Evidence map›Paper›PMID 30794203›Full record

ArticleJMIR research protocols2019

System Setup to Deliver Air Impact Forces to a Sheep Limb: Preparation for Model Development of Blast-Related Heterotopic Ossification.

Dustin L Williams, Richard T Epperson, Nicholas B Taylor, Mattias B Nielsen, Brooke S Kawaguchi, David L Rothberg, Paul F Pasquina, Brad M Isaacson

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Dustin L WilliamsBone & Joint Research Laboratory, Department of Veterans Affairs, Salt Lake City, UT, United States.ORCID http://orcid.org/0000-0001-5275-1365
Richard T EppersonBone & Joint Research Laboratory, Department of Veterans Affairs, Salt Lake City, UT, United States.ORCID http://orcid.org/0000-0001-6736-8641
Nicholas B TaylorBone & Joint Research Laboratory, Department of Veterans Affairs, Salt Lake City, UT, United States.ORCID http://orcid.org/0000-0002-6710-2584
Mattias B NielsenBone & Joint Research Laboratory, Department of Veterans Affairs, Salt Lake City, UT, United States.ORCID http://orcid.org/0000-0002-4008-2077
Brooke S KawaguchiBone & Joint Research Laboratory, Department of Veterans Affairs, Salt Lake City, UT, United States.ORCID http://orcid.org/0000-0001-8536-3078
David L RothbergBone & Joint Research Laboratory, Department of Veterans Affairs, Salt Lake City, UT, United States.ORCID http://orcid.org/0000-0002-7749-3662
Paul F PasquinaThe Center for Rehabilitation Sciences Research, Department of Physical Medicine & Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, MD, United States.ORCID http://orcid.org/0000-0003-2898-0082
Brad M IsaacsonDepartment of Orthopaedics, University of Utah, Salt Lake City, UT, United States.ORCID http://orcid.org/0000-0002-4451-9213
University of Utah · USUniformed Services University of the Health Sciences · US

Funding

A Combination Coating for the Prevention of Perioperative Device InfectionsI01RX001198 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI WILLIAMS, DUSTIN LEE · 2015 to 2018
–
Development of a Unique Antibiofilm Therapy for Diabetic Foot Ulcer InfectionsI01RX002287 · VA · VA SALT LAKE CITY HEALTHCARE SYSTEM · PI WILLIAMS, DUSTIN LEE · 2016 to 2020
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RRD VA I01 RX001198RRD VA I01 RX002287
6 · The paper itself

Abstract

backgroundHeterotopic ossification (HO) is a significant complication for wounded warriors with traumatic limb loss. Although this pathologic condition negatively impacts the general population, ectopic bone has been observed with higher frequency for service members injured in Iraq and Afghanistan due to blast injuries. Several factors, including a traumatic insult, bioburden, tourniquet and wound vacuum usage, and bone fractures or fragments have been associated with increased HO for service members. A large combat-relevant animal model is needed to further understand ectopic bone etiology and develop new pragmatic solutions for reducing HO formation and recurrence.

objectiveThis study outlines the optimization of a blast system that may be used to simulate combat-relevant trauma for HO and replicate percussion blast experienced in theater.

methodsWe tested the repeatability and reproducibility of an air impact device (AID) at various pressure settings and compared it with a model of blunt force trauma for HO induction. Furthermore, we assessed the ability of the higher-power air delivery system to injure host tissue, displace metal particulate, and disperse bone chips in cadaveric sheep limbs.

resultsData demonstrated that the air delivery setup generated battlefield-relevant blast forces. When the AID was charged to 40, 80, and 100 psi, the outputs were 229 (SD 13) N, 778 (SD 50) N, and 1085 (SD 114) N, respectively, compared with the blunt force model which proposed only 168 (SD 11) N. For the 100-psi AID setup, the force equaled a 5.8-kg charge weight of trinitrotoluene at a standoff distance of approximately 2.62 m, which would replicate a dismounted improvised explosive device blast in theater. Dispersion data showed that the delivery system would have the ability to cause host tissue trauma and effectively disperse metal particulate and host bone chips in local musculature compared with the standard blunt force model (13 mm vs 2 mm).

conclusionsOur data showed that a high-pressure AID was repeatable or reproducible, had the ability to function as a simulated battlefield blast that can model military HO scenarios, and will allow for factors including blast trauma to translate toward a large animal model.

Indexed as

airblastheterotopic ossificationlimbsheep

Identifiers

PMID30794203
PMCPMC6406231
OpenAlexW2899733995

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.