegenerationAnimalsBone SubstitutesFemaleFemurHardnessNylonsPorosityPrinting, Three-DimensionalSheepTissue ScaffoldsTitaniumBone SubstitutesNylonsTitaniumBone regenerationmicroCTOvine modelScaffoldStiffnessStrain

Identifiers

PMID30611115
PMCPMC6345626
OpenAlexW2901249813

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.